ClinicalTrials.gg
CompletedNCT06402240Updated Apr 2, 2025

The Pocket Skills Adjunct Project

An interventional study of Dialectical Behavior Therapy in Substance Use Disorders, Alcohol Use Disorder and Depression, sponsored by University of Windsor. Completed at 1 site in Canada. Open to participants aged 16 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-04-02.

Sponsored by University of Windsor · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
16 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 81 studies in Substance-Related Disorders with a site in Canada — 26 open to participants now, 29 under way, none of them phase 3. Substance-Related Disorders · Canada.

Enrollment
58th of 71
24 · median 74
Started
2024
with 4 others
No phase
52 of 81
16 open now
Registered
69th of 81
by date

Among the 81 studies in Substance-Related Disorders with a site in Canada, this one is the 58th largest by enrollment of the 71 interventional ones that give a count, is one of 5 that started in 2024, is one of 52 with no phase, and was the 69th registered.

Substance-Related Disorders

2,241 studies on the registry are indexed under Substance-Related Disorders; 410 are open to participants now.

Browse Substance-Related Disorders studies →

Open to participants now

26 of the 81 studies in Substance-Related Disorders with a site in Canada are open now. Recruiting first, the newest first:

21 more — sign in →

All 26 open studies →

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

Who these studies take

Of the 265 Substance-Related Disorders studies recruiting now, 130 (49%) set no upper age limit and 117 (44%) stop at 75 or younger; 55 take children under 18; 89 take healthy volunteers.

This study: 16 Years to 70 Years · all sexes · no healthy volunteers.

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02

Study summary

This study aims to provide access to an adjunct intervention alongside standard group DBT services to examine feasibility, acceptability, and potential added efficacy of the adjunct. The adjunct intervention is an online tool based on DBT skills training and was already evaluated as a self-guided intervention. Participants will complete a baseline session and be given immediate access to the adjunct intervention. Participants will be followed for 12 weeks and complete assessments every 4 weeks.

Read the detailed description

The purpose of this study is to evaluate the potential benefits of an optional add-on tool (i.e., an additional tool participants can use at the same time) alongside standard dialectical behavior therapy (DBT) group treatment (i.e., skills training). The adjunct tool is an online website that participants can use on any device connected to the internet and is also based on DBT.

The proposed study will be a single-arm pragmatic clinical trial aiming to recruit 30 participants over the course of 12 months. Participation in this research study includes a telephone screening visit, informed consent, and baseline assessment visit (conducted via video conferencing). Following the baseline assessment there will be three follow-up assessments completed remotely at weeks 4, 8, and 12.

The adjunct intervention is Pocket Skills 2.0, a skills training app based on dialectical behavior therapy. Participants receive access to this tool in conjunction with their start of standard dialectical behavior therapy. A member of the research team will help participants sign-in for the first time. The tool can be used in any internet browser on any device connected to the internet (e.g., computer, smartphone, tablet). Participants are expected to use the app at least twice a week.

At baseline, a brief interview is completed, along with some questionnaires online. Participants are also asked about the treatment they recently started/plan to start. The interview (40-60 minutes) will involve questions about background, treatment history, and current and past psychological symptoms, and history of substance use. The questionnaires ask a range of questions related to mood, and difficulties with functioning, among other questions. These questions should only take about 15-20 minutes to answer and should be completed within 24 hours.

Participants receive requests to complete additional questionnaires online on three additional occasions (week 4, 8, and 12). Links to the questionnaire package will be sent via email (or text) and they will involve questions about well-being as well as a chance to provide open-ended feedback on the app itself. These surveys will take roughly 15-20 minutes. After 12 weeks, participants are reimbursed for their time.

03

Conditions studied

  • Substance Use Disorders
  • Alcohol Use Disorder
  • Depression
  • Anxiety

Keywords

  • dialectical behavior therapy
  • substance use disorders
  • internet-delivered
  • adjunct intervention
  • alcohol use disorder
04

Who can participate

Ages eligible
16 Years to 70 Years
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

  1. Age 16 to 70
  2. Fluency in English.
  3. Understanding and willingness to comply with study requirements / capable of providing autonomous .
  4. Smartphone or tablet capable of downloading and running the web application, or a computer with access to the internet.
  5. Past year alcohol or substance use disorder
  6. Use of alcohol or substance in the past month.
  7. Starting DBT or has started DBT within the last 15 days.
  8. Reports at least "contemplation" levels (score of 4+) of change with respect to substance use problems.

Exclusion criteria

Exclusion Criteria:

  1. Any known practical factors that would preclude participation (e.g., extended absences) in the study.
  2. Acute psychiatric (e.g., psychosis, mania) or medical condition (including acute intoxication or withdrawal requiring medical attention) that precludes participation in this study.
  3. Participation in another treatment/intervention study.
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    Adjunct Intervention

    The intervention is called Pocket Skills 2.0, which is a web-based dialectical behavior therapy skills training (DBT-ST) intervention. The content and material is based on the most recent Linehan (2014) DBT-ST manual. Pocket Skills 2.0 incorporates brief lessons using videos featuring Dr. Linehan herself, exercises involving interaction with the chatbot which allow for text input and selection of responses, and the ability to gain points and unlock additional content which increases user engagement. Pocket Skills is currently the only comprehensive and not-for-profit DBT-ST app available where the effectiveness has been evaluated in at least three research trials.

    Behavioral: Dialectical Behavior Therapy

Interventions

  • BehavioralDialectical Behavior Therapy

    Dialectical behavior therapy (DBT) in its fully adherent form is a comprehensive intervention involving individual, group, and phone coaching sessions that addresses complex psychological conditions including suicidality, personality disorders, and post-traumatic stress disorder. Evidence for briefer formats incorporating the group skills training format have been successful for many types of conditions, which includes alcohol and substance use disorders. DBT skills training (DBT-ST) involves structured lessons for learning skills in 5 areas: mindfulness, emotion regulation, distress tolerance, interpersonal effectiveness, and addiction. The current intervention is an internet-delivered version of DBT-ST which aims to teach people the same 5 areas of skills in an online environment with a chatbot and interactive format.

06

What researchers measure

Primary outcomes

  1. Severity of Dependence Scale

    Level of dependence on most problematic substance over past 30 days. Minimum score: 0, maximum score 15. Higher scores mean worse outcome.

    Time frame: 30 days

Secondary outcomes

  1. Patient Health Questionnaire-9 (Depression Subscale; PHQ-9)

    Level of depressive symptoms over the past 14 days. Minimum score: 0, maximum score 27. Higher scores mean worse outcome.

    Time frame: 14 days

  2. Generalized Anxiety Disorder-7 (GAD-7) Scale

    Level of generalized anxiety symptoms over the past 14 days. Minimum score: 0, maximum score 21. Higher scores mean worse outcome.

    Time frame: 14 days

  3. Difficulties in Emotion Regulation Scale, Short Form (DERS-SF; Kaufmann et al., 2015)

    Level of emotion dysregulation or the difficulty in changing unwanted emotions effectively in the past month. Minimum score: 18, maximum score 90. Higher scores mean worse outcome.

    Time frame: 30 days

  4. WHO Disability Assessment Schedule Short Form (WHODAS 2.0)

    Level of functional disability in the past month. Minimum score: 0, maximum score 48. Higher scores mean worse outcome.

    Time frame: 30 days

  5. Mindful Attention and Awareness Scale (MAAS)

    Measure of core mindfulness skills around awareness and acceptance, over the past month. Minimum score: 0, maximum score 6 (mean score on 15 items). Higher scores indicate more positive outcome (e.g., more mindful awareness).

    Time frame: 30 days

  6. Suicidal Behaviors Questionnaire, Revised (SBQ-R; Osman et al., 2001)

    Measure of suicidal ideation and behaviors over the past month. Minimum score: 3, maximum score: 18. Higher scores indicate worse outcome.

    Time frame: 30 days

  7. Risky, Impulsive, and Self-Destructive Questionnaire (RISQ)

    Measure of risky and impulsive behavior, past month. Only subscales pertaining to sexual behavior and general reckless behavior will be used. Minimum score: 0, Maximum score: 40. Higher scores indicate worse outcome (e.g., more impulsive and/or risky behaviors)

    Time frame: 30 days

  8. NIDA Assist

    Assesses the frequency of non-alcohol substance use over the past month. Minimum score per item: never used substance; maximum score per item: used substance daily or almost daily. Higher scores indicate worse outcome (e.g., more substance use).

    Time frame: 30 days

  9. Daily Drinking Questionnaire (DDQ)

    Assesses the frequency and quantity of alcohol use and binge drinking episodes over the past month. Minimum score: no alcoholic drinks on specific day; Maximum score: 15+ drinks on a specific day. Higher scores indicate worse outcome (E.g., more alcoholic drinks consumed).

    Time frame: 30 days

  10. Dialectical Behavioral Therapy Ways of Coping Checklist

    Assesses the frequency and intensity of using DBT skills in the past month. Investigators will use the DBT skills subscale only with an average score of 38 items presented. Higher scores indicate greater use of DBT skills.

    Time frame: 30 days

Other outcomes

  1. Credibility/Expectancy Questionnaire (CEQ; Devilly & Borkovec, 2000)

    Measure of treatment credibility and expectancy for interventions. Minimum score: 4; Maximum score: 56; Higher scores mean participants perceive the intervention to provide expected benefits and/or improvements.

    Time frame: Baseline only

  2. Treatment Acceptability Questionnaire (TAQ; Hunsley, 1992)

    Whether or not the treatment is seen as acceptable and helpful with respect to current symptoms/problems. Minimum score: 6, maximum score: 42. Higher scores indicate better treatment acceptability and positive perceptions of the treatment.

    Time frame: 30 days

07

Study locations

1 site
  • Centre for Addiction and Mental Health
    Toronto, Ontario M6J 1H1, Canada
08

References and documents

Individual participant data

Plan to share: Yes — Deidentified data can be shared upon request. An open-access database will be created to store data within 2 years of study completion.

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 Jan 2024 to primary completion in Dec 2024, 11 months.

Of 814 non-industry interventional studies with no phase under Substance-Related Disorders, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 53. This study's 11 months is below that.

Counting every sponsor, half of 854 studies reached it within 34 months; a quarter within 17 and three quarters within 53.

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

Registered
Jan 5, 2024
First posted
May 7, 2024
StartActual
Jan 1, 2024
Primary completionActual
Dec 31, 2024
CompletionActual
Feb 1, 2025
Last update
Apr 2, 2025
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 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06402240
Lead sponsor
University of Windsor
Responsible party
Alexander Daros (Assistant Professor, Centre for Addiction and Mental Health) — Principal investigator
First posted
May 7, 2024
Start date
Jan 1, 2024
Primary completion
Dec 31, 2024
Completion
Feb 1, 2025
Last update
Apr 2, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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