REWIRE Program for Depression and Anxiety
(REWIRE Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a program designed to reduce anxiety and depression in young people by altering their social media use. Participants will either follow the new REWIRE Program, which halves social media use and promotes engaging offline activities, or receive education about social media and health without altering their usage. The trial aims to determine if these changes improve mental health and will also examine factors like loneliness and impulsivity. Young people aged 12 to 17 who use social media for more than three hours daily and experience anxiety or depression are well-suited for this trial. As an unphased trial, this study provides a unique opportunity for young people to contribute to understanding how social media habits affect mental health.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that the REWIRE program is safe for youth?
Research has shown that the REWIRE Program for Depression and Anxiety is expected to be safe and well-tolerated. Similar programs that aim to change social behaviors, such as immersive social training, have demonstrated improvements in depression without significant side effects. For instance, one study found that these programs quickly improved depression levels without causing harm. The REWIRE Program also emphasizes reducing social media use and promoting offline activities, which are generally safe methods. Although specific details on side effects from the REWIRE Program are not provided, the program's nature suggests it is likely safe for participants.12345
Why are researchers excited about this trial?
Researchers are excited about the REWIRE Program because it focuses on modifying patterns of social media use and daily behavior to improve mental health, offering a fresh approach compared to traditional therapies like medication and talk therapy. Unlike standard treatments that often rely on pharmaceuticals, REWIRE aims to harness the power of behavior change, which could lead to more sustainable and personalized mental health improvements. By targeting the way individuals interact with social media, the program addresses a modern factor influencing mental health that is not typically covered by existing treatments.
What evidence suggests that the REWIRE Program is effective for depression and anxiety?
Research shows that altering time spent on social media can alleviate anxiety and depression. Studies have found that reducing screen time and engaging in positive real-life activities can enhance mood and improve mental health. For instance, a study with adults experiencing depression found significant mood improvement when they participated in planned activities that altered brain patterns. Additionally, therapies focusing on changing thought and behavior patterns have successfully reduced depression levels. In this trial, participants in the Phase 2: Intervention Group will receive the active REWIRE program, designed to reduce social media use and encourage real-world interactions. This approach may help treat anxiety and depression in young people.12678
Who Is on the Research Team?
Gary Goldfield
Principal Investigator
Children's Hospital of Eastern Ontario
Are You a Good Fit for This Trial?
This trial is for youth aged 12-17 who feel anxious or depressed, use social media more than 3 hours a day, own a smartphone, can communicate in English, and have a caregiver willing to join the study with them.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Pilot Feasibility Phase
A single-arm pilot involving approximately 10 youth-caregiver dyads to evaluate recruitment feasibility, adherence to the SMU reduction target, usability of procedures, and acceptability of intervention components.
Randomized Controlled Trial
A balanced, parallel-group RCT enrolling approximately 100 youth-caregiver dyads to evaluate the REWIRE program on anxiety and depression symptoms.
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- REWIRE Program
Trial Overview
The study compares the REWIRE program—which helps teens cut their social media use by half and encourages positive offline activities—to standard education about social media. Participants are randomly assigned to groups and attend weekly sessions over 12 weeks.
How Is the Trial Designed?
3
Treatment groups
Experimental Treatment
Active Control
Participants assigned to this arm will receive the active REWIRE intervention, which aims to improve mental health outcomes by modifying patterns of social media use and daily behaviour. This arm will be compared to the control group to evaluate the effectiveness of the intervention.
Participants in this arm will take part in an initial pilot phase designed to evaluate feasibility, usability, and participant engagement with the REWIRE program prior to the randomized controlled trial. This phase is intended to identify barriers and facilitators to participation and to inform any refinements to study procedures before proceeding to Phase 2.
Participants assigned to this arm will serve as the comparison group for the randomized controlled trial and will receive an education-based program without active behavioural change targets. This arm is designed to control for attention, expectancy, and self-monitoring effects.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Gary Goldfield
Lead Sponsor
Citations
NCT07429357 | The REWIRE Behaviour Study
In Phase 2, approximately 100 youth and their caregivers will be randomly assigned to one of two groups to evaluate the REWIRE program on anxiety and depression ...
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REWIRE Program for Depression and Anxiety
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4.
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This brief, immersive psychosocial training program rapidly and substantially improved depression levels and several related secondary outcomes.
Rewiring Mood: Precision Psychobiotics as Adjunct or ...
Results: Nineteen RCTs met the inclusion criteria, with all demonstrating a significant amelioration of depression status after probiotic/psychobiotic treatment ...
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