UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000051280
Receipt number R000057995
Scientific Title Effect of mental training web application for subthreshold insomnia, subthreshold depression and subthreshold panic Six arms randomized controlled trial
Date of disclosure of the study information 2023/06/07
Last modified on 2024/12/05 17:06:58

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Basic information

Public title

Effect of mental training web application for subthreshold insomnia, subthreshold depression and subthreshold panic
Six arms randomized controlled trial

Acronym

Validation of mental training apps for subthreshold symptoms

Scientific Title

Effect of mental training web application for subthreshold insomnia, subthreshold depression and subthreshold panic
Six arms randomized controlled trial

Scientific Title:Acronym

subthreshold- MENTORE App.

Region

Japan


Condition

Condition

subthreshold insomnia, subthreshold depression, subthreshold panic

Classification by specialty

Not applicable

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To explore effectivity of mental training web app for subthreshold insomnia, subthreshold depression and subthreshold panic on six arms randomized controlled trial.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

subthreshold insomnia: amount of change PSQI(Pittsburgh Sleep Quality Index) from 0 week to 4 weeks.
subthreshold depression: amount of change CES-D(Center for Epidemiologic Studies Depression Scale ) from 0 week to 4 weeks.
subthreshold insomnia: amount of change PAS(Panic and Agoraphobia Scale)from 0 week to 4 weeks.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

6

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom Other

Interventions/Control_1

Intervention 1/ subthreshold insomnia: to do insomnia program of MENTORE app once a week, 4 time in all(4 weeks intervention)


Interventions/Control_2

Control 2/ Siamese app once a day log in, 4weeks

Interventions/Control_3

subthreshold depression: to do anxiety and depression program of MENTORE app once a week, 4 time in all(4 weeks intervention)

Interventions/Control_4

Control 4/ Siamese app once a day log in, 4weeks

Interventions/Control_5

subthreshold insomnia: to do panic program of MENTORE app once a week, 4 time in all(4 weeks intervention)

Interventions/Control_6

Control 6/ Siamese app once a day log in, 4weeks

Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

70 years-old >=

Gender

Male and Female

Key inclusion criteria

1 18 to 70 years old
2 People who do not go to the hospital due to mental or physical illness
3 no suicidal ideation
4 have an internet environment
5 Japanese speaker and persons can be online consent
6 Apply to below A to C
A subthreshold insomnia
PSQi6 or more and Insomnia symptoms less than 3 month

B subthreshold depression
Does not meet PHQ9 diagnostic criteria for depression and CESD 16 or more
and depression symptoms less than 2 years

C subthreshold panic
PAS 9 or more and panic symptoms less than 1 month

note that
If subthreshold panic overlaps, it is classified as a panic group, and if subthreshold insomnia and subthreshold depression overlap, it is classified as a depression group

Key exclusion criteria

1 People who have been diagnosed with mental illness including sleep disorder, depression, panic disorder
2 PHQ9 section 2 score 2 or more
3 diagnosed with a serious progressive physical disease such as cancer or heart failure and are currently visiting a hospital
4 undergoing drug therapy for mental or physical symptoms however, use of OTC drugs and supplements purchased at pharmacies is not excluded
5 suspected of having sleep apnea syndrome or restless legs syndrome
6 Night shift workers

Target sample size

600


Research contact person

Name of lead principal investigator

1st name Eiji
Middle name
Last name Shimizu

Organization

Chiba University Graduate School of Medicine

Division name

Department of Cognitive Behavioral Physiology

Zip code

2608670

Address

1-8-1 inohana chuo-ku chiba city Chiba

TEL

043-226-2027

Email

eiji@faculty.chiba-u.jp


Public contact

Name of contact person

1st name Kayoko
Middle name
Last name Taguchi

Organization

Chiba University

Division name

Research Center for Child Mental Developmen

Zip code

2608670

Address

1-8-1 inohana chuo-ku chiba city Chiba

TEL

043-226-2027

Homepage URL


Email

k.taguchi@chiba-u.jp


Sponsor or person

Institute

Chiba University

Institute

Department

Personal name



Funding Source

Organization

Japan Science and Technology agency

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board of Chiba University Hospital

Address

1-8-1 inohana chuo-ku chiba city Chiba

Tel

043-222-7171

Email

prc-jim@chiba-u.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 06 Month 07 Day


Related information

URL releasing protocol

nothing

Publication of results

Unpublished


Result

URL related to results and publications

under article submission

Number of participants that the trial has enrolled

886

Results

The results of the four-week Mentor Program intervention suggested that the subthreshold depression and subthreshold insomnia programs improved depressive symptoms and insomnia symptoms in each group, while no significant improvement was observed in subthreshold panic. No serious adverse events occurred in either group, suggesting safety for subthreshold subjects.

Results date posted

2024 Year 12 Month 05 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Participants were aged 18-70 years and did not visit a hospital owing to any disease. Moreover, they all met the following criteria:
To select individuals with subthreshold depression, Among those who were not excluded as having depression, those with a CES-D score of 16 or higher were eligible. Individuals with subthreshold insomnia who had PSQI scores greater than 6 and insomnia symptoms lasting less than 3 months were eligible. Individuals with subthreshold panic who had a PAS score greater than 9 and who experienced anxiety-related panic symptoms continuously lasting less than 1 month were eligible. In the case of duplicate symptoms, if the panic score met the eligibility criteria, participants were allocated to subthreshold panic preferentially since those symptoms were more specific than the other two. Subthreshold depression sometimes overlaps with subthreshold insomnia; hence, participants were allocated to the subthreshold depression group. The exclusion criteria included persons with a history of diagnosed depression, insomnia, or panic disorder, and persons who experienced difficulty or extreme difficulty in daily life owing to anxiety symptoms on the Generalized Anxiety Disorder-7 (GAD-7) scale or owing to depressive thoughts on the PHQ-9.

Participant flow

Participants were recruited through an internet survey company. Participants who met the eligibility criteria were assigned to either subthreshold depression, subthreshold insomnia, or threshold panic, and were randomly assigned to an intervention or control group based on the three symptoms (six groups).
The intervention group participated in a four-week mentoring program, while the sham group logged in and recorded the weather, and were assessed before and after the intervention and at a one-month follow-up.

Adverse events

Non applicable.

Outcome measures

Primary Endpoints
Each primary endpoint was the change from the screening (T1) score to the 4-week follow-up (T4) score in each group, as described below:

Center for Epidemiological Studies Depression Scale (CESD) in the subthreshold depression group
The Pittsburgh Sleep Quality Index (PSQI) in the subthreshold insomnia group
Panic and Agoraphobia Scale (PAS) in the subthreshold panic group

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2023 Year 03 Month 09 Day

Date of IRB

2023 Year 04 Month 17 Day

Anticipated trial start date

2023 Year 06 Month 02 Day

Last follow-up date

2023 Year 09 Month 30 Day

Date of closure to data entry

2023 Year 09 Month 30 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 06 Month 07 Day

Last modified on

2024 Year 12 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000057995