%0 Journal Article
%@ 1929-0748
%I JMIR Publications
%V 6
%N 8
%P e145
%T A Web-Based Public Health Intervention to Reduce Functional Impairment and Depressive Symptoms in Adults With Type 2 Diabetes (The SpringboarD Trial): Randomized Controlled Trial Protocol
%A Proudfoot,Judy
%A Clarke,Janine
%A Gunn,Jane
%A Fletcher,Susan
%A Sanatkar,Samineh
%A Wilhelm,Kay
%A Campbell,Lesley
%A Zwar,Nicholas
%A Harris,Mark
%A Lapsley,Helen
%A Hadzi-Pavlovic,Dusan
%A Christensen,Helen
%+ Black Dog Institute, Hospital Road, Randwick, 2031, Australia, 61 2 9382 3767 ext 23767, janine.clarke@unsw.edu.au
%K type 2 diabetes
%K depression
%K Web-based intervention
%D 2017
%7 03.08.2017
%9 Protocol
%J JMIR Res Protoc
%G English
%X Background: Depressive symptoms are common in people with type 2 diabetes and contribute to adverse health consequences that substantially impact social and vocational function. Despite the existence of effective depression treatments, the majority of people with type 2 diabetes do not access these when needed. Web-based alternatives to more traditional psychotherapies offer a potential solution to reducing the personal and economic burdens of type 2 diabetes. Objective: This paper outlines the protocol for a randomized controlled trial (RCT) of myCompass, a Web-based public health psychotherapy intervention, in people with type 2 diabetes. Fully automated, interactive, and delivered via the Internet without clinician support, myCompass teaches cognitive behavioral therapy-based skills and supports symptom monitoring to improve daily functioning and reduce mild-to-moderate mental health symptoms. Methods: A two-arm RCT will be conducted. People with type 2 diabetes and mild-to-moderately severe depressive symptoms will be recruited from the community and general practice settings. Screening and enrollment is via an open-access website. Participants will be randomized to use either myCompass or an active placebo program for 8 weeks, followed by a 4-week tailing-off period. The placebo program is matched to myCompass on mode of delivery, interactivity, and duration. Outcomes will be assessed at baseline and at 3-month, 6-month, and 12-month follow-up. The primary study outcome is work and social functioning. Secondary study outcomes include depressive and anxious symptoms, diabetes-related distress, self-care behaviors, and glycemic control. Results: Nationwide recruitment is currently underway with the aim of recruiting 600 people with type 2 diabetes. Recruitment will continue until October 2017. Conclusions: This is the first known trial of a Web-based psychotherapy program that is not diabetes specific for improving social and vocational function in people with type 2 diabetes and mild-to-moderately severe depressive symptoms. With the increasing prevalence of type 2 diabetes and depression, a potentially scalable public health intervention could play a very large role in reducing unmet mental health need and ameliorating the personal and societal impact of illness comorbidity. Trial Registration: Australian New Zealand Clinical Trials Registry (ANZCTR) Number: ACTRN12615000931572; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368109 (Archived by WebCite at http://www.webcitation.org/ 6rh3imVMh) 
%M 28778848
%R 10.2196/resprot.7348
%U http://www.researchprotocols.org/2017/8/e145/
%U https://doi.org/10.2196/resprot.7348
%U http://www.ncbi.nlm.nih.gov/pubmed/28778848