NCT06901128

Brief Summary

The main goal of this clinical trial is to examine screen delivery as an alternative for offering cognitive therapy to youth with social anxiety. It will examine its effectiveness compared to office delivery, but also its acceptability and sustainability, and identify factors important for the outcome of this approach. The main questions it aims to answer are: Does screen delivery show comparable effectiveness to office delivery? Is screen delivery well accepted by youth and therapists? Does screen delivery show economic and climate sustainability? Do credibility and therapeutic alliance predict therapy outcome? In the study researchers will compare screen delivery to office delivery of cognitive therapy for social anxiety disorders in 200 youth aged 14-18 years. After an initial screening in schools, eligible youth are assessed with a diagnostic interview. Those meeting inclusion criteria will be offered either screen or office therapy. This is decided by random selection (a draw). Participants will: Complete an initial short screening questionnaire. Respond to a diagnostic interview online. Meet their therapist first time in person. Attend 14 weekly 90-minutes therapy session. Complete weekly questionnaires during the therapy. Answer interview and questionnaires after the therapy, and also 6 months, 2 years and 4 years later. Parents are also interviewed and informed of the study.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
118mo left

Started Apr 2025

Longer than P75 for not_applicable

Geographic Reach
1 country

5 active sites

Status
recruiting

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

Study Progress10%
Apr 2025Dec 2035

First Submitted

Initial submission to the registry

February 28, 2025

Completed
28 days until next milestone

First Posted

Study publicly available on registry

March 28, 2025

Completed
4 days until next milestone

Study Start

First participant enrolled

April 1, 2025

Completed
3.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2028

Expected
7 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2035

Last Updated

March 28, 2025

Status Verified

March 1, 2025

Enrollment Period

3.8 years

First QC Date

February 28, 2025

Last Update Submit

March 26, 2025

Conditions

Keywords

RCT video screen delivery cognitive therapy youth

Outcome Measures

Primary Outcomes (2)

  • Liebowitz social anxiety scale for children and adolescents (LSAS-CA)

    24 item scale rated in four response categories

    From start of treatment until end of 14 weekly treatment sessions.

  • Anxiety and Related Disorders Interview Schedule for DSM-5 Chid and parent Version

    Short name ADIS-5 C/P.

    From start of treatment until end of 14 weekly treatment sessions.

Secondary Outcomes (3)

  • Revised Children´s Anxiety and Depression Scale RCADS

    From start of treatment until end of 14 weekly treatment sessions.

  • Short Mood and Feelings Questionnaire SMFQ

    From start of treatment until end of 14 weekly treatment sessions.

  • Strengths and Difficulties Questionnaire SDQ

    From start of treatment until end of 14 weekly treatment sessions.

Study Arms (2)

Screen delivery

EXPERIMENTAL

CT by video/screen

Behavioral: cognitive therapy

Office delivery

ACTIVE COMPARATOR
Behavioral: cognitive therapy

Interventions

The CT-SAD-A manual developed by Clark and Leigh

Office deliveryScreen delivery

Eligibility Criteria

Age14 Years - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Social anxiety disorder primary
  • Age 14 to 18 years.
  • Norwegian fluency

You may not qualify if:

  • Severe Depression
  • Acute suicidality
  • Substance abuse
  • Psychosis
  • Intellectual Disability
  • More than 20% absence from school in previous three months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

Sykehuset Innlandet, Forskningsavdelingen, Sanderud Sykehus

Ottestad, Innlandet, 2313, Norway

RECRUITING

Helse Vest

Førde, Norway

RECRUITING

Helse SørØst

Hamar, Norway

RECRUITING

Helse Nord

Tromsø, Norway

RECRUITING

Helse Midt

Trondheim, Norway

RECRUITING

Related Publications (1)

  • Leigh E, Clark DM. Understanding Social Anxiety Disorder in Adolescents and Improving Treatment Outcomes: Applying the Cognitive Model of Clark and Wells (1995). Clin Child Fam Psychol Rev. 2018 Sep;21(3):388-414. doi: 10.1007/s10567-018-0258-5.

    PMID: 29654442BACKGROUND

MeSH Terms

Conditions

Phobia, Social

Interventions

Cognitive Behavioral Therapy

Condition Hierarchy (Ancestors)

Phobic DisordersAnxiety DisordersMental Disorders

Intervention Hierarchy (Ancestors)

Behavior TherapyPsychotherapyBehavioral Disciplines and Activities

Study Officials

  • Einar R Heiervang, MD PhD

    Sykehuset Innlandet HF

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Einar R Heiervang, MD PhD

CONTACT

Grethe E Roer, Master

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 28, 2025

First Posted

March 28, 2025

Study Start

April 1, 2025

Primary Completion (Estimated)

December 31, 2028

Study Completion (Estimated)

December 31, 2035

Last Updated

March 28, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will share

IPD for all participants will be shared anonymously with other researchers following reasonable requests.

Shared Documents
STUDY PROTOCOL, ICF
Time Frame
February 10, 2025 - December 31, 2035
Access Criteria
Access to the above provided following information for use provided to the PI.

Locations