10 Participants Needed

Mobile Cognitive Behavioral Therapy for Stroke

AJ
Overseen ByAbhishek Jaywant, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Weill Medical College of Cornell University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Will I have to stop taking my current medications?

If you are taking medication for depression or anxiety, you need to be on a stable dose for at least 8 weeks before starting the study. The trial does not specify if you need to stop other medications.

What data supports the effectiveness of the treatment Mobile Cognitive Behavioral App for stroke?

Research suggests that mobile health technology, like apps, can help manage post-stroke depression and improve control of risk factors such as high blood pressure and diabetes, which are important for stroke recovery. Stroke patients generally find these apps useful and are willing to use them alongside traditional medical care.12345

Is mobile cognitive behavioral therapy safe for stroke patients?

Mobile apps for stroke patients have been shown to be safe and are generally well-received, helping improve lifestyle factors like physical activity and managing conditions like hypertension (high blood pressure). These apps are seen as useful when they complement regular medical care.56789

How does the Mobile Cognitive Behavioral App treatment differ from other treatments for stroke?

The Mobile Cognitive Behavioral App is unique because it uses mobile technology to provide cognitive behavioral therapy (CBT) for stroke survivors, making it more accessible and convenient compared to traditional in-person therapy. This approach can help address post-stroke depression and improve rehabilitation outcomes by leveraging the widespread use of mobile devices.12101112

What is the purpose of this trial?

This study aims to assess the feasibility and acceptability of "MAYA", a mobile cognitive behavioral therapy app for anxiety and mood disorders, in adults who have had a stroke.

Research Team

AJ

Abhishek Jaywant, PhD

Principal Investigator

Weill Medical College of Cornell University

Eligibility Criteria

Adults aged 40-79 who've had a stroke at least one month ago, can use an iPhone or iPad, have home internet access, and are experiencing anxiety or depression. They must be able to consent and participate for the full study duration. Those on stable medication for these conditions can join but not if they have severe cognitive difficulties, moderate/severe aphasia, bipolar/psychotic disorders, substance abuse issues, non-fluency in English or active suicidal thoughts.

Inclusion Criteria

No greater than mild cognitive difficulties based on an eligibility evaluation conducted as part of the study
I am able to understand and agree to the study's procedures and risks.
Presence of clinically-significant anxiety and/or depression (as determined by an eligibility evaluation)
See 6 more

Exclusion Criteria

Any other clinical or medical reason in the study doctor's initial screening evaluation that suggests the study is not appropriate for the participant
Aphasia of moderate or greater severity (as determined during an eligibility evaluation)
History of a bipolar or psychotic disorder
See 5 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants use the mobile CBT app 'MAYA' for 30 minutes per day, 2 days per week, for 8 weeks. Weekly check-ins are conducted in person or via Zoom to assess intervention adherence and mood symptoms.

8 weeks
8 visits (in-person or virtual)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Treatment Details

Interventions

  • Mobile Cognitive Behavioral App
Trial Overview The trial is testing 'MAYA', a mobile app designed to deliver cognitive behavioral therapy (CBT) for adults recovering from a stroke who are dealing with anxiety and depression. The study will evaluate how practical and acceptable this digital intervention is.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: Intervention Arm Using the Mobile Cognitive Behavioral Therapy AppExperimental Treatment1 Intervention
All participants will receive the same intervention arm, a mobile cognitive behavioral therapy (CBT) app that includes modules with educational content and teaching and practice of strategies that address the following: education about anxiety and depression and their association with stroke recovery; awareness and monitoring of emotions; behavioral activation, i.e., increasing engagement in valued and meaningful activities; increasing awareness of thinking errors and reframing negative thoughts; mindfulness; relaxation skills; increasing tolerance of anxiety in anxiety-provoking situations; and problem-solving. The application includes an interactive dashboard to provide the user with statistics for tracking progress toward their goals. Participants will be asked to use the application for 30 minutes per day, 2 days per week, for 8 weeks.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Weill Medical College of Cornell University

Lead Sponsor

Trials
1,103
Recruited
1,157,000+

Findings from Research

Mobile tablet-based therapies (MTBTs) show promise in improving access to rehabilitation for stroke survivors, with positive patient responses reported in both inpatient and home settings.
Common barriers to effective use of MTBTs include complex therapy instructions and unreliable internet connections, suggesting that some level of support from therapists or caregivers may be necessary to enhance patient adherence and overcome these challenges.
Mobile tablet-based therapies following stroke: A systematic scoping review of administrative methods and patient experiences.Pugliese, M., Ramsay, T., Johnson, D., et al.[2018]
Post-stroke depression (PSD) affects about one-third of stroke survivors and can worsen recovery by limiting rehabilitation participation and increasing the risk of future health issues, including higher mortality rates.
The article proposes an mHealth intervention called iMOODS to provide culturally tailored psychological care for PSD in Peru, where access to mental health services is limited, leveraging the rapid growth of digital technology to improve outcomes for stroke patients.
Role of mHealth in overcoming the occurrence of post-stroke depression.Miranda, JJ., Moscoso, MG., Toyama, M., et al.[2023]
A qualitative study involving 12 stroke survivors revealed that participants found tablets easy to use and beneficial for engaging in therapeutic and leisure activities during the first three months of recovery.
The use of tablet technology was associated with increased participation in therapy, enhanced socialization, and reduced boredom, suggesting it could be a valuable tool in stroke rehabilitation, although further research is needed to assess its impact on patient outcomes.
Tablet technology during stroke recovery: a survivor's perspective.White, J., Janssen, H., Jordan, L., et al.[2016]

References

Mobile tablet-based therapies following stroke: A systematic scoping review of administrative methods and patient experiences. [2018]
Role of mHealth in overcoming the occurrence of post-stroke depression. [2023]
Tablet technology during stroke recovery: a survivor's perspective. [2016]
The Effects of Computer Based Cognitive Rehabilitation in Stroke Patients with Working Memory Impairment: A Systematic Review. [2020]
[Use of smartphone apps in secondary stroke prevention]. [2020]
Effect on anxiety and depression of a multifactorial risk factor intervention program after stroke and TIA: a randomized controlled trial. [2022]
A review of the quality and content of mobile apps to support lifestyle modifications following a transient ischaemic attack or 'minor' stroke. [2022]
Evaluation of a Newly Developed Smartphone App for Risk Factor Management in Young Patients With Ischemic Stroke: A Pilot Study. [2023]
Increasing physical activity in stroke survivors using STARFISH, an interactive mobile phone application: a pilot study. [2022]
[Commercial mobile applications in the therapeutic approach to stroke: Review in main application repositories and scientific evidence]. [2022]
11.United Statespubmed.ncbi.nlm.nih.gov
mHealth Intervention Applications for Adults Living With the Effects of Stroke: A Scoping Review. [2022]
Effects of computerized cognitive training on cognitive function, activity, and participation in individuals with stroke: A randomized controlled trial. [2022]
Unbiased ResultsWe believe in providing patients with all the options.
Your Data Stays Your DataWe only share your information with the clinical trials you're trying to access.
Verified Trials OnlyAll of our trials are run by licensed doctors, researchers, and healthcare companies.
Back to top
Terms of Service·Privacy Policy·Cookies·Security