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CompletedNCT06456775Updated Jun 13, 2024

Tele-SSM: A Telephone Technology Innovation in the Intervention on Supported Self-management for Depression in Vietnam

An interventional study of Tele-SSM in Depression, sponsored by Institute for Social Development Studies, Vietnam. Completed at 1 site in Vietnam. Open to participants aged 18 Years to 64 Years. Per ClinicalTrials.gov, last updated 2024-06-13.

Sponsored by Institute for Social Development Studies, Vietnam · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 3 years 4 months after the study started (first participant enrolled Feb 2021, registered Jun 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Not applicable
Ages
18 Years to 64 Years
Sex
All
01

Study summary

Tele-SSM is a pre-post mixed-method study to investigate the feasibility, acceptability and the preliminary efficacy of the support self-management skills intervention for depression delivered from distance.

The specific objectives of this research include:

  • Transform the SSM intervention for depression from face-to-face delivery to delivery from distance.
  • Develop an software for intervention management
  • Examine knowledge, attitudes and practices of people with depression toward depression
  • Examine the feasibility, acceptability and preliminary efficacy of the intervention
  • Investigate the cost analysis of Tele-SSM intervention
Read the detailed description

Introduction

In the context of limited interventions for depression in Vietnam and the strong potential for tele-health to improve accessibility to mental health care in low-middle income countries, the principal investigators conducted a pre-post mixed-method study of a supported self-management for depression delivered from distance (Tele-SSM) to evaluate the preliminary efficacy, feasibility and acceptability of this approach on depression and other mental health outcomes for adults with depression symptoms in Vietnam and to explore knowledge, attitudes and practices of people with depression towards depression.

Method

This is pre-post mixed method study. The princial investigators use both quantitative and quanlitative methodology to evaluate the preliminary efficacy, feasibility and acceptability of Tele-SSM intervention on depression and other mental health outcomes for adults with depression symptoms in Vietnam and to explore knowledge, attitudes and practices of people with depression towards depression.

Recruitment

Participants ages 18-64 years ared recruited online through social media from May 2022 and May 2023. Interested participants completed the PHQ-9 on Kobotoolbox. Potential participants who satisfy the eligibility criteria of the study provided contact information. A research assistant with a psychology background conducted a video call with each potential participant to confirm their eligibility, provide information about the study and the intervention. Informed consent was obtained from all individual participants included in the study.

All procedures performed in studies involving human participants are in accordance with the ethical standards of the institutional ethical committee and was approved by the Institutional Review Board at ISDS (IRB00011703) on 05th May 2021 in Hanoi.

Sample size considerations

Findings from meta-analytic studies examining the effect of CBT interventions indicate the effect size for CBT on depressive symptoms to be 0.53 (Cuijpers et al., 2013) and on health-related quality of life to be 0.63 (Hofmann et al., 2017). Sample size calculations indicated that a sample size of 52 participants was sufficient to detect a conservative anticipated effect size of 0.40, with a statistical power of 80% and a two-sided alpha level of 0.05. The target sample size was increased to 72, assuming an anticipated attrition rate of 20%. In reality, the principal investigators recruited 75 patients, with 58 patients completing the intervention.

Data management

  • Participants completed pre- and post-questionnaires online using Kobotoolbox. The in-depth interviews are audio-recorded. Audio recordings are transcribed. Participant records are managed by a secured website.

Data Analysis Plan

  • Qualitative analysis methods: The IDIs are audio-recorded, transcribed and analyzed thematically to identify significant themes, patterns, and potential correlational relationships. The analysis is conducted with Excel software.
  • Quantitative analysis method: The principal investigators calculate descriptive statistics for all variables (means, ranges, standard deviations, percent data missing, and frequencies for categorical variables). For continuous variables, the principal investigators conduct statiscial tests to test for differences before and after intervention. For the acceptability, frequencies for questions on satisfaction were calculated from endline data.
  • Cost analysis method: The principal investigators analyze all costs incurred from activities of Tele-SSM intervention for all participants in the study.
02

Conditions studied

  • Depression

Keywords

  • depression
  • supported self-management
  • task-shifting approach
  • mobile health
  • mental health
  • Vietnam
03

In context

Depression

8,055 studies on the registry are indexed under Depression; 1,643 are open to participants now.

This study's enrollment of 75 is below the median of 84 across 6,718 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

This is the only study on the registry with Institute for Social Development Studies, Vietnam as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adults aged from 18-64 years
  • Have a score of PHQ-9 (26) greater than 5.

Exclusion criteria

Exclusion Criteria:

  • Any participants with severe mental health problems i.e. schizophrenia, bipolar disorder, recent suicide attempts and/or with suicide plans were excluded (current suicide ideation, but without recent suicide attempts and/or with suicide plans were not excluded).
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
75 participants (actual)

Study arms

  • Experimental
    Single arm

    All participants in the study received a supported self-management intervention for depression delivered from distance.

    Behavioral: Tele-SSM

Interventions

  • BehavioralTele-SSM

    Tele-SSM an individual-level psychosocial intervention based on cognitive behavior therapy principles and non-violent communication. The intervention consists of the following 10 sessions delivered through 10 weekly coaching calls delivered by Zoom (audio only).

06

What researchers measure

Primary outcomes

  1. Depression

    Measured by PHQ-9 questionnaire

    Time frame: Pre intervention and up to 12 weeks

  2. Acceptability

    Measured by questionnaire and in-depth interviews

    Time frame: Up to 12 weeks after pre-intervention survey

  3. Feasiblity

    Measured by questionnaire and in-depth interviews

    Time frame: Up to 12 weeks after pre-intervention survey

  4. Cost

    Measured by financial reports

    Time frame: Through study completion, an average 6 months

Secondary outcomes

  1. Anxiety

    Measure by DASS-21 questionnaire

    Time frame: Pre intervention and up to 12 weeks

  2. Stress

    Measured by DASS-21 questionnaire

    Time frame: Pre intervention and up to 12 weeks

  3. Self-esteem

    Measured by Rosenberg self - Esteem scale

    Time frame: Pre intervention and up to 12 weeks

  4. Social support

    Measured by Multidimensional Scale of Perceived Social Support (MSPSS)

    Time frame: Pre intervention and up to 12 weeks

  5. Health related quality of life

    Measured by SF-12 and EQ-5D-5L questionnaire

    Time frame: Pre intervention and up to 12 weeks

  6. Knowledge, attitude and practices of people with depression

    Measured by in-depth interviews

    Time frame: Pre-intervention

07

Study locations

1 site
  • Institute for Social Development Studies
    Hanoi, 10000, Vietnam
08

References and documents

Publications

  • Konig H, Konig HH, Konnopka A. The excess costs of depression: a systematic review and meta-analysis. Epidemiol Psychiatr Sci. 2019 Apr 5;29:e30. doi: 10.1017/S2045796019000180. PubMed 30947759 ↗
  • Christensen MK, Lim CCW, Saha S, Plana-Ripoll O, Cannon D, Presley F, Weye N, Momen NC, Whiteford HA, Iburg KM, McGrath JJ. The cost of mental disorders: a systematic review. Epidemiol Psychiatr Sci. 2020 Aug 18;29:e161. doi: 10.1017/S204579602000075X. PubMed 32807256 ↗
  • Cuijpers P, Noma H, Karyotaki E, Cipriani A, Furukawa TA. Effectiveness and Acceptability of Cognitive Behavior Therapy Delivery Formats in Adults With Depression: A Network Meta-analysis. JAMA Psychiatry. 2019 Jul 1;76(7):700-707. doi: 10.1001/jamapsychiatry.2019.0268. Erratum In: JAMA Psychiatry. 2019 Sep 1;76(9):986. doi: 10.1001/jamapsychiatry.2019.2040. JAMA Psychiatry. 2022 Feb 1;79(2):180. doi: 10.1001/jamapsychiatry.2021.3357. PubMed 30994877 ↗
  • Cuijpers P, Karyotaki E, Reijnders M, Purgato M, Barbui C. Psychotherapies for depression in low- and middle-income countries: a meta-analysis. World Psychiatry. 2018 Feb;17(1):90-101. doi: 10.1002/wps.20493. PubMed 29352530 ↗
  • Bilsker D, Goldner EM, Anderson E. Supported self-management: a simple, effective way to improve depression care. Can J Psychiatry. 2012 Apr;57(4):203-9. doi: 10.1177/070674371205700402. PubMed 22480584 ↗
  • Linde K, Sigterman K, Kriston L, Rucker G, Jamil S, Meissner K, Schneider A. Effectiveness of psychological treatments for depressive disorders in primary care: systematic review and meta-analysis. Ann Fam Med. 2015 Jan-Feb;13(1):56-68. doi: 10.1370/afm.1719. PubMed 25583894 ↗
  • Pasarelu CR, Andersson G, Bergman Nordgren L, Dobrean A. Internet-delivered transdiagnostic and tailored cognitive behavioral therapy for anxiety and depression: a systematic review and meta-analysis of randomized controlled trials. Cogn Behav Ther. 2017 Jan;46(1):1-28. doi: 10.1080/16506073.2016.1231219. Epub 2016 Oct 7. PubMed 27712544 ↗
  • Chau LW, Murphy J, Nguyen VC, Lou H, Khanh H, Thu T, Minas H, O'Neil J. Lay social workers implementing a task-sharing approach to managing depression in Vietnam. Int J Ment Health Syst. 2021 May 29;15(1):52. doi: 10.1186/s13033-021-00478-8. PubMed 34051848 ↗
  • Connolly SM, Vanchu-Orosco M, Warner J, Seidi PA, Edwards J, Boath E, Irgens AC. Mental health interventions by lay counsellors: a systematic review and meta-analysis. Bull World Health Organ. 2021 Aug 1;99(8):572-582. doi: 10.2471/BLT.20.269050. Epub 2021 Apr 29. PubMed 34354312 ↗
  • Murphy JK, Xie H, Nguyen VC, Chau LW, Oanh PT, Nhu TK, O'Neil J, Goldsmith CH, Van Hoi N, Ma Y, Lou H, Jones W, Minas H. Is supported self-management for depression effective for adults in community-based settings in Vietnam?: a modified stepped-wedge cluster randomized controlled trial. Int J Ment Health Syst. 2020 Feb 12;14:8. doi: 10.1186/s13033-020-00342-1. eCollection 2020. PubMed 32071614 ↗
  • Richards D, Richardson T. Computer-based psychological treatments for depression: a systematic review and meta-analysis. Clin Psychol Rev. 2012 Jun;32(4):329-42. doi: 10.1016/j.cpr.2012.02.004. Epub 2012 Feb 28. PubMed 22466510 ↗
  • Murphy J, Goldsmith CH, Jones W, Oanh PT, Nguyen VC. The effectiveness of a Supported Self-management task-shifting intervention for adult depression in Vietnam communities: study protocol for a randomized controlled trial. Trials. 2017 May 5;18(1):209. doi: 10.1186/s13063-017-1924-5. PubMed 28476148 ↗

Individual participant data

Plan to share: Yes — The data of this study are available on request from the principal investigator after the outcomes of the study are published. .

Supporting information: Sap, Icf, Csr

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 13, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06456775
Lead sponsor
Institute for Social Development Studies, Vietnam
Collaborators
National Foundation for Science & Technology Development, Vietnam
Responsible party
Tran Kieu Nhu (Head of Research Division, Institute for Social Development Studies, Vietnam) — Principal investigator
First posted
Jun 13, 2024
Start date
Feb 2, 2021
Primary completion
Aug 30, 2023
Completion
Aug 30, 2023
Last update
Jun 13, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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