NCT05768308

Brief Summary

The aim of this study is to evaluate the effectiveness of online cognitive-behavioral intervention based on Unified Protocol and mediators of obtained changes among polish students with adjustment disorder. The intervention is fully self-helped and based on Unified Protocol principles. Control conditions contain of online progressive muscle relaxation group and waiting list.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
216

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started May 2023

Shorter than P25 for not_applicable

Status
unknown

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 13, 2023

Completed
29 days until next milestone

First Posted

Study publicly available on registry

March 14, 2023

Completed
2 months until next milestone

Study Start

First participant enrolled

May 1, 2023

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2023

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2023

Completed
Last Updated

March 21, 2023

Status Verified

March 1, 2023

Enrollment Period

Same day

First QC Date

February 13, 2023

Last Update Submit

March 16, 2023

Conditions

Keywords

adjustment disorderstudentsinternet psychological interventionscognitive behavioural therapy

Outcome Measures

Primary Outcomes (1)

  • Change in Adjustment disorder

    Adjustment disorder - The Adjustment Disorder New Module 20 (ADNM-20)

    measured at baseline, immediately after the interventions and 1 month follow up

Secondary Outcomes (19)

  • Change in Depression

    measured at baseline, immediately after the interventions and 1 month follow up

  • Change in General Anxiety Disorder

    measured at baseline, immediately after the interventions and 1 month follow up

  • Change in Stress

    measured at baseline, immediately after the interventions and 1 month follow up

  • Change in Satisfaction with life

    measured at baseline, immediately after the interventions and 1 month follow up

  • Change in Academic Adjustment

    measured at baseline, immediately after the interventions and 1 month follow up

  • +14 more secondary outcomes

Study Arms (3)

Internet CBT-UP intervention (iCBT-UP)

EXPERIMENTAL

Patricipants in the experimental group will receive online cbt intervention for students with adjustment disorder (iCBT-UP).

Behavioral: Internet CBT-UP intervention iCBT-UP

Internet Progressive Muscle Realxation Training (iPMR)

ACTIVE COMPARATOR

Participants from the active control group will receive progressive muscle relaxation training (iPMR).

Behavioral: Internet Progressive Muscle Realxation Training (iPMR)

Waiting List

NO INTERVENTION

Participants from the waiting list condition will receive access to the choosen intervention after 6-weeks waiting period.

Interventions

The self-helped internet intervention for students experiencing emotional difficulties, especially adjustment disorder. This intervention is based on transdiagnostic cbt principles - unified protocol (Barlow et al., 2018). It is a modular intervention consisting of six modules teaching different skills of dealing with emotions. Intervention is interactive and contains of video materials, quizes, texts and audio materials.

Internet CBT-UP intervention (iCBT-UP)

Participants from the active control group will receive progressive muscle relaxation training (iPMR) (Bernstein, Borkovec, Hazlett-Stevens, 2000). It is also a modular intervention and, similar to the i-cbt condition, consists of 5 modules. During the intervention, participants learn how to progressively tighten and relax different muscle groups.The first module is planned for two weeks and the rest of them for one week each. Intervention consists of video materials and audio guided relaxations. Participants are encouraged to train these relaxations once a day.

Internet Progressive Muscle Realxation Training (iPMR)

Eligibility Criteria

Age18 Years - 35 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • having a student status
  • years old or older,
  • having access to the internet and using computer or smartphone,
  • meeting the diagnostic criteria of adjustment disorder based on a total sum score \> 47,5 in ADNM-20 questionnaire
  • meeting diagnostic criteria for AjD in MINI Interview.

You may not qualify if:

  • an increased risk of suicidality intent or ideation (at least moderate scores on the MINI and/or a score \> 2 on item 9 from the PHQ-9),
  • psychotic disorder, eating disorder, anti-social personality disorder and/or alcohol/substance use disorder as indicated by the MINI
  • receiving another psychological treatment at the start of the study
  • having no time for participation in program
  • receiving pharmacological psychiatric treatment not stabilized 6 weeks prior the start of the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Juszczyk-Kalina A, Holas P, Farchione TJ. Effectiveness and mediators of change of an online CBT intervention for students with adjustment disorder-study protocol for a randomized controlled trial. Trials. 2023 Dec 1;24(1):777. doi: 10.1186/s13063-023-07744-9.

MeSH Terms

Conditions

Adjustment Disorders

Condition Hierarchy (Ancestors)

Trauma and Stressor Related DisordersMental Disorders

Study Officials

  • Aleksandra Juszczyk-Kalina, Msc

    University of Warsaw

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Aleksandra Juszczyk-Kalina, Msc

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Msc Aleksandra Juszczyk-Kalina

Study Record Dates

First Submitted

February 13, 2023

First Posted

March 14, 2023

Study Start

May 1, 2023

Primary Completion

May 1, 2023

Study Completion

September 1, 2023

Last Updated

March 21, 2023

Record last verified: 2023-03