Health TrialsbyHealthPanel

Internet-Delivered Cognitive Behaviour Therapy for Public Safety Personnel

ConditionsDepression, AnxietyPsychological Trauma
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Regina

About this trial

This study evaluates a transdiagnostic Internet-delivered cognitive behavioural therapy (ICBT) recently tailored for Canadian public safety personnel (PSP) reporting symptoms of depression, anxiety, or posttraumatic stress. Outcomes of interest include engagement with the intervention, changes in symptoms and functioning, and strengths and limitations of implementing ICBT with Canadian PSP.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18 years of age or older

residing in a Canadian province or territory in which PSPNET is able to offer services

endorsing symptoms of anxiety, depression, or post-traumatic stress

able to access a computer and internet service

Disqualifiers

high suicide risk

suicide attempt or hospitalization in the last year

primary problems with psychosis, alcohol or drug problems, mania

currently receiving regular psychological treatment for anxiety or depression

Trial design

Design model

Single group

Treatments tested in this trial

  • PSP Wellbeing Course

    Behavioral

    A tailored ICBT intervention will be delivered to public safety personnel who report symptoms of depression, anxiety, or posttraumatic stress. Clients will choose whether they prefer weekly therapist support, twice-weekly support, or monitored optional support. The intervention is designed to be completed in 8 weeks, but clients will be able to extend their access to therapist support by an additional 8 weeks (i.e., up to 16 weeks in total).

Treatment groups

250 Participants
are divided into 1 treatment group
Group A: Tailored ICBT for PSPExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change in depression

Patient Health Questionnaire - 9 Item (PHQ-9). Higher total scores indicate greater severity of depression. Scores range from 0 to 27. Note: this measure is only administered at weeks 9 through 16 for clients who are still engaged in treatment at those timepoints.

Time frame
screening and 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 26, and 52 weeks (note: as of December 2024, we are no longer collecting data at 52 weeks).
2

Change in anxiety

Generalized Anxiety Disorder - 7 Item (GAD-7). Higher total scores indicate greater severity of anxiety. Scores range from 0 to 21. Note: this measure is only administered at weeks 9 through 16 for clients who are still engaged in treatment at those timepoints.

Time frame
screening and 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11,12, 13, 14, 15, 16, 26, and 52 weeks (note: as of December 2024, we are no longer collecting data at 52 weeks).
3

Change in posttraumatic stress

PTSD Checklist for DSM-5 (PCL-5). Higher total scores indicate greater severity of posttraumatic stress. Scores range from 0 to 80.

Time frame
screening and 8, 26, and 52 weeks (note: as of December 2024, we are no longer collecting data at 52 weeks).
4

Change in posttraumatic stress

Abbreviated PTSD Checklist - Civilian Version (PCL-C). Higher total scores indicate greater severity of posttraumatic stress. Scores range from 5 to 30. Note: this measure is only administered at weeks 9 through 16 for clients who are still engaged in treatment at those timepoints.

Time frame
1, 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 15 and 16 weeks

Secondary outcomes

1

Change in panic symptoms

Panic Disorder Severity Scale-Self Report (PDSS-SR), 2-item version. Higher total scores indicate greater severity of panic symptoms. Scores range from 0 to 8. Note: this measure replaced the full PDSS-SR on October 6, 2023.

Time frame
screening and 8, 26, and 52 weeks (note: as of December 2024, we are no longer collecting data at 52 weeks).
2

Change in social anxiety

Mini-Social Phobia Inventory (Mini-SPIN): Higher total scores indicate greater severity of social anxiety, with scores ranging from 0 to 12. In the English version of the course, the Mini-SPIN replaced the 6-item Social Interaction Anxiety Scale (SIAS-6) and the 6-item Social Phobia Scale (SPS-6) on October 6th, 2023. In the French version of the course, it replaced the Social Interaction Phobia Scale (SIPS) on March 20th, 2024.

Time frame
screening and 8, 26, and 52 weeks (note: as of December 2024, we are no longer collecting data at 52 weeks).
3

Change in anger

Dimensions of Anger Reactions (DAR-5) scale. Higher total scores indicate greater severity of anger problems. Scores range from 0 to 20.

Time frame
screening and 8, 26, and 52 weeks (note: as of December 2024, we are no longer collecting data at 52 weeks).
4

Change in sleep problems

Insomnia Severity Index (ISI). Higher total scores indicate greater severity of sleep problems. Scores range from 0 to 28. Note: this measure was added on December 3, 2020.

Time frame
screening and 8, 26, and 52 weeks (note: as of December 2024, we are no longer collecting data at 52 weeks).

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Regina

Lead sponsor

Government of Canada

Collaborator

Source ClinicalTrials.gov
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