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CTRI Number  CTRI/2020/03/023693 [Registered on: 02/03/2020] Trial Registered Prospectively
Last Modified On: 28/11/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Behavioral 
Study Design  Single Arm Study 
Public Title of Study
Modification(s)  
Understanding utility of combining self-help and face-to-face brief therapy for managing depression  
Scientific Title of Study   Blended internet-based and face-to-face intervention for treatment of depression 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sindhuja Sudarshan 
Designation  PhD Research Scholar 
Affiliation  National Institute of Mental Health and Neurosciences 
Address  Department of Clinical Psychology, 3rd Floor, Dr. M V Govindaswamy Building, National Institute of Mental Health and Neurosciences, Hosur Road, Bangalore

Bangalore
KARNATAKA
560029
India 
Phone  9538003395  
Fax    
Email  sudarshan.sindhuja@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Seema Mehrotra 
Designation  Professor and Guide 
Affiliation  National Institute of Mental Health and Neurosciences 
Address  Department of Clinical Psychology, 3rd Floor, Dr. M V Govindaswamy Building, National Institute of Mental Health and Neurosciences, Hosur Road, Bangalore

Bangalore
KARNATAKA
560029
India 
Phone  08026995192  
Fax    
Email  drmehrotra_seema@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Sindhuja Sudarshan 
Designation  PhD Research Scholar 
Affiliation  National Institute of Mental Health and Neurosciences 
Address  Department of Clinical Psychology, 3rd Floor, Dr. M V Govindaswamy Building, National Institute of Mental Health and Neurosciences,

Bangalore
KARNATAKA
560029
India 
Phone  9538003395  
Fax    
Email  sudarshan.sindhuja@gmail.com  
 
Source of Monetary or Material Support  
Indian Council of Medical Research, V Ramalingaswami Bhawan, PO Box 4911, Ansari Nagar, New Delhi 110029 
National Institute of Mental Health and Neurosciences, Hosur Road, Bangalore 560029 
 
Primary Sponsor  
Name  Sindhuja Sudarshan 
Address  Department of Clinical Psychology, 3rd Floor, Dr. M V Govindaswamy Building, National Institute of Mental Health and Neurosciences, Hosur Road, Bangalore 560029 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
National Institute of Mental Health and Neurosciences  Hosur Road, Bangalore 560029 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Sindhuja Sudarshan  National Institute of Mental Health and Neurosciences  Department of Clinical Psychology, 3rd Floor, Dr. MV Govindaswamy Building, Hosur Road, Bangalore 560029
Bangalore
KARNATAKA 
9538003395

sudarshan.sindhuja@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NIMHANS Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F320||Major depressive disorder, singleepisode, mild, (2) ICD-10 Condition: F321||Major depressive disorder, singleepisode, moderate, (3) ICD-10 Condition: F330||Major depressive disorder, recurrent, mild, (4) ICD-10 Condition: F331||Major depressive disorder, recurrent, moderate, (5) ICD-10 Condition: F341||Dysthymic disorder,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  Blended intervention  A combination of an internet-based self-help programme for depression along with face-to-face intervention for a duration of 6-8 weeks 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1.A primary diagnosis of mild to moderate depression and/or dysthymia as per ICD-10 as determined through Mini International Neuropsychiatric Interview (MINI, Sheehan et al., 1998)
2.Score of 14 and above on Beck Depression Inventory(BDI II; Beck,Street & Brown; 1996)
3.Minimum education upto class X
4.Ability to read, write and comprehend English
5.Access to and comfort in using internet
6.Individuals in whom the anti-depressant dose has not been changed by over 25 percent over the past four weeks if on medication
 
 
ExclusionCriteria 
Details  1.Diagnoses of Psychosis, Bipolar Affective Disorder, Severe Depression with/without psychotic symptoms, cluster B personality disorders, organic disorders
2.Individuals whose current problems predominantly indicate the need for current engagement in marital or family therapy as clinically adjudged
3.Current suicidality assessed as moderate or severe on MINI
4.Patients who are currently undergoing psychotherapy or who have undergone psychotherapy in the last 6 months in the form of more than 3 structured psychotherapy sessions.
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome
Modification(s)  
Outcome  TimePoints 
Severity of depressive symptoms,
Functioning 
Baseline, post assessment at 8 weeks, 3 month follow up 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
Self-esteem  Baseline, post assessment at 8 weeks, 3 month follow up 
Psychological recovery  Baseline, post assessment at 8 weeks, 3 month follow up 
 
Target Sample Size
Modification(s)  
Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "60"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/03/2020 
Date of Study Completion (India) 05/10/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="4"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Sudarshan, S., Mehrotra, S. & Thirthalli, J. (2023). Integrating internet-based self-care program with face-to-face therapy for depression. Observations and emergent insights. Indian Journal of Psychological Medicine, 45 (4) 415-419. 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
The study aims to examine the feasibility, acceptability and effectiveness of a blended intervention which combines internet-based self-help with face-to-face sessions in the treatment of mild-to-moderate depression.  A single group pre post follow up study design will be employed where participants will receive the blended intervention (n=60).  The primary outcome measures will be severity of depression as assessed on Beck Depression Inventory (BDI) and functioning assessed on Work and Social Adjustment Scale (WSAS) at baseline, post assessment at 8 weeks and 3 month follow up. The secondary outcomes will be self-esteem and psychological recovery assessed at baseline, post assessment at 8 weeks and 3 month follow up.  
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