MedPath

Primary Care Online Emotion-regulation Treatment

Not Applicable
Completed
Conditions
Mental Health Issue
Interventions
Behavioral: Therapist-supported digitally delivered transdiagnostic emotion regulation treatment
Behavioral: Therapist-supported digitally delivered supportive treatment
Registration Number
NCT05032547
Lead Sponsor
Region Stockholm
Brief Summary

We will evaluate a transdiagnostic digital emotion regulation treatment for youth with mental health problems.

Detailed Description

Mental health problems in youth are a global problem, causing incalculable suffering in youth and families, harming long-term prospects of youths, and are creating substantial economic costs to society. Existing treatments are not fully addressing these problems because they focus on a subset of mental health problems; they are limited in efficacy; and are not provided to most youth in need. Transdiagnostic digital treatments that address mechanisms underlying mental health problems, such as emotion regulation, have been called for to address these problems. As an initial pilot study we will include 60 participants aged 12-17 years and their parents in a randomized controlled feasibility trial comparing a 6-week Primary care Online Emotion-regulation Treatment (POET) to a 6-week active Supportive Treatment (ST). Both interventions will be delivered in blended format combining online therapist-supported treatment modules with a video-link session. The primary study aims are to examine the feasibility and acceptability of study protocol and treatment protocols. Preliminary utility of the experimental condition will be evaluated by youth-reported, parent-reported, and clinical-reported outcomes.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Presenting with mental health problems
Exclusion Criteria
  • Acute suicidality and severe mental illness that require specialized care

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Primary Care Online Emotion-Regulation TreatmentTherapist-supported digitally delivered transdiagnostic emotion regulation treatmentThe youth component in the experimental condition will include psychoeducation, addressing maladaptive beliefs about emotions and emotion regulation, and teaching adaptive emotion regulation strategies, such as mindfulness practice and acceptance of emotions and flexible cognitive reappraisal. The parent component will include psychoeducation and teaching effective responding to their children's and their own emotions.
Supportive TreatmentTherapist-supported digitally delivered supportive treatmentThe intervention will be delivered in a blended treatment format combining asynchronous therapist-guided online modules (text/videos/audio/messaging function) with a synchronous session delivered over video-link.
Primary Outcome Measures
NameTimeMethod
ComplianceEnd of treatment 6 weeks after baseline

Compliance with the experimental intervention will be defined as completing at least three of six modules/sessions.

Child version or the Cognitive Emotion Regulation Questionnaire as explorative primary clinical outcomeChange from baseline, once every week during treatment (0-6 weeks after baseline)

Measure of emotion regulation

Revised Child Anxiety and Depression Scale as explorative primary clinical outcomeChange from baseline, once every week during treatment (0-6 weeks after baseline)

Measure of anxiety and depression symptoms

Completion of assessmentsEnd of treatment 6 weeks after baseline

Completion of follow-up will be defined as completing at least one clinical outcome at end of intervention.

The fraction of eligible participants who consent to inclusion and randomizationEnd of treatment 6 weeks after baseline

We will determine the fraction of potential participants as the number of eligible persons compared to the number of randomized persons.

Secondary Outcome Measures
NameTimeMethod
Children's Global Assessment ScaleChange from baseline, 6 weeks after treatment starts

Measure of global functioning

Brief 16-item Version of the Difficulties In Emotion RegulationChange from baseline, 6 weeks after treatment starts

Measure of difficulties in emotion regulation

Emotion Regulation Questionnaire Child/Adolescents VersionChange from baseline, 6 weeks after treatment starts

Measure of difficulties in cognitive reappraisal and suppression

Emotion Regulation Diversity IndexChange from baseline, 6 weeks after treatment starts

Measure of emotion regulation flexibility

Beliefs About Emotions QuestionnaireChange from baseline, 6 weeks after treatment starts

Measure of beliefs about emotions

Strengths and Difficulties QuestionnaireChange from baseline, 6 weeks after treatment starts

Measure of youth strengths and difficulties

Trial Locations

Locations (1)

Gustavsberg's Vårdcentral

🇸🇪

Stockholm, Sweden

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