ClinicalTrials.gg
Enrolling by invitationNCT07499219Updated May 1, 2026

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

An interventional study of Digital therapy program (short) and Digital therapy program (long) in Depression and Anxiety, sponsored by University of Oslo. Enrolling by invitation at 1 site in Norway. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-01.

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

Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

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

Among 21 studies in Depression by University of Oslo — 5 open to participants now, 5 under way, none of them phase 3. Depression · University of Oslo.

Started
2026
with 2 others
No phase
8 of 21
5 open now
Registered
20th of 21
by date

Among the 21 studies in Depression by University of Oslo, this one is one of 3 that started in 2026, is one of 8 with no phase, and was the 20th registered.

By phase

21 studies; the count open now beside each. This study's row is marked.

Observational13 · 0 open
No phasethis study8 · 5 open

By the year they started

First in 2016; this study’s year is marked. 3 started in 2026.

Size and results

Median enrollment 96 across the 8 interventional studies, 4,000 across the 13 observational. Of the 7 that completed or were terminated, 0 (0%) have results posted.

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02

Study 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. 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.

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.

03

Conditions studied

  • Depression
  • Anxiety

Keywords

  • depression
  • anxiety
  • single-session intervention
  • digital mental health intervention
  • digital therapy
  • mental health
  • pilot feasibility trial
04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • 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.

Exclusion criteria

Exclusion Criteria:

  • No criteria excluding participants who meet the above mentioned inclusion criteria.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Short digital therapy program group

    Participants complete the short digital therapy program (30-40 minutes) and answer questions about acceptability, feedback and interaction with other therapy.

    Other: Digital therapy program (short)

  • Experimental
    Long digital therapy program group

    Participants complete the long digital therapy program (45-55 minutes) and answer questions about acceptability, feedback and interaction with other therapy.

    Other: Digital therapy program (long)

  • Placebo comparator
    Mental health advice group

    Participants 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.

    Other: Mental health advice

  • No intervention
    Questionnaire group

    Participants do not receive any intervention materials and only complete mental health questionnaires. They will not answer acceptability questions.

Interventions

  • OtherDigital therapy program (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).

    Also known as: AWARE OUT, single-session intervention - short

  • OtherDigital therapy program (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.

    Also known as: AWARE OUT+, single-session intervention - long

  • OtherMental health advice

    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").

    Also known as: ABC for good mental health, Act, Belong, Commit

06

What researchers measure

Primary outcomes

  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

    Time frame: 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

    Time frame: 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

    Time frame: 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

    Time frame: 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

    Time frame: 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

    Time frame: 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.

    Time frame: 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

    Time frame: 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

    Time frame: 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.

    Time frame: 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. 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.

    Time frame: Two weeks and five weeks after enrollment controlled by baseline at enrollment

07

Study locations

1 site
08

References and documents

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/

Individual participant data

Plan to share: Yes — No IPD will be shared outside of the research team involved with this study.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Analytic code

Time frame: Approximate start: 12.03.2027

Access criteria: Simplified version of study Protocol is available on Open science framework (osf.io). Comprehensive study protocol can be made available upon reasonable requets. Simple SAP is available on osf.io. Simplified version of ICF can be shared upon reasonable requests. Analytic code will be made available after publication of study in peer review journal, and will be shared upon reasonable requests.

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

Started Mar 2026 (actual). Primary completion is estimated for Oct 2026, 7 months after the start.

Of 3,468 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 planned 7 months is below that.

Counting every sponsor, half of 3,566 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
Mar 16, 2026
First posted
Mar 30, 2026
StartActual
Mar 24, 2026
Primary completionEst.
Oct 2026
CompletionEst.
Oct 2034
Last update
May 1, 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.
No changes since tracking began. The registry record was last updated on May 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07499219
Lead sponsor
University of Oslo
Responsible party
Sverre Urnes Johnson (Professor of clinical psychology, University of Oslo) — Principal investigator
First posted
Mar 30, 2026
Start date
Mar 24, 2026
Primary completion
Oct 2026 (estimated)
Completion
Oct 2034 (estimated)
Last update
May 1, 2026

Study contacts

Sverre U Johnson, PhD
principal investigator · University of Oslo

Oversight

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

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