Evidence map›Paper›PMID 36521888›Full record

ArticleBMJ open2022

Personalised app-based relapse prevention of depressive and anxiety disorders in remitted adolescents and young adults: a protocol of the StayFine RCT.

Suzanne J Robberegt, Bas E A M Kooiman, Casper J Albers, Maaike H Nauta, Claudi Bockting, Yvonne Stikkelbroek

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05551468 (StayFine), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT05551468 naactive not recruitingnot on this map

StayFine: a Personalized Monitoring and Intervention App to Prevent Relapse of Anxiety and Mood Disorders in Youth and Young Adults

TypeinterventionalSponsorGgz Oost BrabantRan2019 to 2027Enrolled254ConditionsDepressive Disorder, Anxiety DisordersArmsStayFine guided app-based personalised intervention modules, StayFine app-based monitoring
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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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.

Suzanne J RobberegtDepartment of Psychiatry, Amsterdam UMC Location AMC, Amsterdam, The Netherlands.ORCID 0000-0002-3301-1641
Bas E A M KooimanDepression Expertise Centre-Youth, GGZ Oost Brabant, Boekel, The Netherlands.ORCID 0000-0003-4654-0486
Casper J AlbersDepartment of Psychometrics and Statistics, Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, The Netherlands.
Maaike H NautaDepartment of Clinical Psychology and Experimental Psychopathology, Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, The Netherlands.
Claudi BocktingDepartment of Psychiatry, Amsterdam UMC Location AMC, Amsterdam, The Netherlands.ORCID 0000-0002-9220-9244
Yvonne StikkelbroekDepression Expertise Centre-Youth, GGZ Oost Brabant, Boekel, The Netherlands Y.Stikkelbroek@uu.nl.ORCID 0000-0001-5062-9585

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionYouth in remission of depression or anxiety have high risks of relapse. Relapse prevention interventions may prevent chronicity. Aim of the study is therefore to (1) examine efficacy of the personalised StayFine app for remitted youth and (2) identify high-risk groups for relapse and resilience. METHOD AND ANALYSIS: In this Dutch single-blind parallel-group randomised controlled trial, efficacy of app-based monitoring combined with guided app-based personalised StayFine intervention modules is assessed compared with monitoring only. In both conditions, care as usual is allowed. StayFine modules plus monitoring is hypothesised to be superior to monitoring only in preventing relapse over 36 months. Participants (N=254) are 13-21 years and in remission of depression or anxiety for >2 months. Randomisation (1:1) is stratified by previous treatment (no treatment vs treatment) and previous episodes (1, 2 or >3 episodes). Assessments include diagnostic interviews, online questionnaires and monitoring (ecological momentary assessment with optional wearable) after 0, 4, 12, 24 and 36 months. The StayFine modules are guided by certified experts by experience and based on preventive cognitive therapy and ingredients of cognitive behavioural therapy. Personalisation is based on shared decision-making informed by baseline assessments and individual symptom networks. Time to relapse (primary outcome) is assessed by the Kiddie Schedule for Affective Disorders and Schizophrenia-lifetime version diagnostic interview. Intention-to-treat survival analyses will be used to examine the data. Secondary outcomes are symptoms of depression and anxiety, number and duration of relapses, global functioning, and quality of life. Mediators and moderators will be explored. Exploratory endpoints are monitoring and wearable outcomes. ETHICS, FUNDING AND DISSEMINATION: The study was approved by METC Utrecht and is funded by the Netherlands Organisation for Health Research and Development (636310007). Results will be submitted to peer-reviewed scientific journals and presented at (inter)national conferences. TRIAL REGISTRATION NUMBER: NCT05551468; NL8237.

Indexed as

Mobile ApplicationsQuality of LifeAdolescentAnxiety DisordersHumansNeoplasm Recurrence, LocalRandomized Controlled Trials as TopicSecondary PreventionSingle-Blind MethodTreatment OutcomeYoung Adultanxiety disorderschild & adolescent psychiatryclinical trialsdepression & mood disordersmental healthpreventive medicine

Identifiers

PMID36521888
PMCPMC9756181

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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.