ERT-P: Emotion Regulation Training Via Telehealth During the COVID-19 Pandemic

Sponsor
Teachers College, Columbia University (Other)
Overall Status
Active, not recruiting
CT.gov ID
NCT04615416
Collaborator
University of Michigan (Other)
100
1
1
50
2

Study Details

Study Description

Brief Summary

This study is an open trial designed specifically to address the need for evidence-based treatment delivered via telehealth to individuals that are currently struggling with mental health issues during the COVID-19 pandemic, with the overarching goal of helping residents of New York adversely impacted by the pandemic to effectively manage their anxiety, stress, and depression during this unprecedented time in human history.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Emotion Regulation Training via Telehealth
N/A

Detailed Description

The present study is evaluating whether this ERT treatment program delivered via telehealth demonstrates efficacy in: 1) reducing symptoms of psychological distress (e.g., anxiety, depression, worry, rumination); 2) improving outcomes specific to the ERT mechanism-based model (e.g., attentional control, decentering, reappraisal); 3) improving quality of life and functioning, for adults aged 18-65 years old.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
100 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Intervention Model Description:
All participants will receive a 9-session version of Emotion Regulation Training delivered semi-weekly via synchronous telehealth using videoconferencing software and an asynchronous Internet-based Online platform to supplement the content covered in each session.All participants will receive a 9-session version of Emotion Regulation Training delivered semi-weekly via synchronous telehealth using videoconferencing software and an asynchronous Internet-based Online platform to supplement the content covered in each session.
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Open Trial of Emotion Regulation Training Via Telehealth for Distressed Adults During the COVID-19 Pandemic
Actual Study Start Date :
May 1, 2020
Actual Primary Completion Date :
Jun 1, 2022
Anticipated Study Completion Date :
Jul 1, 2024

Arms and Interventions

Arm Intervention/Treatment
Experimental: Emotion Regulation Training via Telehealth

All participants will receive 9 sessions of Emotion Regulation Training delivered via telehealth. These individualized therapy sessions are 1-hour in length and occur semi-weekly over the course of four weeks.

Behavioral: Emotion Regulation Training via Telehealth
The initial stage of treatment focuses on psychoeducation about anxiety/depression, the impact that these cognitions/behaviors/emotions have on recent situations, and self-monitoring of worry/anxiety/depression. The sessions focus on the development of skills that help understand and regulate one's emotional experience (i.e., recognizing emotions when they are happening, identifying the meaning of a given emotion experience, soothing oneself in the context of negative emotional experiences). Following the development of these skills, sessions focus on the application of somatic awareness and emotion regulation skills while imagining emotionally evocative themes. The remaining session focuses on terminating therapy, relapse prevention, and future goals. An Internet-based online platform will be used to promote engagement with and increase accessibility to between-session skills practice and treatment-related activities (e.g., self-monitoring, session summaries, worksheets).
Other Names:
  • Emotion Regulation Therapy (ERT)
  • Outcome Measures

    Primary Outcome Measures

    1. Changes in Anxiety, Depression, and Distress: Mood and Anxiety Symptoms Questionnaire (MASQ) [Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up]

      Scale = 1-5 (minimum = 30; maximum = 150; higher scores indicate worse outcomes)

    2. Changes in Anxiety, Depression, and Distress: Depression Anxiety Stress Scale (DASS) [Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up]

      Scale = 0-4 (minimum = 0; maximum = 84; higher scores indicate worse outcomes)

    3. Changes in Worry: Penn State Worry Questionnaire (PSWQ) [Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up]

      Scale = 1-5 (minimum = 12; maximum = 60; higher scores indicate worse outcomes)

    4. Changes in Rumination: Rumination-Reflection Questionnaire (RRQ) [Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up]

      Scale = 1-5 (minimum = 12; maximum = 60; higher scores indicate worse outcomes)

    5. Changes in Functional Impairment: Sheehan Disability Scale (SDS) [Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up]

      Scale = 0-10 (minimum = 0; maximum = 30; higher scores indicate worse outcomes)

    6. Changes in Life Satisfaction: Brief Multidimensional Students' Life Satisfaction Scale (BMSLSS) [Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up]

      Scale = 1-6 (minimum = 5; maximum = 30; higher scores indicate better outcomes)

    7. Changes in Life Satisfaction: Patient-Reported Outcomes Measurement Information System (PROMIS): Meaning and Purpose [Pre-Treatment, Post-Treatment (4-5 weeks after starting treatment), 3-Month Follow-Up, 9-Month Follow-Up, 2-Year Follow-Up]

      Scale = 1-5 (minimum = 4; maximum = 20; higher scores indicate better outcomes)

    Secondary Outcome Measures

    1. Semi-Weekly Measures of Treatment Changes in Anxiety: Patient-Reported Outcomes Measurement Information System (PROMIS): Anxiety [Semi-weekly over the course of four weeks]

      Scale = 1-5 (minimum = 4; maximum = 20; higher scores indicate worse outcomes)

    2. Semi-Weekly Measures of Treatment Changes in Depression: Patient-Reported Outcomes Measurement Information System (PROMIS): Depression [Semi-weekly over the course of four weeks]

      Scale = 1-5 (minimum = 4; maximum = 20; higher scores indicate worse outcomes)

    3. Semi-Weekly Measures of Treatment Changes in Depression Symptoms [Semi-weekly over the course of four weeks]

      Quick Inventory of Depressive Symptoms(QUIDS)

    4. Semi-Weekly Measures of Treatment Changes in Distress [Semi-weekly over the course of four weeks]

      Distress Thermometer (DT)

    5. Semi-Weekly Measures of Treatment Changes in Worry: Brief Penn State Worry Questionnaire (PSWQ) [Semi-weekly over the course of four weeks]

      Scale: 1-5 (minimum = 3; maximum = 15; higher scores indicate worse outcomes)

    6. Semi-Weekly Measures of Treatment Changes in Rumination: Brief Rumination-Reflection Questionnaire (RRQ) [Semi-weekly over the course of four weeks]

      Scale = 1-5 (minimum = 3; maximum = 15; higher scores indicate worse outcomes)

    7. Semi-Weekly Measures of Treatment Changes in Metacognitive Regulation: Emotion Regulation Questionnaire (ERQ) [Semi-weekly over the course of four weeks]

      Scale = 1-5 (minimum = 6; maximum = 30; higher scores indicate better outcomes)

    8. Semi-Weekly Measures of Treatment Changes in Metacognitive Regulation: Experiences Questionnaire (EQ) [Semi-weekly over the course of four weeks]

      Scale = 1-5 (minimum = 5; maximum = 25; higher scores indicate better outcomes)

    9. Semi-Weekly Measures of Treatment Changes in Attentional Regulation: The Attentional Control Scale (ACS) [Semi-weekly over the course of four weeks]

      Scale = 1-4 (minimum = 6; maximum = 24; higher scores indicate better outcomes)

    10. Satisfaction and Usability of Treatment: Client Satisfaction Questionnaire (CSQ) [Post-Treatment (4-5 weeks after starting treatment)]

      Scale = 1-4 (minimum = 4; maximum = 16; higher scores indicate better outcomes)

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 65 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Aged 18-65 years during the time of participation

    • Endorses distress and worry/rumination exacerbated by the COVID-19 pandemic

    • Access to a mobile device (e.g., smartphone, personal computer, laptop, tablet) connected to the Internet

    Exclusion Criteria:
    • Active suicidal intent

    • Current substance dependence disorder (within the past year)

    • Current or past psychotic disorder, Bipolar-I disorder, or dementia

    • Primary DSM-5 diagnosis of borderline or narcissistic personality disorder

    • Currently receiving any other form of psychosocial treatment

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Teachers College, Columbia University New York New York United States 10027

    Sponsors and Collaborators

    • Teachers College, Columbia University
    • University of Michigan

    Investigators

    • Principal Investigator: Douglas S Mennin, Ph.D., Teachers College, Columbia University

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Douglas Mennin, Professor of Clinical Psychology, Teachers College, Columbia University
    ClinicalTrials.gov Identifier:
    NCT04615416
    Other Study ID Numbers:
    • 20-269
    First Posted:
    Nov 4, 2020
    Last Update Posted:
    Jun 14, 2022
    Last Verified:
    Jun 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Douglas Mennin, Professor of Clinical Psychology, Teachers College, Columbia University
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jun 14, 2022