SUPERA

SUPERA

Improving depression and anxiety self­-management via Spanish, digital cognitive behavioral therapy (dCBT)

The SUPERA project investigates the implementation of an evidence-based, Spanish language, digital cognitive-behavioral therapy (dCBT) intervention (SilverCloud) in safety-net primary care clinics for Limited English Proficiency (LEP) Latinx patients with depression and/or anxiety. This study is an effectiveness-implementation hybrid trial (Type 2) design with both provider and patient-level randomization being conducted. At the provider-level the investigators will compare outreach (using the clinic patient registry) with inreach (traditional provider referral), at the patient-level two modes of delivery of the dCBT platform- peer supported and unsupported will be compared. 

The dCBT application SilverCloud was created by Amwell and has been seen to be affective in other countries like the UK and Colombia. With the help of this app, SUPERA contributes to the continuous work in mobile applications that promotes positive behavior change in mental health and beyond.

List of studies that have used SilverCloud as an intervention:

• Salamanca-Sanabria, A., Richards, D., & Timulak, L. (2019). Adapting an internet-delivered intervention for depression for a Colombian college student population: An illustration of an integrative empirical approach. Internet interventions, 15, 76–86. https://doi.org/10.1016/j.invent.2018.11.005

• Salamanca-Sanabria, A., Richards, D., Timulak, L., Connell, S., Mojica Perilla, M., Parra-Villa, Y., & Castro-Camacho, L. (2020). A Culturally Adapted Cognitive Behavioral Internet-Delivered Intervention for Depressive Symptoms: Randomized Controlled Trial. JMIR mental health, 7(1), e13392. https://doi.org/10.2196/13392
• Doherty G, Coyle, D., Sharry J. Engagement with online mental health interventions: an exploratory clinical study of a treatment for depression. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems; 2012.
• Richards D, Enrique A, Eilert N, et al. A pragmatic randomized waitlist-controlled effectiveness and cost-effectiveness trial of digital interventions for depression and anxiety. NPJ Digit Med. 2020;3:85

Team

Principal Investigators

• Adrian Aguilera, Ph.D.
  • Associate Professor
    • University of California, Berkeley
    • University of California, San Francisco, Psychiatry

• Stephen Schuller, Ph.D.
  • Associate Professor, University of California, Irvine, Psychological Science & Informatics
• Lisa Fortuna, MD, MPH
  • Chair of Psychiatry & Neuroscience, University of California, Riverside
• Lisa Ochoa-Frongia, MD
  • Associate Professor, University of California, San Francisco
  • Associate Program Director, ZSFGH General Internal Medicine

Post-Doctoral Scholars

• Marvyn Arévalo Avalos, Ph.D.
  • University of California, Berkeley
• Giovanni Ramos, Ph.D.
  • University of California, Irvine

Staff

• Cassandra Gastelum Lugo, M.S.
• Leonel Ochoa, B.A.
• Jennifer Rosario Arriaga, B.A.
• Karina Rosales, B.A.
• Jaylen Lee, Ph.D.

Research Assistants

• Angelica Venancio, B.A.
• Jocelyn Alvarado, B.A.

Volunteers

• Rebecca Sordo

Special thanks to:

• Somos Esenciales
• Richard Fine People's Clinic / Zuckerberg San Francisco General Hospital
• Chris Karr
  • Owner, Audatious Software