A pilot randomised controlled trial of the Peer Tree digital intervention targeting loneliness in young people: a study protocol

Author:

Lim Michelle H.,Thurston Lily,Eres Robert,Rodebaugh Thomas L.,Alvarez-Jimenez Mario,Penn David L.,Kostakos Vassilis,Gleeson John F. M.

Abstract

Abstract Background Young people are vulnerable to experiencing problematic levels of loneliness which can lead to poor mental health outcomes. Loneliness is a malleable treatment target and preliminary evidence has shown that it can be addressed with digital platforms. Peer Tree is a strength-based digital smartphone application aimed at reducing loneliness. The study aim is to reduce loneliness and assess the acceptability, usability, and feasibility of Peer Tree in young people enrolled at university. Methods This will be a pilot randomised controlled trial (RCT) comparing a strength-based digital smartphone application (Peer Tree) with a control condition. Forty-two young people enrolled at university will be recruited for this pilot RCT. Participants with suicidal ideation or behaviours, acute psychiatric symptoms in the past month, or a current diagnosis of a mood or social anxiety disorder will be excluded. Allocation will be made on a 1:1 ratio and will occur after the initial baseline assessment. Assessments are completed at baseline, at post-intervention, and at follow-up. Participants in the control condition complete the same three assessment sessions. The primary outcome of the study will be loneliness. Depression, social anxiety, quality of life, acceptability, usability, feasibility, and safety of Peer Tree will also be measured as secondary outcomes. Discussion This trial will report the findings of implementing Peer Tree, a smartphone application aimed at reducing loneliness in university students. Findings from this trial will highlight the initial efficacy, acceptability, and feasibility of using digital positive psychology interventions to reduce subthreshold mental health concerns. Findings from this trial will also describe the safety of Peer Tree as a digital tool. Results will contribute evidence for positive psychology interventions to address mental ill-health. Trial registration Australian New Zealand Clinical Trial Registry ACTRN12619000350123. Registered on 6 March 2020

Publisher

Springer Science and Business Media LLC

Subject

Pharmacology (medical),Medicine (miscellaneous)

Reference47 articles.

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2. Lim MH. Australian Loneliness Report: a survey exploring the loneliness levels of Australians and the impact on their health and wellbeing. In: Australian Psychological Society: Psychology Week 2018, ‘The Power of Human Connection’ campaign; 2018. https://psychweek.org.au/wp/wp-content/uploads/2018/11/Psychology-Week-2018-Australian-Loneliness-Report.pdf. Accessed 9 Dec 2020.

3. Richardson T, Elliott P, Roberts R. Relationship between loneliness and mental health in students. J Public Mental Health. 2017;16:48–54.

4. Peplau LA, Perlman D. Blueprint for a social psychological theory of loneliness. In: Cook M, Wilson G, editors. Love and attraction. New York: Pergamon Press; 1979. p. 99–108.

5. Hyland P, Shevlin M, Cloitre M, Karatzias T, Vallières F, McGinty G, et al. Quality not quantity: loneliness subtypes, psychological trauma, and mental health in the US adult population. Soc Psychiatry Psychiatr Epidemiol. 2019;54:1089–99.

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