About this trial
This study is a randomized factorial trial designed to evaluate unguided (i.e., purely self-help), transdiagnostic internet delivered cognitive behaviour therapy tailored for public safety personnel with tunneled of personalized course delivery and with or without the incorporation of social learning resources.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
At least 18 years of age
Current or former public safety personnel (or public safety personnel trainee)
Residing in Canada at time of enrollment
Has regular access to the internet
Disqualifiers
Not 18 years of age or older
Not a current or former public safety personnel (or public safety personnel trainee)
Not residing in Canada at time of enrollment
Does not have regular access to the internet
Trial design
Factorial
Treatments tested in this trial
Tunneled Delivery
BehavioralParticipants will be offered a pre-determined pathway to completing the 8-week course
Personalized Delivery
BehavioralParticipants will be able to complete course modules at their own pace and in the order that most interests them.
Standard Resources
BehavioralParticipants will receive the resources as typically included in the Self-Guided PSP Wellbeing Course.
Enhanced Social Learning Resources
BehavioralParticipants will receive additional intervention content.
Transdiagnostic Self-Guided ICBT
BehavioralAn ICBT course that is completed without the guidance of a therapist.
Treatment groups
Trial outcomes
Primary outcomes
Generalized Anxiety Disorder 7-item (GAD-7)
Change in total GAD-7 anxiety score which can range from 0 to 21. Higher scores indicate greater anxiety (worse outcome)
Patient Health Questionnaire-9 (PHQ-9)
Change in total PHQ-9 score which can range from 0 to 27. Higher scores indicate greater depression (worse outcome)
PTSD Checklist for the DSM-5 (PCL-5)
Change in total PCL-5 score which can range from 0 to 80. Higher scores indicate greater posttraumatic stress symptoms (worse outcome)
Engagement
Internal portal recordings of participant how many lessons participants accessed, how many additional resources were accessed, and the dates of access. Greater course access is indicative of greater engagement within the course.
Secondary outcomes
Work and Social Adjustment Scale (WSAS)
Change in total WSAS score which can range from 0 to 40. Higher scores indicate greater levels of distress related to functional impairment (worse outcome)
Brief Resilience Scale (BRS)
Change in total BRS score which can range from 0 to 30. Higher scores indicate greater resilience (better outcome)
Healthcare Use Questionnaire
Bespoke questionnaire regarding access to healthcare resources
Case Story Questionnaire
Bespoke questionnaire inquiring about participants' experiences with the case stories. Participants receiving enhanced social learning resources will be asked additional questions about the enhanced social learning resources.
Other outcomes
Post-treatment Semi-structured interview
A semi-structured interview developed to assess for clients experiences within the course.
Sponsors and contacts
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University of Regina
Lead sponsor
Government of Canada
Collaborator