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DepressionNCT07499219

Preliminary Testing and Development of a Short Digital Intervention for Patients on Waiting Lists for Psychological Treatment

A study testing Digital therapy program (short), Digital therapy program (long) and Mental health advice in people with Depression and Anxiety, run by University of Oslo at 1 site in Norway.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
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Trial summary

The goal of this randomized pilot feasibility trial is to assess the feasibility and further develop a single-session digital mental health intervention for patients on waiting lists for psychological treatment. The main aims are: 1. Read more about this study

Who is it for?
Ages 18 to 80 yearsHealthy volunteers can take part
Conditions the study is for
Depression, Anxiety
What is being tested?
Digital therapy program (short), Digital therapy program (long) and Mental health advice
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
80 participants
Where
1 siteNorway
Study dates
24 Mar 2026to Oct 2034
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 18 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Must have applied for help at The Student Welfare Organization in Oslo and Akershus (SiO Mental Health) through their website.
  • Must meet SiO Mental health's general eligibility criteria. This includes an individual screening of applications. SiOs general policy is to provide help to all applicants as long as they fulfill the requirement of being a student in the Oslo or Akershus area.
  • Must speak and write Norwegian.
  • Internet access and sufficient digital literacy is assumed among the student population.
  • Willingness to be randomized.
  • Willingness to partake in the study.
  • Willingness to have data stored and used for the purpose of the current study.

Who cannot join

  • No criteria excluding participants who meet the above mentioned inclusion criteria.

Trial locations and contacts

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

Norway1 site
  • University of Oslo

    Oslo, Oslo, 0316

Other trials in Norway

About this study

Official title: Developing a Web-based Transdiagnostic Single Session Intervention for Patients on Waiting Lists for Psychological Treatment: a Randomized Pilot Feasibility Trial

The goal of this randomized pilot feasibility trial is to assess the feasibility and further develop a single-session digital mental health intervention for patients on waiting lists for psychological treatment. The main aims are:

  1. To evaluate the feasibility and acceptability of the study procedures and the digital single-session intervention.
  2. To gather quantitative and qualitative feedback on the intervention to inform further development.
  3. To collect preliminary data to refine the analysis plan for a main trial.
Read more

Researchers will compare two different versions of the intervention (one longer and one shorter) with two control conditions (one active and one passive) to see if the study is feasible.

Participants will be randomized to one of the four conditions, do a short digital mental health intervention and fill out 4 questionnaires across a 5 week period.

Read the detailed description

Long waiting times in mental health services are associated with heightened distress, impaired daily functioning, and poorer treatment outcomes for individuals seeking help. Self-guided digital mental health interventions offer accessible and cost effective alternatives to traditional therapy, though engagement and dropout remain significant challenges. Single-session interventions (SSIs) have emerged as a promising solution, demonstrating meaningful reductions in symptoms such as depression, anxiety and eating disorders. SSIs might be a promising scalable treatment addition to patients on waiting lists for psychological treatment, but few studies specifically explore this, and understanding of mechanisms driving treatment response is limited. Recent calls have also been made to better understand how psychological interventions (such as SSIs) can be enhanced and extended beyond therapy-sessions and into patients daily lives.

This study is a pilot feasibility trial in preparation for a main trial aiming to develop and evaluate a digital, transdiagnostic single-session intervention for patients on waiting lists for psychological treatment. The main trial will also examine whether the effect of the SSI can be prolonged and enhanced in a scalable way through the introduction of Ecological momentary interventions (EMI).

A comprehensive development, testing and piloting phase will be completed to prepare for the main trial. This phase includes two pilot feasibility trials (one at each site) and one qualitative study. This trial registration refers to the first pilot feasibility trial, which will be conducted with the mild-moderate sample and will focus on developing the SSI and evaluating the feasibility of the full trial procedures, without introducing EMI. Participants from this trial will be recruited for qualitative interviews to provide feedback on the SSI, study procedures and their experiences of being on a waitlist.

In alignment with recommendations for pilot studies, no hypothesis testing will be conducted. We expect the study design to be feasible and anticipate that participant feedback will help optimize both the intervention and the procedures for the full trial.

Findings from this pilot feasibility trial may lead to one of three decisions:

  1. Continue with the study plan after minor changes to study procedures and the single-session intervention.
  2. Continue with the study plan after major changes to the study procedures and the single session intervention.
  3. Reevaluate the study plan and possibly stop further exploration.

In addition to being approved by The Norwegian Regional Committee for Medical and Health Research Ethics, this study was approved by the Norwegian Centre for Research Data.

The project is funded by Foundation Dam through the The Norwegian Council of Mental Health.

Conditions
Depression, Anxiety
Being tested
Digital therapy program (short), Digital therapy program (long), Mental health advice
Keywords
depression, anxiety, single-session intervention, digital mental health intervention, digital therapy, mental health, pilot feasibility trial
Medical subject headings
Depression, Anxiety Disorders, Psychological Well-Being

What participants receive

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

  • Digital therapy program (short)Other

    Also called AWARE OUT, single-session intervention - short

    This is a brief digital mental health program lasting for 30-40 minutes and includes text, self-reflection questions, and therapeutic exercises. Participants will learn and reflect on worrying and rumination behavior and how it impacts their life. The program only lasts for one session and is not module based. The intervention has been designed by the research team and is under development. This intervention is nested within Digital therapy program (long).

  • Digital therapy program (long)Other

    Also called AWARE OUT+, single-session intervention - long

    This is a brief digital mental health program lasting for 45-55 minutes and includes text, self-reflection questions, and therapeutic exercises. Participants will learn and reflect on worrying, rumination, avoidance and rigid attention behavior and how it impacts their life. The program only lasts for one session and is not module based. The intervention has been designed by the research team and is under development.

  • Mental health adviceOther

    Also called ABC for good mental health, Act, Belong, Commit

    ABC is a public health campaign about building and strengthening mental health for the entire population. The ABC messages: Do something active, do something together, and do something meaningful are meant to motivate people, municipalities, and organizations to take action to strengthen mental health. A description of the ABC framework is provided online by The Norwegian Directorate of Health and is implemented digitally as a set of advice ("ABC for god psykisk helse").

Study groups in NCT07499219
Study groupRoleWhat they receive
Short digital therapy program groupExperimentalParticipants complete the short digital therapy program (30-40 minutes) and answer questions about acceptability, feedback and interaction with other therapy.
Receives: Other: Digital therapy program (short)
Long digital therapy program groupExperimentalParticipants complete the long digital therapy program (45-55 minutes) and answer questions about acceptability, feedback and interaction with other therapy.
Receives: Other: Digital therapy program (long)
Mental health advice groupPlacebo comparatorParticipants receive advice and information intended to support mental health but do not complete the digital therapy program. They will still answer acceptability questions about the advice and interaction with therapy.
Receives: Other: Mental health advice
Questionnaire groupNo interventionParticipants do not receive any intervention materials and only complete mental health questionnaires. They will not answer acceptability questions.

What is being measured

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

  1. Recruitement rates through the study period as assessed by number of participants providing informed consent, and the time it takes to finish recruitment

    This is part of evaluating the feasibility of the study procedures in preparation for a main trial

    Measured: From Day 1 (recruitment initiation) until recruitment completion (recruitment target met or earlier termination). Expected duration: 2 months.

  2. Number of participants invited to participate in the study throughout the study period and the frequency of invitations

    This is part of evaluating the feasibility of the study procedures in preparation for a main trial

    Measured: From Day 1 (recruitment initiation) until recruitment completion (recruitment target met or earlier termination). Expected duration: 2 months.

  3. Number of participants screened for eligibility throughout the study period.

    This is part of evaluating the feasibility of the study procedures in preparation for a main trial

    Measured: From Day 1 (recruitment initiation) until recruitment completion (recruitment target met or earlier termination). Expected duration: 2 months.

  4. Number of participants in each randomization arm.

    This is part of evaluating the feasibility of the study procedures in preparation for a main trial

    Measured: From Day 1 (recruitment initiation) until recruitment completion (recruitment target met or earlier termination). Expected duration: 2 months.

  5. Number of responses to each questionnaire and intervention representing missing data patterns and attrition across arms and measurement points

    This is part of evaluating the feasibility of the study procedures in preparation for a main trial

    Measured: From Day 1 (recruitment initiation) until study completion. Expected duration: 3.5 months.

  6. Number of participants who want to pull out of study or get data deleted throughout the study period

    This is part of evaluating the feasibility of the study procedures in preparation for a main trial

    Measured: From Day 1 (recruitment initiation) until study completion. Expected duration: 3.5 months.

  7. Acceptability of interventions and active control conditions as measured by the PFS and TCQ.

    The PFS (program feedback scale) is a 7 item, 5 point scaled questionnaire asking questions about acceptability of digital single session interventions. The questionnaire has been adapted to Norwegian. It includes two open-ended feedback questions in addition to the rating questions.

    The TCQ (treatment credibility questionnaire) is a 5 item 10 point rating scale of credibility of treatment rationales. It is adapted to Norwegian and modified to fit to a digital therapy program. Only the first two items of the questionnaire is chosen.

    Measured: Assessed immediately after doing the intervention or the active control condition, which is on day 1-7 of the study period of 5 weeks. The passive control arm will not get these questions.

  8. Time used to finish questionnaires and interventions

    This is part of evaluating the feasibility of the study procedures in preparation for a main trial

    Measured: On each questionnaire and intervention, totaling 6 measurement times.

  9. Timing of answers to questionnaires and completion of the study

    This is part of evaluating the feasibility of the study procedures in preparation for a main trial

    Measured: From the start of invitation to the end of the study at 6 weeks.

  10. Belief about positive or negative interaction with planned treatment

    As measured through 5 point rating scales of two items asking participants who have started treatment whether they believe the intervention will have a negative and/ or positive interaction with their current treatment.

    Measured: Asked at each measurement time after the baseline. This includes right after the intervention, at two week follow up and at 5 week follow up.

Secondary outcomes (1)
  1. Self-reported depression and anxiety symptoms as assessed by PHQ-ADS

    The PHQ-ADS (The Patient Health Questionnaire Anxiety and Depression Scale) is a composite measure of PHQ-9 (Patient Health Questionnaire - 9) and GAD-7 (Generalized Anxiety Disorder 7-item). The measure is taken through online questionnaires on the start of the study, two weeks after enrollment and five weeks after enrollment.

    Measured: Two weeks and five weeks after enrollment controlled by baseline at enrollment

Timeline

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

  1. First posted30 Mar 2026
  2. Study start24 Mar 2026
  3. Primary completionOct 2026 (estimated)
  4. Study completionOct 2034 (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
None (open label)
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07499219
Sponsor's protocol ID
PILOTSIO945368
Status last verified
Apr 2026
First submitted
16 Mar 2026
Last updated
1 May 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: No IPD will be shared outside of the research team involved with this study.

Publications

  • Borkovec, T. D., & Nau, S. D. (1972). Credibility of Analogue Therapy Rationales. Journal of Behavior Therapy and Experimental Psychiatry, 3(4), 257-260. https://doi.org/10.1016/0005-7916(72)90045-6

  • Schleider JL, Zapata JP, Rapoport A, Wescott A, Ghosh A, Kaveladze B, Szkody E, Ahuvia IL. Single-Session Interventions for Mental Health Problems and Service Engagement: Umbrella Review of Systematic Reviews and Meta-Analyses. Annu Rev Clin Psychol. 2025 May;21(1):279-303. doi: 10.1146/annurev-clinpsy-081423-025033. Epub 2025 Jan 28.

    PubMed 39874601
  • Ramos G, Hernandez-Ramos R, Taylor M, Schueller SM. State of the Science: Using Digital Mental Health Interventions to Extend the Impact of Psychological Services. Behav Ther. 2024 Nov;55(6):1364-1379. doi: 10.1016/j.beth.2024.04.004. Epub 2024 Apr 10.

    PubMed 39443071
  • Schleider JL, Mullarkey MC, Weisz JR. Virtual Reality and Web-Based Growth Mindset Interventions for Adolescent Depression: Protocol for a Three-Arm Randomized Trial. JMIR Res Protoc. 2019 Jul 9;8(7):e13368. doi: 10.2196/13368.

    PubMed 31290406
  • Smith KA, Ward T, Lambe S, Ostinelli EG, Blease C, Gant T, Gold SM, Holmes EA, Paccoud I, Vinnikova A, Klucken J, Uhlhaas PJ, Sanchez CG, Haining K, Boge K, Lahutina S, Tomelleri L, Ryan S, Torous J, Cipriani A. Engagement and attrition in digital mental health: current challenges and potential solutions. NPJ Digit Med. 2025 Jul 2;8(1):398. doi: 10.1038/s41746-025-01778-w.

    PubMed 40604240
  • Lipschitz JM, Pike CK, Hogan TP, Murphy SA, Burdick KE. The engagement problem: A review of engagement with digital mental health interventions and recommendations for a path forward. Curr Treat Options Psychiatry. 2023 Sep;10(3):119-135. doi: 10.1007/s40501-023-00297-3. Epub 2023 Aug 25.

    PubMed 38390026
  • van Dijk DA, Meijer RM, van den Boogaard TM, Spijker J, Ruhe HG, Peeters FPML. Worse off by waiting for treatment? The impact of waiting time on clinical course and treatment outcome for depression in routine care. J Affect Disord. 2023 Feb 1;322:205-211. doi: 10.1016/j.jad.2022.11.011. Epub 2022 Nov 11.

    PubMed 36372129
  • Steinert C, Stadter K, Stark R, Leichsenring F. The Effects of Waiting for Treatment: A Meta-Analysis of Waitlist Control Groups in Randomized Controlled Trials for Social Anxiety Disorder. Clin Psychol Psychother. 2017 May;24(3):649-660. doi: 10.1002/cpp.2032. Epub 2016 Jul 22.

    PubMed 27445199
  • Thielen FW, Ten Have M, de Graaf R, Cuijpers P, Beekman A, Evers S, Smit F. Long-term economic consequences of child maltreatment: a population-based study. Eur Child Adolesc Psychiatry. 2016 Dec;25(12):1297-1305. doi: 10.1007/s00787-016-0850-5. Epub 2016 May 6.

    PubMed 27154047
  • Eldridge SM, Lancaster GA, Campbell MJ, Thabane L, Hopewell S, Coleman CL, Bond CM. Defining Feasibility and Pilot Studies in Preparation for Randomised Controlled Trials: Development of a Conceptual Framework. PLoS One. 2016 Mar 15;11(3):e0150205. doi: 10.1371/journal.pone.0150205. eCollection 2016.

    PubMed 26978655
  • Ke S, Zhang B, He Y, Zhou Y, Hu X, Fan Y, Wang M, Zhang Y, Wang C. Reconstruction Strategy for Upper Extremity Defects After Bone Tumor Resection Based on 3D Customized Bone Cement Mold. Surg Innov. 2024 Jun;31(3):307-317. doi: 10.1177/15533506241244493. Epub 2024 Apr 12.

    PubMed 38606504
  • Philippe TJ, Sikder N, Jackson A, Koblanski ME, Liow E, Pilarinos A, Vasarhelyi K. Digital Health Interventions for Delivery of Mental Health Care: Systematic and Comprehensive Meta-Review. JMIR Ment Health. 2022 May 12;9(5):e35159. doi: 10.2196/35159.

    PubMed 35551058
  • ABC for god psykisk helse. (2019, December 5). https://www.helsenorge.no/psykisk-helse/abc-for-god-psykisk-helse/

Questions about this trial

What is this clinical trial studying?

A study testing Digital therapy program (short), Digital therapy program (long) and Mental health advice in people with Depression and Anxiety, run by University of Oslo at 1 site in Norway.

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 7 inclusion and 1 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: enrolling by invitation, as of the sponsor's last update on 1 May 2026. 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 Norway. 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?

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?

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?

Recruitement rates through the study period as assessed by number of participants providing informed consent, and the time it takes to finish recruitment (time frame: From Day 1 (recruitment initiation) until recruitment completion (recruitment target met or earlier termination). Expected duration: 2 months.). The study lists 10 primary outcomes in all. 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 NCT07499219, which also lists 13 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 1 May 2026.

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