ClinicalTrials.gg
CompletedNCT01788657KONRADUpdated Apr 5, 2023

iCBT for Depression - Standard Versus Condensed Treatment Material

An interventional study of Standard internet-based cognitive behavior therapy and Condensed internet-based cognitive behavior therapy in Major Depression, sponsored by Örebro County Council. Completed at 1 site in Sweden. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-04-05.

Sponsored by Örebro County Council · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
273
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 57 studies in Depressive Disorder, Major with a site in Sweden — 4 open to participants now, 6 under way, 2 of them phase 3. Depressive Disorder, Major · Sweden.

Enrollment
29th of 54
273 · median 322
Started
2013
with 2 others
No phase
16 of 57
1 open now
Registered
22nd of 57
by date

Among the 57 studies in Depressive Disorder, Major with a site in Sweden, this one is the 29th largest by enrollment of the 54 interventional ones that give a count, is one of 3 that started in 2013, is one of 16 with no phase, and was the 22nd registered.

Depressive Disorder, Major

3,046 studies on the registry are indexed under Depressive Disorder, Major; 592 are open to participants now.

Browse Depressive Disorder, Major studies →

Open to participants now

4 of the 57 studies in Depressive Disorder, Major with a site in Sweden are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Sweden have not opened yet or have stopped. Only those recruiting at a site in Sweden →

Who these studies take

Of the 412 Depressive Disorder, Major studies recruiting now, 93 (23%) set no upper age limit and 293 (71%) stop at 75 or younger; 55 take children under 18; 98 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Internet-based cognitive behavior therapy (iCBT) has been shown effective for depression in several studies, however the investigators know very little about how the written treatment material should be designed to be effective and at the same time acceptable to the patients. The investigators are not aware of any research that has investigated if slow readers, or persons with difficulty concentrating, can use the standard material or if they would benefit more from using an adapted version.

In this study the investigators will assess reading speed and the ability to concentrate in all patients and then randomise them to an internet-based treatment for depression using either a standard material or a condensed one. The condensed material consists of 30000 words and will be available as text files and on audio files. The standard material consists of 60000 words and is only available as text files. Both groups will have the possibility of e-mail contact with a personal therapist during the treatment.

Patients will be recruited within Örebro County by referrals and self-referrals. The goal is to recruit between 200 and 300 patients during 2 years. The treatment time will be 10 weeks and all patients will be assessed for depression at an interview with a psychologist. There will also be interviews after treatment and one year after treatment. The most important outcome will be depressive symptoms.

03

Conditions studied

  • Major Depression

Keywords

  • Depression
  • Internet
  • Cognitive Behavior Therapy
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Fullfill criteria for diagnosis of major depression
  • Being able to read and write Swedish
  • Have access to the internet
  • Being a resident in Örebro county

Exclusion criteria

Exclusion Criteria:

  • Severe depressive symptoms (>34 on the MADRS-S)
  • High risk for suicide
  • Attending cognitive behavior therapy
  • Psychosis
  • Bipolar disorder
  • Addiction to alcohol or illegal drugs
  • A somatic or psychiatric condition that is a for iCBT or in some way debars iCBT, or have to be treated before depression
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
273 participants (actual)

Study arms

  • Experimental
    Standard internet-based cognitive behavior therapy

    Standard internet-based cognitive behavior therapy for depression with a written treatment material consisting of 60000 words (textmaterial only).

    Behavioral: Standard internet-based cognitive behavior therapy

  • Experimental
    Condensed internet-based cognitive behavior therapy

    Condensed internet-based cognitive behavior therapy for depression with a written treatment material consisting of 30000 words (available as text or audio).

    Behavioral: Condensed internet-based cognitive behavior therapy

Interventions

  • BehavioralStandard internet-based cognitive behavior therapy

    Introduction to CBT and depression, Behavioral activation, Cognitive restructuring, Improve sleep, Handeling anxiety, Relapse prevention

    Also known as: Standard iCBT

  • BehavioralCondensed internet-based cognitive behavior therapy

    Introduction to CBT and depression, Behavioral activation, Cognitive restructuring, Improve sleep, Handeling anxiety, Relapse prevention

    Also known as: Condensed iCBT

06

What researchers measure

Primary outcomes

  1. Change from baseline in depressive symptoms at post-treatment and after 12 months

    Depressive symptoms will be measured by the self-report measure Montgomery-Åsberg Depression Rating Scale- self-rated.

    Time frame: At baseline, after 12 weeks, after 12 months

Secondary outcomes

  1. Change from baseline in diagnostic status for Major depression

    The diagnostic status (depression) will be assessed in a face-to-face interview using the structured material Mini-International Neuropsychiatric Interview (M.I.N.I.).

    Time frame: Pre-treatment, after 12 weeks and after 1 year

  2. Change from baseline in symptoms of anxiety

    Symptoms of anxiety will be conducted using the self-report measure Beck Anxiety Inventory (BAI)

    Time frame: Pre-treatment, after 12 weeks and after 1 year

  3. Post-treatment treatment satisfaction

    Post-treatment treatment satisfaction will be measured by the self-report measure Client Satisfaction Questionnaire (CSQ)

    Time frame: After 12 weeks

  4. Therapist time

    Therapist time will be measured automatically by the IT-platform and assesses the time spent on each patient by each therapist. A mean time will be calculated to report an estimated time needed to treat one patient with the two interventions.

    Time frame: Post treatment

  5. Alcohol use

    To assess alkolhol use the AUDIT-questionnaire will be filled out at pre treatment.

    Time frame: Pre treatment

  6. Drug use

    To assess drug use the DUDIT-questionnaire will be filled out at pre treatment.

    Time frame: Pre treatment

  7. Treatment satisfaction at follow up

    Treatment satisfaction at follow up will be measured by the self-report measure Client Satisfaction Questionnaire (CSQ)

    Time frame: After 1 year

Other outcomes

  1. Reading speed

    To assess reading speed the "Diagnostiskt Läs och Skrivprov" (DLS) will be administered during the pre treatment interview.

    Time frame: Pre treatment

  2. Ability to concentrate

    To assess the ability to concentrate six items from the WHO adult scale for attention deficit disorder (ASRS-VI.I) will be administered during the pre treatment interview.

    Time frame: Pre treatment

  3. Change from baseline in risk for suicide

    Change in risk for suicide will be measured by item 9 in the MADRS-S every week

    Time frame: After 1,2,3,4,5,6,7,8,9,10,11,12 weeks

07

Study locations

1 site
  • Örebro County Council
    Örebro, Örebro County 70116, Sweden
08

References and documents

Individual participant data

Plan to share: Yes — Please contact us with suggestions for collaboration.

Supporting information: Study protocol, Informed consent form, Analytic code

Access criteria: Upon request

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2013 to primary completion in Dec 2017, 49 months.

Of 648 non-industry interventional studies with no phase under Depressive Disorder, Major, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 55. This study's 49 months is above that.

Counting every sponsor, half of 688 studies reached it within 33 months; a quarter within 17 and three quarters within 55.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 1, 2013
First posted
Feb 11, 2013
StartActual
Oct 29, 2013
Primary completionActual
Dec 3, 2017
CompletionActual
Dec 3, 2017
Last update
Apr 5, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01788657
Lead sponsor
Örebro County Council
Responsible party
Fredrik Holländare (PhD, Örebro County Council) — Principal investigator
First posted
Feb 11, 2013
Start date
Oct 29, 2013
Primary completion
Dec 3, 2017
Completion
Dec 3, 2017
Last update
Apr 5, 2023

Study contacts

Fredrik Holländare, PhD
principal investigator · Örebro County Council

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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