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Mental Health IssuePOETNCT06067165

Primary Care Online Emotion-regulation Treatment (POET)

A study testing POET feeling and Supportive treatment in people with Mental Health Issue, run by Karolinska Institutet at 1 site in Sweden.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Mental health problems in youth are a global problem, causing incalculable suffering in youth and families, harming long-term prospects of youths, and creating substantial economic costs to society. Read more about this study

Who is it for?
Ages 12 to 17 years
Conditions the study is for
Mental Health Issue
What is being tested?
POET feeling and Supportive treatment
Could I receive a placebo?
No, everyone receives an active treatment
How many people
388 participants
Where
1 siteSweden
Study dates
16 Oct 2023to 25 Nov 2031
Phase
Interventional
Are there results?
Not yet: the study is under way

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 12 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Age between 12 - 17 years
  • Seeking care for mental health problems
  • At least one guardian interested in participating in the parent program
  • Deemed capable of making decisions

Who cannot join

  • Psychiatric problems that require more extensive treatment.
  • Low global functioning (under 41 points on clinician rated C-GAS or functioning that requires more extensive treatment).
  • Elevated suicide risk
  • Insufficient Swedish comprehension.
  • Life circumstances that complicate or make treatment impossible (eg severe deficits in parental care, domestic violence).
  • Change in psychopharmacological medication in the last 2 months.
  • Ongoing psychological treatment

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Johan Bjureberg, PhD contact

+460852480000

johan.bjureberg@ki.se

Katja Sjöblom, MSc contact

+460812339504

katja.sjoblom@ki.se

Sweden1 site, 1 recruiting
  • Karolinska Institutet

    Stockholm, 113 64

    Johan Bjureberg, PhD, +46(0)700009188, johan.bjureberg@ki.se

    Recruiting

Other trials in Sweden

About this study

Mental health problems in youth are a global problem, causing incalculable suffering in youth and families, harming long-term prospects of youths, and creating substantial economic costs to society.

The overall objective of this study is to build an evidence base for a highly scalable transdiagnostic intervention called the Primary care Online Emotion-regulation Treatment (POET) for youth (12-17 years) seeking treatment for mental health problems.

In a randomized controlled trial, the investigators will examine the effects of POET. The investigators will test if emotion regulation mediates reduction in mental health problems during treatment. In addition the investigators will test if POET is more effective for some individuals than others and evaluate if POET is cost-effective. The investigators will also test whether there are detectable effects of POET on distal outcomes utilizing registry data following participants up to 10 years post treatment.

Read the detailed description

Introduction:

Mental health problems among young people are prevalent and many youth in need of treatment for mental health problems do not meet criteria for any mental health disorder or they meet criteria for several disorders. Most existing treatments focus on a subset of mental disorders and do not address subthreshold or multi-disorder mental health problems. In addition, available treatments do not typically target transdiagnostic disease mechanisms. Furthermore, the available treatments are limited in efficacy and most youth in need do not receive treatment due to social stigma and structural barriers such as geographical distance to treatment providers.

The aim of this randomized clinical trial is to determine the clinical efficacy of a digital emotion regulation treatment in adolescents with mental health problems. Participants will be randomized to a digital emotion regulation treatment or to an active comparator. Treatments in both conditions will include therapist support, and will be delivered in a blended treatment format combining asynchronous therapist-guided online modules with one synchronous session delivered over video-link. The primary endpoint is at post- treatment.

Primary objectives:

  1. To test the effects of POET on mental health problems.
  2. To test the effects of POET on emotion regulation.

Secondary objectives:

  1. To test if emotion regulation mediates reductions in mental health problems during treatment.
  2. To test if POET is cost-effective.
  3. To test if POET works better for some individuals than others (i.e., moderation).
  4. To test if there are detectable differences in distal outcomes between POET and active control 12 to 60 months post treatment and if individual baseline characteristics moderates these effects.

Research questions:

  1. What are the effects of POET on mental health problems?
  2. What are the effects of POET on emotion regulation?
  3. Are reductions in mental health problems during the POET treatment mediated through emotion regulation?
  4. Is POET feeling cost-effective?
  5. Does POET work better for some individuals than others?
  6. Are there detectable differences in distal outcomes between POET and active control 12 to 60 months post treatment and if individual baseline characteristics moderates these effects
Being tested
POET feeling, Supportive treatment

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • POET feelingBehavioural

    POET is adapted from online Emotion Regulation Individual Therapy for Adolescents developed by the research group (ClinicalTrials.gov Identifier: NCT03353961).

    POET is also based on the Modal model of emotion and Process model of emotion regulation that provides a framework for understanding how emotions are generated, experienced and how they can be regulated. The youth component of POET will include psychoeducation, addressing maladaptive beliefs about emotions and emotion regulation, and teaching adaptive emotion regulation strategies, such as acceptance of emotions and flexible cognitive reappraisal. The parent component will include psychoeducation and teaching effective support and responding to their adolescent's and their own emotions.

  • Supportive treatmentBehavioural

    The treatment will include educative material on mental health and self-reflection on themes such as school, family and friends. The parent component will include educative material and self reflection in how to support their adolescent.

Study groups in NCT06067165
Study groupRoleWhat they receive
POET feelingExperimentalPOET will include six guided digital treatment modules for the youth, and six modules for the parents administered over the course of six weeks.
Receives: Behavioral: POET feeling
Supportive treatmentActive comparatorThe active control will be supportive treatment. It includes six guided digital treatment modules for the youth, and six modules for the parents administered over the course of six weeks.
Receives: Behavioral: Supportive treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Clinical Global Impressions -Severity scale (CGI-S)

    Used to assess symptom severity rated on a single item ranging from 1-7, with higher scores indicating more severe symptoms. Clinician-rated.

    Measured: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended

Secondary outcomes (20)
  1. The Clinical Global Impressions - Improvement scales (CGI-I)

    Used to assess symptom improvement rated on a single item ranging from 1-7, with lower scores indicating more improvement. Clinician-rated.

    Measured: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended

  2. The Revised Child Anxiety and Depression Scale-C (RCADS-C)

    Used to assess symptoms of depression and anxiety. This scale has 47 items, total score ranging from 0 to 141, with higher scores indicating more severe symptoms. Clinician-rated.

    Measured: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended

  3. The Revised Child Anxiety and Depression Scale-P (RCADS-P)

    Used to assess symptoms of depression and anxiety in their offspring. This scale has 47 items, total score ranges from 0 to 141 points, with higher scores indicating more severe symptoms. Caregiver-reported.

    Measured: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended

  4. Brief 11-item version of the Revised Child Anxiety and Depression Scale for Adolescents (RCADS-11)

    Used to assess symptoms of depression and anxiety in children and adolescents. This scale has 11 items, total score ranges from 0-33 points, with higher scores indicating more severe symptoms. Self-rated by adolescents.

    Measured: Week 0 and Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7 after treatment start and 3,12 and 60 months after treatment has ended

  5. Children's global assessment scale (CGAS)

    Used to assess global impairment on a single item ranging from 1 to 100, with a higher value indicating better functioning. Clinician-rated.

    Measured: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended

  6. The Work and Social Adjustment Scale (WSAS)

    Used to assess impaired functioning in school, everyday life, friends and social life, recreation and hobbies and family and close relationships. This scale has 5 items, total score ranges from 0 to 40, with higher scores indicating greater impairment. Clinician-rated.

    Measured: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended

  7. The Positive and Negative Affect Schedule for Children (PANAS-C)

    Used to assess positive and negative feelings. This scale has 2 subscales. Each total subscale score range from 5-25, with higher scores indicating more negative or positive feelings. Self-rated by adolescents.

    Measured: Week 0 and Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7 after treatment start and 3,12 and 60 months after treatment has ended

  8. The Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA)

    Used to assess cognitive reappraisal. The subscale has 6 items, total subscale score ranges from 6-30, with higher scores indicating greater usage of cognitive reappraisal. Self-rated by adolescents.

    Measured: Week 0 and Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7 after treatment start and 3,12 and 60 months after treatment has ended

  9. Difficulties in Emotion Regulation Scale - 16 item version (DERS-16)

    Used to assess difficulties in emotion regulation. The scale has 16 items, total score ranges from 16-80, with higher scores indicating more difficulties. Self-rated by adolescents.

    One subscale named impulse (3 items ranging from 3-15) will be administered once every week during treatment.

    Measured: Week 0 and Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7 after treatment start and 3,12 and 60 months after treatment has ended

  10. The Process Model of Emotion Regulation Questionnaire -short (PMERQ-S)

    Used to assesses individual differences in emotion regulation. This scale has 30 items, total score ranges from 30-180, with higher scores indicate a greater usage of emotion regulation. Self-rated by adolescents.

    The three subscales named Confront unpleasant situations (3 items, total subscale score ranges from 6-18), Avoid unpleasant situations (3 items, total subscale score ranges from 6-18) and Cognitively distract (3 items, total subscale score ranges 6-18) will administered to adolescents weekly.

    Measured: Week 0 and Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7 after treatment start and 3,12 and 60 months after treatment has ended

  11. The Perth Alexithymia Questionnaire-Short Form (PAQ-S)

    Used to assess alexithymia. This scale has 6 items, total score ranges from 6 to 42, with higher scores indicate higher levels of alexithymia. Self-rated by adolescents.

    Measured: Week 0 and Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7 after treatment start and 3,12 and 60 months after treatment has ended

  12. Self-Efficacy Questionnaire for Children (SEQ-C)

    Used to assess social self-efficacy. The subscale named social self-efficacy has 8 items, total subscale score ranges from 8-40, with higher scores indicating greater social self-efficacy. Self-rated by adolescents.

    Measured: Week 0 and Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7 after treatment start and 3,12 and 60 months after treatment has ended

  13. Child Health Utility 9D (CHU-9D)

    Used to assess health-related quality of life. This scale has 9 items, total score ranges from 9 to 45, with higher scores indicating worse quality of life. Self-rated by adolescents.

    Measured: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended

  14. Borderline symptoms checklist supplement (BSL-23)

    Used to assess high-risk and problematic behaviors. This scale has 10 items, total score ranges from 0 to 40, with higher scores indicating greater usage of high-risk and problematic behaviors. Self-rated by adolescents.

    Measured: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended

  15. The Emotion Beliefs Questionnaire (EBQ)

    Used to assess beliefs about emotions. This scale 16 items, total score ranges from 16 to 112, with higher scores indicating more maladaptive beliefs about emotions. Self-rated by adolescents.

    Measured: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended

  16. Coping with Children's Negative Emotions Scale Adolescent Version (CCNES-A)

    Used to assess parents' perceived ability to cope with children's negative emotions. This scale has six subscales which include emotion focused, problem-focused, minimization, punitive, expressive encouragement, and distress responses. Each subscale has 9 items, total subscale score ranges from 1-7, with higher scores indicating greater usage of a certain parental coping style. Care-giver reported.

    Measured: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended

  17. Difficulties in Emotion Regulation Scale - 16 item version (DERS-16)

    Used to assess difficulties in emotion regulation. The scale has 16 items, total score ranges from 16-80, with higher scores indicating more difficulties. Self-rated by parents.

    Measured: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended

  18. Behavioral emotion regulation questionnaire (BERQ)

    Used to assess parents' perception of the adolescent's behavioral emotion regulation. This scale has 5 subscales. Each total subscale score ranges from 4-20, with higher scores indicating greater usage of a certain strategy. Care-giver reported.

    Measured: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended

  19. Trimbos Questionnaire for Costs associated with Psychiatric Illness (TiC-P)

    Used to assess healthcare and other societal resource use for both children and caregivers. Caregiver-reported.

    Measured: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended

  20. Deliberate Self-Harm Inventory, Youth version (DSHI-Y)

    Used to assess occurrence, method, frequency of deliberate self-harm. This scale has 6 items with higher scores indicating more frequent deliberate self-harm. Self-rated by adolescents.

    Measured: 3,12 and 60 months after treatment has ended

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Oct 2023
  2. Study start16 Oct 2023
  3. Primary completion1 Oct 2026 (estimated)
  4. Study completion25 Nov 2031 (estimated)

Resources

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
388 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06067165
Sponsor's protocol ID
2023-03652-01
Other IDs
2023
Acronym
POET
Status last verified
Sep 2025
First submitted
17 Sep 2023
Last updated
22 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The data are pseudonymized according to national (Swedish) and European Union legislation and cannot be anonymized and published in an open repository. Participants in the study consent for their data to be shared with other international researchers for meta-analyses. Aggregated data can be made available upon reasonable request on a case-by-case basis according to the current legislation and ethical permits

Publications

  • Sjoblom K, Bellander M, Nilbrink J, Zetterqvist M, Sampaio F, Hedman-Lagerlof E, Hellner C, Gross JJ, Hesser H, Bjureberg J. Randomised superiority trial evaluating an online transdiagnostic emotion regulation treatment for adolescents with mental health conditions: study protocol. BMJ Open. 2026 Jul 29;16(7):e116511. doi: 10.1136/bmjopen-2026-116511.

    PubMed 42526916

Questions about this trial

What is this clinical trial studying?

A study testing POET feeling and Supportive treatment in people with Mental Health Issue, run by Karolinska Institutet at 1 site in Sweden.

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 7 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: looking for participants now, as of the sponsor's last update on 22 Sep 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 Sweden. 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. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Johan Bjureberg, PhD (+460852480000, johan.bjureberg@ki.se), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Clinical Global Impressions -Severity scale (CGI-S) (time frame: Week 0, 7 weeks after treatment start and 3,12 and 60 months after treatment has ended). 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 NCT06067165, which also lists 1 linked publication.

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 22 Sep 2025.

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