NCT04815681

Brief Summary

The investigators are evaluating the effects of an online single-session mental health intervention (the Common Elements Toolbox; COMET). To evaluate COMET, the investigators are conducting a randomized controlled trial with Greek adolescents attending high school in the Attica region in Greece. Students will be randomized to the COMET condition or to an active control condition. Primary outcome measures (depressive symptoms, anxiety symptoms, subjective well-being) will be measured at two weeks post-intervention and four weeks post-intervention. The investigators will evaluate COMET as a universal intervention (using the full sample) and as a targeted intervention (analyzing those who reported elevated depressive symptoms or anxiety symptoms at baseline).

Trial Health

33
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Mar 2021

Geographic Reach
2 countries

2 active sites

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2021

Completed
21 days until next milestone

First Submitted

Initial submission to the registry

March 22, 2021

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 25, 2021

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2022

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2022

Completed
Last Updated

June 11, 2025

Status Verified

June 1, 2025

Enrollment Period

1.3 years

First QC Date

March 22, 2021

Last Update Submit

June 6, 2025

Conditions

Outcome Measures

Primary Outcomes (3)

  • Change in Patient Health Questionnaire-8 (PHQ-8)

    Depression questionnaire. Scores range from 0 to 24. Lower scores indicate less depression.

    Up to 4 weeks post-intervention

  • Change in Generalized Anxiety Disorder Screener-7 (GAD-7)

    Anxiety questionnaire. Total scores range from 0-21. Lower scores indicate less anxiety.

    Up to 4 weeks post-intervention

  • Change in the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS)

    Subjective Well-being questionnaire. Total scores range from 7 to 35. Higher values indicate higher well-being scores.

    Up to 4 weeks post-intervention

Secondary Outcomes (5)

  • Ratings on the Acceptability of Intervention Measure (AIM)

    Immediately after the intervention

  • Ratings on the Intervention Appropriateness Measure (IAM)

    Immediately after the intervention

  • Secondary Control

    Up to 4 weeks post-intervention

  • Perceived Utility

    Immediately after intervention

  • Positive and Negative Affect Schedule (PANAS)

    Up to 4 weeks post-intervention

Study Arms (2)

Common Elements Toolbox (COMET)

EXPERIMENTAL
Behavioral: Common Elements Toolbox

Active Control Condition

ACTIVE COMPARATOR
Behavioral: Active Control

Interventions

COMET is an online unguided self-help intervention that lasts approximately 40-50 minutes.

Also known as: COMET
Common Elements Toolbox (COMET)
Active ControlBEHAVIORAL

The active control condition includes an online self-awareness program that lasts approximately 40-50 minutes. Participants in the control condition will receive access to the intervention after data collection for the study has been completed.

Active Control Condition

Eligibility Criteria

Age13 Years - 20 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Between 13 and 20 years old and a student at a participating Greek high school. Access to the internet.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

Eginition Hospital National and Kapodistrian University of Athens School of Medicine

Athens, 15121, Greece

Location

MeSH Terms

Conditions

DepressionAnxiety Disorders

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehaviorMental Disorders
0

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 22, 2021

First Posted

March 25, 2021

Study Start

March 1, 2021

Primary Completion

June 1, 2022

Study Completion

December 1, 2022

Last Updated

June 11, 2025

Record last verified: 2025-06

Data Sharing

IPD Sharing
Will not share

Locations