Nick Glozier*, University of Sydney, Sydney, Australia Helen Christensen, Black Dog Institute, Sydney, Australia Nicole Cockayne, University of Sydney, Sydney, Australia Kathy Griffiths, ANU, Canberra, Australia Ian Hickie, University of Sydney, sydney, Australia Frances Thorndike, University of Virginia, Charlottesville, United States Sharon Naismith, University of Sydney, Sydney, Australia Lee Ritterband, University of Virginia, Charlottesville, United States Track: Practice Presentation Topic: Web 2.0 approaches for clinical practice, clinical research, quality monitoring Presentation Type: Oral presentation Submission Type: Single Presentation Building: Sheraton Maui Resort Room: C - Napili Date: 2014-11-14 02:00 PM – 02:45 PM Last modified: 2014-09-04

If you are the presenter of this abstract (or if you cite this abstract in a talk or on a poster), please show the QR code in your slide or poster (QR code contains this URL).

Background: Despite claims that internet treatments for psychological conditions might be used alongside i.e. contemporaneous with clinical treatment, as opposed to preventation, early intervention, non-clinical, or post treatment populations, the logistics, ethics, feasibility and acceptabilty of undertaking such a trial in a help seeking and clinician treated population has little evidential guidance.

Objective - To describe the logistic and ethical issues raised in conducting ehealth trials in "patient" populations from the researcher's view point and the feasibility, acceptability and adherence issues from a qualitative study of trial participants

Methods: SOMNA is an RCT comparing internet based CBT for insomnia (Shuti) with an active internet control conditon as an adjunctive treatment for depression in older men. The participants all receive psychiatrist coordinated guideline based treament for their depression for three months and are randomly allocated to one arm for a nine week intervention period with pre post assessments of psychological and phsyical health and sleep paramaters including actigraphy.
The logistical and ethical issues in embedding such a trial, rather than the internet-based logistics in most such intervetniosn, have been recorded by the research team
So far 46 participants have been recruited and randomised. A qualitative study by a blinded researcher of a subset of these is underway to evaluate participant engagement in this setting

Results: Research in progress.

Conclusions: Research in progress but these will inform future ehealth-clinical interfaces