NCT07634705

Digitally Enhanced Stepped-Care for Depression in Primary Care

Recruiting
NAAges 18+InterventionalTreatment
Medical University of South Carolina
~40 participants
Updated 2026-07-09 on ClinicalTrials.gov
What's tested:Behavioral Activation Therapy AppTelehealth Delivered Behavioral Activation

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Feasibility of Digitally Enhanced Stepped-Care
Measured over 12 weeks
Depression
1 sites across 1 states
South Carolina1
  • Jennifer Dahne, PhD · PRINCIPAL_INVESTIGATOR · Medical University of South Carolina

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Eligibility criteria

Inclusion

elevated depression symptoms (score of \>=10 on the PHQ-9)
age \>=18 years
owns an iOS or Android smartphone
willing to use Moodivate
willing to engage in telehealth depression treatment
access to email or text messaging (for assessments)
English fluency

Exclusion

current receipt of psychosocial depression treatment (e.g., individual or group therapy)
current suicidal ideation, defined as a response \>=1 ("several days") on PHQ-9 item nine
does not live in the state of South Carolina
  • Feasibility of Digitally Enhanced Stepped-Care12 weeks

    We operationalize feasibility as continued engagement after stepping, defined as either using Moodivate at least once per week for \>4 weeks (for engagers) or attending \>4 telebehavioral health sessions (for non-engagers). We selected 4 treatment sessions as meaningful engagement because all BA concepts are introduced to patients within sessions 1-4, and sessions 5-8 primarily reinforce previous concepts. Because a strength of self-guided DMHIs is highly flexible pacing, we opt to base meaningful DMHI engagement on continued app use over time, for a duration of \>4 weeks to be comparable to the BA feasibility benchmark. Digitally enhanced stepped-care will be considered feasible if \>75% of participants meet these feasibility benchmarks.