Evidence map›Paper›PMID 28132007›Full record

Trial reportBMJ open2017

Ibobbly mobile health intervention for suicide prevention in Australian Indigenous youth: a pilot randomised controlled trial.

Joseph Tighe, Fiona Shand, Rebecca Ridani, Andrew Mackinnon, Nicole De La Mata, Helen Christensen

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04414774 (Assessing the Effectiveness of a CBT-based App in Reducing Suicidal Ideation), which is not on this map. Cited by 113 papers, 29 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 29 pooled it
23.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04414774 nacompletednot on this mapstarted 2020, after this paper: background citation

Assessing the Effectiveness of a CBT-based App in Reducing Suicidal Ideation: An Open Randomized Study

TypeinterventionalSponsorShahak YarivRan2020 to 2021Enrolled128ConditionsSuicide IdeationArmsGG-Suicide-Ideation
3 · Its place in the literature

Who cites it

113 citing papers in PubMed, 29 syntheses or guidelines pooled it, 254 citations in OpenAlex.

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53 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Joseph TigheBlack Dog Institute, University of New South Wales, Randwick, New South Wales, Australia.ORCID 0000-0003-3553-6721
Fiona ShandBlack Dog Institute, University of New South Wales, Randwick, New South Wales, Australia.
Rebecca RidaniBlack Dog Institute, University of New South Wales, Randwick, New South Wales, Australia.
Andrew MackinnonBlack Dog Institute, University of New South Wales, Randwick, New South Wales, Australia.
Nicole De La MataKirby Institute, University of New South Wales, Kensington, New South Wales, Australia.
Helen ChristensenBlack Dog Institute, University of New South Wales, Randwick, New South Wales, Australia.
Black Dog Institute · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRates of youth suicide in Australian Indigenous communities are 4 times the national youth average and demand innovative interventions. Historical and persistent disadvantage is coupled with multiple barriers to help seeking. Mobile phone applications offer the opportunity to deliver therapeutic interventions directly to individuals in remote communities. The pilot study aimed to evaluate the effectiveness of a self-help mobile app (ibobbly) targeting suicidal ideation, depression, psychological distress and impulsivity among Indigenous youth in remote Australia.

settingRemote and very remote communities in the Kimberley region of North Western Australia.

participantsIndigenous Australians aged 18-35 years.

interventions61 participants were recruited and randomised to receive either an app (ibobbly) which delivered acceptance-based therapy over 6 weeks or were waitlisted for 6 weeks and then received the app for the following 6 weeks. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the Depressive Symptom Inventory-Suicidality Subscale (DSI-SS) to identify the frequency and intensity of suicidal ideation in the previous weeks. Secondary outcomes were the Patient Health Questionnaire 9 (PHQ-9), The Kessler Psychological Distress Scale (K10) and the Barratt Impulsivity Scale (BIS-11).

resultsAlthough preintervention and postintervention changes on the (DSI-SS) were significant in the ibobbly arm (t=2.40; df=58.1; p=0.0195), these differences were not significant compared with the waitlist arm (t=1.05; df=57.8; p=0.2962). However, participants in the ibobbly group showed substantial and statistically significant reductions in PHQ-9 and K10 scores compared with waitlist. No differences were observed in impulsivity. Waitlist participants improved after 6 weeks of app use.

conclusionsApps for suicide prevention reduce distress and depression but do not show significant reductions on suicide ideation or impulsivity. A feasible and acceptable means of lowering symptoms for mental health disorders in remote communities is via appropriately designed self-help apps. TRIAL REGISTRATION NUMBER: ACTRN12613000104752.

Indexed as

Impulsive BehaviorMobile ApplicationsSuicidal IdeationSuicide PreventionAdolescentAdultAustralian Aboriginal and Torres Strait Islander PeoplesDepressionFemaleHealth ServicesHumansMaleMiddle AgedPilot ProjectsSelf-ManagementStress, PsychologicalAboriginal and Torres Strait IslanderAcceptance and Commitment TherapyeHealthIndigenous AustralianmHealthSuicide Prevention

Identifiers

PMID28132007
PMCPMC5278278
OpenAlexW2582394553

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.