Title
Effectiveness of an internet-based machine-guided stress management program based on cognitive behavioral therapy for improving depression among workers: Protocol for a randomized controlled trial
Date Issued
01 September 2021
Access level
open access
Resource Type
research article
Author(s)
Kawakami N.
Imamura K.
Watanabe K.
Sekiya Y.
Sasaki N.
Sato N.
Abstract
Background: The effect of an unguided internet-based cognitive behavioral therapy (iCBT) stress management program on depression may be enhanced by applying artificial intelligence (AI) technologies to guide participants adopting the program. Objective: The aim of this study is to describe a research protocol to investigate the effect of a newly developed iCBT stress management program adopting AI technologies on improving depression among healthy workers during the COVID-19 pandemic. Methods: This study is a two-arm, parallel, randomized controlled trial. Participants (N=1400) will be recruited, and those who meet the inclusion criteria will be randomly allocated to the intervention or control (treatment as usual) group. A 6-week, six-module, internet-based stress management program, SMART-CBT, has been developed that includes machine-guided exercises to help participants acquire CBT skills, and it applies machine learning and deep learning technologies. The intervention group will participate in the program for 10 weeks. The primary outcome, depression, will be measured using the Beck Depression Inventory II at baseline and 3- and 6-month follow-ups. A mixed model repeated measures analysis will be used to test the intervention effect (group × time interactions) in the total sample (universal prevention) on an intention-to-treat basis. Results: The study was at the stage of recruitment of participants at the time of submission. The data analysis related to the primary outcome will start in January 2022, and the results might be published in 2022 or 2023. Conclusions: This is the first study to investigate the effectiveness of a fully automated machine-guided iCBT program for improving subthreshold depression among workers using a randomized controlled trial design. The study will explore the potential of a machine-guided stress management program that can be disseminated online to a large number of workers with minimal cost in the post–COVID-19 era. Trial Registration: UMIN Clinical Trials Registry(UMIN-CTR) UMIN000043897; https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000050125 International Registered Report Identifier (IRRID): PRR1-10.2196/30305
Volume
10
Issue
9
Language
English
OCDE Knowledge area
Medicina general, Medicina interna
Subjects
DOI
Scopus EID
2-s2.0-85116593802
Source
JMIR Research Protocols
Sponsor(s)
This research was supported by a Grant-in-Aid for Scientific Research (KAKENHI) (A) from the Japan Society for the Promotion of Science (JSPS) (number 18H04072) (NK). The deep learning algorithm was developed through a research collaboration with Cotree Co, Ltd (KI). The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
NK reports grants from Fujitsu Ltd and TAK Ltd, and personal fees from Occupational Health Foundation, Japan Dental Association, Sekisui Chemicals, Junpukai Health Care Center, and Osaka Chamber of Commerce and Industry, outside the submitted work.
Sources of information:
Directorio de Producción Científica
Scopus