App EngagementGROWNCT07071311
Can Mindsets Predict Help-Seeking? A Growth Mindset Intervention and Mental Health App Engagement in Working Adults
A study testing Growth Mindset Intervention and Digital Technology Condition in people with App Engagement and Employee Health, run by Intellect Pte. Ltd. at 1 site in Singapore.
Trial summary
Despite the growing adoption of digital mental health initiatives in the workplace, employees' sustained engagement with these resources remained relatively low. Encouraging a growth mindset about mental health may help motivate employees to actively use these tools to support their well-being. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- App Engagement, Employee Health, Mobile Apps
- What is being tested?
- Growth Mindset Intervention and Digital Technology Condition
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 307 participants
- Where
- 1 siteSingapore
- Study dates
- 13 Mar 2023to 29 Sep 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Being able to read and understand English
- Being 18 years or older
- Being employed
- Not using other mental health mobile applications or services concurrently.
Who cannot join
- Not able to read and understand English
- Younger than 18 years old
- Unemployed
- Using other mental health mobile applications or services concurrently.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Using a Mobile Health (mHealth) Self-Guided Application in the Workplace
Despite the growing adoption of digital mental health initiatives in the workplace, employees' sustained engagement with these resources remained relatively low. Encouraging a growth mindset about mental health may help motivate employees to actively use these tools to support their well-being.
This randomized controlled trial (RCT) examines whether introducing a growth mindset intervention prior to using a mental health app can improve users' repeated engagement with the app.
- Conditions
- App Engagement, Employee Health, Mobile Apps, Self-care Tools, Mindsets
- Being tested
- Growth Mindset Intervention, Digital Technology Condition
- Keywords
- App Engagement, Behavior Change, Growth Mindset, Mobile App, mHealth, Self-help, Self-care, Mental Health
- Medical subject headings
- Psychological Well-Being
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Growth Mindset InterventionBehavioural
This single-session growth mindset intervention consists of reading and reflective writing activities that present mental health as something that can be improved, rather than something fixed. The goal is to show that adopting a growth mindset of mental health can encourage more proactive mental health behaviors.
To begin, participants will read stories of three employees who share their personal experiences navigating mental health challenges in the workplace. Each story highlights the employee's struggles, how they came to see mental health as changeable, and the steps they took to care for their well-being (e.g., practicing self-care or seeking therapy). After reading, participants will complete a short reflective essay in response to three prompts. These prompts guide them to examine their own mindset about mental health, endorse a growth mindset towards mental health, and outline specific actions they can take to proactively support their own mental well-being.
Digital Technology ConditionBehavioural
This single-session control exercise aims to encourage the use of digital technology in the workplace. It positions participants as experts who provide guidance to others on how to use digital tools more effectively at work.
First, participants will read stories about employees' experiences navigating their workload with the help of workplace technology. Each story highlights the employee's initial struggles with learning new digital tools and how they eventually recognized the value of these technologies. This includes examples of how they viewed digital learning as manageable and took proactive steps-such as seeking help from colleagues or setting aside time to practice. Then, participants will complete a short reflective essay in response to three writing prompts. These prompts guide them to reflect on their own experiences with digital tools and offer practical advice to others on how to use new technologies effectively in the workplace.
| Study group | Role | What they receive |
|---|---|---|
| Digital Technology Condition | Placebo comparator | This single-session control exercise aims to encourage the use of digital technology in the workplace. It positions participants as experts who provide guidance to others on how to use digital tools more effectively at work.
First, participants will read stories about employees' experiences navigating their workload with the help of workplace technology. Each story highlights the employee's initial struggles with learning new digital tools and how they eventually recognized the value of these technologies. This includes examples of how they viewed digital learning as manageable and took proactive steps-such as seeking help from colleagues or setting aside time to practice. Then, participants will complete a short reflective essay in response to three writing prompts. These prompts guide them to reflect on their own experiences with digital tools and offer practical advice to others on how to use new technologies effectively in the workplace. Receives: Behavioral: Digital Technology Condition |
| Growth Mindset Intervention | Experimental | This single-session growth mindset intervention consists of reading and reflective writing activities that present mental health as something that can be improved, rather than something fixed. The goal is to show that adopting a growth mindset of mental health can encourage more proactive mental health behaviors.
To begin, participants will read stories of three employees who share their personal experiences navigating mental health challenges in the workplace. Each story highlights the employee's struggles, how they came to see mental health as changeable, and the steps they took to care for their well-being (e.g., practicing self-care or seeking therapy). After reading, participants will complete a short reflective essay in response to three prompts. These prompts guide them to examine their own mindset about mental health, endorse a growth mindset towards mental health, and outline specific actions they can take to proactively support their own mental well-being. Receives: Behavioral: Growth Mindset Intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Repeated App Engagement
Completion of >1 self-guided feature on the mental health app ("Intellect")
Measured: Repeated Engagement was defined as whether participants completed more than one self-help feature within three months of the growth mindset intervention
Secondary outcomes (3)
Anxiety and Depressive Symptoms
Participants' baseline anxiety and depressive symptoms were assessed with the 4-item Patient Health Questionnaire. Scores are summed, ranging from 0-12. Higher PHQ-4 scores indicate more severe anxiety and depressive symptoms. The cutoffs for mild, moderate, and severe depression were 3, 6, and 9 respectively.
Measured: Baseline Assessment
Perceived Stress
Participants' baseline stress levels over the last month were assessed using the 4-item Perceived Stress Scale. Scores are summed, ranging from 4-20, with higher scores indicating greater perceived stress.
Measured: Baseline Assessment
Positive Well-being
Participants' baseline positive well-being was assessed using the 7-item Short Warwick-Edinburgh Mental Wellbeing Scale. Scores are summed, ranging from 7-35, with higher scores indicating more positive well-being.
Measured: Baseline Assessment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jul 2025
- Study start13 Mar 2023
- Primary completion29 Sep 2023
- Study completion29 Sep 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for App EngagementStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This single-session growth mindset intervention consists of reading and reflective writing activities that present mental health as something that can be improved, rather than something fixed. The goal is to show that adopting a growth mindset of mental health can encourage more proactive mental health behaviors. To begin, participants read stories of three employees who share their personal experiences navigating mental health challenges in the workplace. Each story highlights the employee's struggles, how they came to see mental health as changeable, and the steps they took to care for their well-being (e.g., practicing self-care or seeking therapy). After reading, participants complete a short reflective essay in response to three prompts. These prompts guide them to examine their own mindset about mental health, endorse a growth mindset towards mental health, and outline specific actions they can take to proactively support their own mental well-being.
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 307 participants (actual)
Sponsor and investigators
- Lead sponsor
- Intellect Pte. Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- National University of Singapore
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07071311
- Sponsor's protocol ID
- NUS-IRB-2022-253
- Acronym
- GROW
- Status last verified
- Jul 2025
- First submitted
- 8 Jul 2025
- Last updated
- 25 Jul 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: IPD that underlies results in the publication
Publications
Walton, G. M. (2014). The new science of wise psychological interventions. Current Directions in Psychological Science, 23(1), 73-82.
Toh SHY, Horberg EJ, Kosasih FR, Sundermann O, O'Keefe PA. A "growth mindset of mental health" intervention increases the likelihood of initiating self-help on a mental health app: a randomized controlled trial. NPJ Digit Med. 2026 Oct 13;9(1):806. doi: 10.1038/s41746-026-03322-w.
PubMed 42918839
Study at a glance
From the registry record, last updated by the sponsor on 25 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Using a Mobile Health (mHealth) Self-Guided Application in the Workplace
- ClinicalTrials.gov ID
- NCT07071311
- Acronym / sponsor ID
- GROW / NUS-IRB-2022-253
- Conditions
- App Engagement, Employee Health, Mobile Apps, Self-care Tools, Mindsets
- Keywords
- App Engagement, Behavior Change, Growth Mindset, Mobile App, mHealth, Self-help, Self-care, Mental Health
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 307 participants (actual)
- Lead sponsor
- Intellect Pte. Ltd.Industry (pharma, biotech, devices)
- Collaborators
- National University of Singapore
- Study start
- 13 Mar 2023 (actual)
- Primary completion
- 29 Sep 2023 (actual)
- Study completion
- 29 Sep 2023 (actual)
- First posted
- 17 Jul 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Despite the growing adoption of digital mental health initiatives in the workplace, employees' sustained engagement with these resources remained relatively low. Encouraging a growth mindset about mental health may help motivate employees to actively use these tools to support their well-being.
This randomized controlled trial (RCT) examines whether introducing a growth mindset intervention prior to using a mental health app can improve users' repeated engagement with the app.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- This single-session growth mindset intervention consists of reading and reflective writing activities that present mental health as something that can be improved, rather than something fixed. The goal is to show that adopting a growth mindset of mental health can encourage more proactive mental health behaviors. To begin, participants read stories of three employees who share their personal experiences navigating mental health challenges in the workplace. Each story highlights the employee's struggles, how they came to see mental health as changeable, and the steps they took to care for their well-being (e.g., practicing self-care or seeking therapy). After reading, participants complete a short reflective essay in response to three prompts. These prompts guide them to examine their own mindset about mental health, endorse a growth mindset towards mental health, and outline specific actions they can take to proactively support their own mental well-being.
| Arm | Type | Receives |
|---|---|---|
| Digital Technology Condition | Placebo comparator | Behavioral: Digital Technology ConditionThis single-session control exercise aims to encourage the use of digital technology in the workplace. It positions participants as experts who provide guidance to others on how to use digital tools more effectively at work. First, participants will read stories about employees' experiences navigating their workload with the help of workplace technology. Each story highlights the employee's initial struggles with learning new digital tools and how they eventually recognized the value of these technologies. This includes examples of how they viewed digital learning as manageable and took proactive steps-such as seeking help from colleagues or setting aside time to practice. Then, participants will complete a short reflective essay in response to three writing prompts. These prompts guide them to reflect on their own experiences with digital tools and offer practical advice to others on how to use new technologies effectively in the workplace. |
| Growth Mindset Intervention | Experimental | Behavioral: Growth Mindset InterventionThis single-session growth mindset intervention consists of reading and reflective writing activities that present mental health as something that can be improved, rather than something fixed. The goal is to show that adopting a growth mindset of mental health can encourage more proactive mental health behaviors. To begin, participants will read stories of three employees who share their personal experiences navigating mental health challenges in the workplace. Each story highlights the employee's struggles, how they came to see mental health as changeable, and the steps they took to care for their well-being (e.g., practicing self-care or seeking therapy). After reading, participants will complete a short reflective essay in response to three prompts. These prompts guide them to examine their own mindset about mental health, endorse a growth mindset towards mental health, and outline specific actions they can take to proactively support their own mental well-being. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Being able to read and understand English
- Being 18 years or older
- Being employed
- Not using other mental health mobile applications or services concurrently.
Key exclusion criteria (4 listed)
- Not able to read and understand English
- Younger than 18 years old
- Unemployed
- Using other mental health mobile applications or services concurrently.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Growth Mindset InterventionThis single-session growth mindset intervention consists of reading and reflective writing activities that present mental health as something that can be improved, rather than something fixed. The goal is to show that adopting a growth mindset of mental health can encourage more proactive mental health behaviors. To begin, participants will read stories of three employees who share their personal experiences navigating mental health challenges in the workplace. Each story highlights the employee's struggles, how they came to see mental health as changeable, and the steps they took to care for their well-being (e.g., practicing self-care or seeking therapy). After reading, participants will complete a short reflective essay in response to three prompts. These prompts guide them to examine their own mindset about mental health, endorse a growth mindset towards mental health, and outline specific actions they can take to proactively support their own mental well-being. | Behavioural | Growth Mindset Intervention |
| Digital Technology ConditionThis single-session control exercise aims to encourage the use of digital technology in the workplace. It positions participants as experts who provide guidance to others on how to use digital tools more effectively at work. First, participants will read stories about employees' experiences navigating their workload with the help of workplace technology. Each story highlights the employee's initial struggles with learning new digital tools and how they eventually recognized the value of these technologies. This includes examples of how they viewed digital learning as manageable and took proactive steps-such as seeking help from colleagues or setting aside time to practice. Then, participants will complete a short reflective essay in response to three writing prompts. These prompts guide them to reflect on their own experiences with digital tools and offer practical advice to others on how to use new technologies effectively in the workplace. | Behavioural | Digital Technology Condition |
Primary outcome
Repeated App Engagement
Time frame: Repeated Engagement was defined as whether participants completed more than one self-help feature within three months of the growth mindset intervention
Completion of >1 self-guided feature on the mental health app ("Intellect")
3 secondary outcomes
Anxiety and Depressive Symptoms
Time frame: Baseline Assessment
Perceived Stress
Time frame: Baseline Assessment
Positive Well-being
Time frame: Baseline Assessment
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jul 2025.
- BackgroundWalton, G. M. (2014). The new science of wise psychological interventions. Current Directions in Psychological Science, 23(1), 73-82.
- Derived from this study: PubMed 42918839Toh SHY, Horberg EJ, Kosasih FR, Sundermann O, O'Keefe PA. A "growth mindset of mental health" intervention increases the likelihood of initiating self-help on a mental health app: a randomized controlled trial. NPJ Digit Med. 2026 Oct 13;9(1):806. doi: 10.1038/s41746-026-03322-w.
- Individual participant dataSharing planned: Yes. IPD that underlies results in the publication
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Growth Mindset Intervention and Digital Technology Condition in people with App Engagement and Employee Health, run by Intellect Pte. Ltd. at 1 site in Singapore.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Singapore. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Repeated App Engagement (time frame: Repeated Engagement was defined as whether participants completed more than one self-help feature within three months of the growth mindset intervention). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07071311, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jul 2025.