Internet support services may be a way of engaging people, especially women of working age, with severe depression or depression at high suicide risk and who are shown to be increasing in number according to the 2014 National Household Survey. Such approaches are less successful in engaging men, older people and BME.
A first of its kind randomised controlled trial, REBOOT Notts is a public health campaign which is fully automated and utilising digital media. Working in partnership with Nottinghamshire Health Care Foundation Trust REBOOT Notts offers online information and/or peer support for stress and low mood. Having reached 750 people with depression and/or anxiety the study is testing the effectiveness of peer support through Big White Wall an SME who wish to provide online support nationally through the NHS, compared to online information only through the NHS Moodzone.
The study has successfully established and engaged a Lived Experience Advisory Panel who are making a significant contribution to the design, maintenance and analysis of the study. A service user consultant working on the team and who is experienced in peer support training is providing training opportunities for services and teams who engage with the study.
REBOOT Notts has been couched within a RE-AIM framework, which has enabled the study to fully explore the reach, implementation and adoption of this kind of intervention. These findings will be extremely important in terms of learning and future implementation of public health and digital-health research, particularly within public health.
Close ties and collaboration with Nottinghamshire HCFT and industry has meant that the CLHARC-EM team have been able to network widely with the support of a respected, experienced and professional centre behind it.
Contribution of CLAHRC East Midlands
CLAHRC funding has enabled the successful set up and implementation of the REBOOT Notts study. Close ties and collaboration with Nottinghamshire HCFT and industry has meant that the CLHARC-EM team have been able to network widely with the support of a respected, experienced and professional centre behind it. The pragmatic nature of such studies as well as the CLAHRC ethos of integrated PPI, training and implementation has given the study every chance to successfully complete and make effective use of the findings.