ClinicalTrials.gg
CompletedNCT07088939Updated Nov 3, 2026

Feasibility and Acceptability of an E-learning Dialectical Behavior Therapy Skills Course

An interventional study of dialectical behavior therapy in Depression - Major Depressive Disorder, Anxiety and Depression, sponsored by University of Windsor. Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Primary conditionDepressionRegistry: Anxiety DisordersReclassifiedWhy we changed it
Registry
Anxiety Disorders — the first condition term the registry derived for this study.
ClinicalTrials.gg
Depression
Why
  1. The registry often attaches Anxiety Disorders to studies about something else, and this study's title and listed conditions do not name it.
  2. The study's listed conditions name Depression.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

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

Updated Nov 3, 2026Now CompletedStudy completion moved+1 moreGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
41
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 532 studies in Depression with a site in Canada — 107 open to participants now, 124 under way, 7 of them phase 3. Depression · Canada.

Enrollment
336th of 487
41 · median 76
Started
2025
with 39 others
No phase
334 of 532
79 open now
Registered
503rd of 532
by date

Among the 532 studies in Depression with a site in Canada, this one is the 336th largest by enrollment of the 487 interventional ones that give a count, is one of 40 that started in 2025, is one of 334 with no phase, and was the 503rd registered.

Depression

8,582 studies on the registry are indexed under Depression; 1,723 are open to participants now.

Browse Depression studies →

Open to participants now

107 of the 532 studies in Depression with a site in Canada are open now. Recruiting first, the newest first:

102 more — sign in →

All 107 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 1,089 Depression studies recruiting now, 470 (43%) set no upper age limit and 519 (48%) stop at 75 or younger; 203 take children under 18; 311 take healthy volunteers.

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

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 532 studies in Depression with a site in Canada, or all of them as a file.
02

Study summary

Dialectical behavior therapy (DBT) is a comprehensive, third-wave psychological intervention designed for patients with complex and severe behavioral, emotional, and interpersonal dysfunction. DBT has since been adapted to shorter, briefer, "skills training" formats, which have been effective for a number of mild-to-moderate mental health conditions, including depression and anxiety. Moreover, internet-delivered formats of DBT (iDBT) have similarly started to build support for their effectiveness, although there are fewer studies on digital formats. One study found that over 12 weeks, iDBT was deemed acceptable (e.g., 50% of participants were still active after 4 weeks) and there were improvements in multiple symptom domains, such as depression, anxiety, suicidality, functional disability, as well as alcohol and substance dependence.

In the current study, the investigators will examine the feasibility, acceptability, and potential efficacy of a new iDBT intervention, packaged as an online e-learning skills course, with adult participants. The study is a pilot trial as iDBT has never been tested in this format through formal research. Thus, this pilot study aims to examine whether this course is usable, practical, and potentially useful to others in the future. The investigators will recruit up to 40 individuals with mild-to-moderate depression and anxiety for an 8-week study. Following a phone screen to determine eligibility, participants will complete a baseline session where they will provide consent, complete a brief interview and questionnaires, and register for the e-learning skills course. Over the course of 8 weeks, participants will be exposed to material adapted from a DBT manual in a self-guided manner. Participants will complete follow-up assessments at 4 and 8 weeks.

03

Conditions studied

  • Depression - Major Depressive Disorder
  • Anxiety
  • Depression
  • Stress
  • Mood Disorders

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Keywords

  • dialectical behavior therapy
  • internet interventions
  • co-developed interventions
  • feasibility study
  • digital health
04

In context

Depression Reclassified

8,582 studies on the registry are indexed under Depression; 1,723 are open to participants now.

This study's enrollment of 41 is below the median of 81 across 7,066 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

University of Windsor is the lead sponsor of 9 studies on the registry; 2 are open to participants now.

Compared within Depression, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Anxiety Disorders. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

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

  • Ages 18 years old and up.
  • Reside in Ontario.
  • Fluent in English.
  • Able to provide autonomous
  • Reports at least mild depression and/or anxiety symptoms
  • Not currently receiving any psychotherapy or psychosocial interventions.
  • Have access to the internet

Exclusion criteria

Exclusion Criteria:

  • Practical (e.g., scheduling), acute psychiatric (e.g., suicidal ideation nearly every day, recent hospitalization for mental health reasons), or medical reasons (e.g., upcoming surgery, medical procedure, head injury).
  • Not meeting one or more of the above inclusion criteria
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.

06

Study design

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

Study arms

  • Experimental
    Internet-delivered, self-guided dialectical behavior therapy

    Treatment arm

    Behavioral: dialectical behavior therapy

Interventions

  • Behavioraldialectical behavior therapy

    This internet-delivered dialectical behavior therapy (iDBT) intervention consists of an e-learning course with 4 modules based on the 4 areas of skills training in dialectical behavior therapy: mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Participants can work through the modules at a self-guided pace to learn more than 30 specific skills using psychoeducational materials. The intervention incorporates psychoeducational elements of skills training with introductory videos, interactive quizzes, practice and homework suggestions, as well as quotes and videos from individuals with lived experience. In preliminary testing, it was estimated to take approximately 8-10 hours to complete all material.

07

What researchers measure

Primary outcomes

  1. Treatment Acceptability and Adherence Scale

    The Treatment Acceptability and Adherence Scale was used to assess ratings of perceived effectiveness, trustworthiness, and likelihood of adherence using a 7-point Likert scale from 1 (disagree strongly) to 7 (agree strongly). Items are summed to create a total score, with higher ratings indicating higher acceptability and adherence.

    Time frame: 4 weeks and 8 weeks

  2. Intervention Usability Scale

    The Intervention Usability Scale is a 10-item measure to assess the ease of accessing and usability of the intervention. Items are rated on a 5-point Likert scale from 1 (strongly disagree) to 5 (strongly agree). A total score is created by summing the items and higher ratings indicate higher usability of the intervention.

    Time frame: 4 weeks and 8 weeks

Secondary outcomes

  1. Credibility and Expectancy Questionnaire

    The Credibility and Expectancy Scale is used to assess whether participants had favorable opinions of the intervention and its potential effectiveness before starting treatment. In line with previous work, the first three items were used to evaluate credibility (using a 9-point Likert scale) whereas a single item (item 4) was used to evaluate expectancy of clinical improvement (using a 11-point Likert scale from 0% to 100%). The last two items are not scored.

    Time frame: Baseline

  2. Patient Health Questionnaire Depression Subscale

    The Patient Health Questionnaire Depression Subscale (PHQ-9) is a 9-item self-report measure used to assess depressive symptoms over the past two weeks. Items are rated on a 4-point Likert scale from 0 (not at all) to 3 (nearly every day). Items are summed to create a total score. Higher scores indicate greater depressive symptoms.

    Time frame: Baseline, 4 weeks, and 8 weeks

  3. Generalized Anxiety Disorder 7 Questionnaire

    The Generalized Anxiety Disorder 7 Questionnaire (GAD7) is a 7-item self-report measure used to assess generalized anxiety symptoms over the past two weeks. Items are rated on a 4-point Likert scale from 0 (None at all) to 3 (Nearly Every Day). Items are summed to create a total score, with higher scores indicating greater symptoms.

    Time frame: Baseline, 4 weeks, and 8 weeks

  4. World Health Organization Disability Assessment Schedule 2.0 Short Form

    The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) short form is a 12-item self-report measure assessing functional disability over the past month in several domains (cognition, mobility, self-care, getting along with others). Items are rated from 0 (none) to 4 (extreme or cannot do). Items are scored to create a total score. Higher scores indicate higher functional disability.

    Time frame: Baseline, 4 weeks, and 8 weeks

  5. National Institute on Drug Abuse Assist for Alcohol and Substance Use

    The National Institute on Drug Abuse (NIDA) Assist is used to assess alcohol, smoking, and substance use involvement. This measure was used to assess alcohol, tobacco, cannabis, cocaine, amphetamine-type stimulants, inhalants, sedatives/sleeping pills, hallucinogens, and opioids. Each class of substance was rated for frequency over the past month using an ordinal scale: 0 (Never); 1 (Once or twice); 2 (3 or 4 times); 3 (5, 6, or 7 times); 4 (2 or 3 times a week); 5 (4 or 5 times a week); and 6 (Daily or almost daily). Ratings can be analyzed in terms of use at the binary level overall (indicating any substance used vs. no substances used) or at the class level (indicating one class was used vs. not used). Ratings can also be summed across substance classes with higher scores interpreted as greater frequencies of substance use.

    Time frame: Baseline, 4 weeks, and 8 weeks

Other outcomes

  1. Difficulties in Emotion Regulation Scale, Short Form

    The Difficulties in Emotion Regulation Scale, Short Form (DERS-16; Kaufman et al., 2016) is a 16-item self-report measure, with excellent internal consistency, assessing emotion dysregulation based on a six-facet model first described by Gratz and Roemer (2004). Items are rated on a 5-point Likert scale from 1 (Almost Never) to 5 (Almost Always) and a total score is derived from summing the items (after reverse- scoring certain items). Higher scores reflect greater difficulties regulating emotions.

    Time frame: Baseline, 4 weeks, and 8 weeks

  2. DBT Ways of Coping Checklist, Skills Subscale

    The DBT Ways of Coping Checklist (Neacsiu et al., 2010) is a 59-item self-report measure that assesses the frequency of maladaptive and adaptive skills used to manage difficult situations over the past month, with good internal consistency and test-retest reliability. In this study, the investigators only use the 38-item adaptive skills subscale, which includes skillful behaviors often learned in DBT without using DBT-specific language. Items were rated on a 4-point Likert scale from 0 (Never Used) to 3 (Regularly Used).

    Time frame: Baseline, 4 weeks, and 8 weeks

  3. Mindful Awareness and Attention Scale (MAAS)

    The Mindful Awareness and Attention Scale (MAAS) is a 15-item measure of mindful attention and awareness, which is a primary target of DBT skills training. Items were rated on a 6-point Likert scale from 1 (Almost Never) to 6 (Almost Always). Higher scores reflect higher levels of dispositional mindfulness ability.

    Time frame: Baseline, 4 weeks, and 8 weeks

08

Study locations

1 site
  • University of Windsor
    Windsor, Ontario N9B 3P4, Canada
09

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

10

Timeline

1 registry update 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 Jul 2025 to primary completion in Jul 2026, 12 months.

Of 3,471 non-industry interventional studies with no phase under Depression, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 41. This study's 12 months is below that.

Counting every sponsor, half of 3,569 studies reached it within 21 months; a quarter within 9 and three quarters within 41.

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

Registered
Jul 16, 2025
First posted
Jul 28, 2025
StartActual
Jul 20, 2025
Primary completionActual
Jul 31, 2026
CompletionActual
Aug 31, 2026
Last update
Nov 3, 2026
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.
Status
Recruiting→Completed
changed Nov 3, 2026
Study completion
Aug 1, 2026→Aug 31, 2026 (actual)
Nov 3, 2026
Enrollment
40 (estimated)→41 (actual)
Nov 3, 2026
Show all 1 update
  1. Nov 3, 2026
    Recruiting→Completed
    Study completion Aug 1, 2026→Aug 31, 2026 (now actual)
    Enrollment 40 (estimated)→41 (actual)
    + 3 other changes: verification date, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT07088939
Lead sponsor
University of Windsor
Responsible party
Alexander Daros (Assistant Professor, University of Windsor) — Principal investigator
First posted
Jul 28, 2025
Start date
Jul 20, 2025
Primary completion
Jul 31, 2026
Completion
Aug 31, 2026
Last update
Nov 3, 2026

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 Sep 2026. You cannot join it, but the record below documents what was studied.

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