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Intervenciones Digitales para la Prevención de Recaídas en la Adolescencia (DigiTIFF)

2 de noviembre de 2026 actualizado por: Ragnhild Bø, University of Oslo

Some adolescents experience periods of anxiety and/or depression, and some find that these periods return over time. The purpose of this study is to examine whether digital interventions-where individuals work systematically with their own thoughts and feelings during periods when they feel well-can help them maintain well-being for longer.

The study includes adolescents aged 16-19 who have previously experienced episodes of depression and/or anxiety to a degree that led them to seek help (e.g., from a school nurse, general practitioner, health clinic, or child and adolescent mental health service). Through a research app on their smartphones, participants complete tasks and answer questionnaires. The study is fully digital. Some participants meet with a therapist in digital group sessions, while others work independently with the digital content.

We will also examine the cost-benefit aspects of offering such interventions. If the study achieves its goals, digital interventions may eventually become a service offered to adolescents recovering from depression and anxiety.

Descripción general del estudio

Tipo de estudio

Intervencionista

Inscripción (Estimado)

495

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Ubicaciones de estudio

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

16 años a 19 años (Niño, Adulto)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • Currently in full or partial remission for a minimum of 2 months from a depressive disorder or an anxiety disorder as defined by self-reported scores on RCADS-47: previous episode(s) of t-score > 65 and current t-score =<65.
  • Native or fluent Scandinavian language skills.
  • Willingness to take part even when allocated to the non-preferred arm of the trial.

Exclusion Criteria:

  • Ongoing depressive disorder, ongoing anxiety disorder as defined by current t-score =<65 on RCADS-47.
  • Recent completion of one of the interventions in the two interventional arms.
  • no available smartphone.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Prevención
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: App intervention

A transdiagnostic, self-guided CBT app:

  1. Standardized self-assessment for mental health: 'Test your psychological immune system'.
  2. Educational mini-series: A 30-minute, entertaining video series that teaches users to build resilience by addressing essential needs like sleep (psychological immune system), recognizing negative thought patterns (thought viruses), and developing healthier coping mechanisms (psychological vitamins).
  3. Daily practice: Over 20 days, users receive a short, 1-2-minute video each morning. These videos provide practical tips, small experiments, or simple tasks designed to help users integrate healthier coping strategies into their daily lives.

A transdiagnostic, self-guided CBT app, called TankeVirus (literally translated Thought Viruses), consisting of three components:

  1. Standardized self-assessment for mental health: 'Test your psychological immune system'.
  2. Educational mini-series: A 30-minute, entertaining video series that teaches users to build resilience by addressing essential needs like sleep (psychological immune system), recognizing negative thought patterns (thought viruses), and developing healthier coping mechanisms (psychological vitamins).
  3. Daily practice: Over 20 days, users receive a short, 1-2-minute video each morning. These videos provide practical tips, small experiments, or simple tasks designed to help users integrate healthier coping strategies into their daily lives.
Experimental: Group intervention

A transdiagnostic, mastery course for groups, delivered weekly in webinar format over three sessions. It includes videos and group discussions.

Group-based webinar offering psychoeducation based on principles of CBT.

Sin intervención: Assessment only

Only assessment will be conducted.

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Relapse: Number of participants scoring above the diagnostic cut-off on the PHQ-9 modified for teens during the 12-month follow-up.
Periodo de tiempo: From enrollment to the end of follow-up at 12-months.

To use the PHQ-9 as a diagnostic aid for Major Depressive Disorder:

  • Questions 1 and/or 2 need to be endorsed as a "2" or "3"
  • Need five or more positive symptoms (positive is defined by a "2" or "3" in questions 1-8 and "1", "2", or "3" in question 9).
  • The functional impairment question (How difficult….) needs to be rated at least as "somewhat difficult."
From enrollment to the end of follow-up at 12-months.
Time until relapse; reaching the diagnostic criteria of MDD according to PHQ-9 modified for teens
Periodo de tiempo: From enrollment to 12-months follow-up

Number of days until the diagnostic criteria of MDD as assessed PHQ-9 modified for teens has been reached.

- Questions 1 and/or 2 need to be endorsed as a "2" or "3"

  • Need five or more positive symptoms (positive is defined by a "2" or "3" in questions 1-8 and by a "1", "2", or "3" in question 9).
  • The functional impairment question (How difficult….) needs to be rated at least as "somewhat difficult."
From enrollment to 12-months follow-up

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Repetitive negative thinking (RNT-10)
Periodo de tiempo: At enrollment, and at 3, 6 and 12 months follow-up

Assess transdiagnostic repetitive negative thinking

At enrollment, and at 3, 6 and 12 months follow-up
Somatic complaints (SSS8)
Periodo de tiempo: At enrollment, and at 3, 6, and 12-months follow-up.

Somatic complaints based on sum score of all items

At enrollment, and at 3, 6, and 12-months follow-up.
EPOCH Measure of Adolescent Well-Being
Periodo de tiempo: At baseline, 3, 6 and 12-months follow-up.

A 20-item validated questionnaire (4 items per domain; Engagement, Perseverance, Optimism, Connectedness, Happiness) on a 1-5 Likert scale (1=Almost Never, 5=Almost Always) resulting in domain scores, reflecting strengths in these positive psychological areas crucial for youth well-being.

At baseline, 3, 6 and 12-months follow-up.
Health related quality of life
Periodo de tiempo: At baseline, 3, 6 and 12-months follow-up.

EQ-5D-5L will be used to assess five domains of patient reported outcomes and for economic evaluation of the interventions.

At baseline, 3, 6 and 12-months follow-up.
Health related quality of life - Visual Analog Scale
Periodo de tiempo: At baseline, 3, 6 and 12-months follow-up.

EQ VAS will be used to assess patient reported outcomes for self-rated health and for economic evaluation of the interventions.

At baseline, 3, 6 and 12-months follow-up.

Otras medidas de resultado

Medida de resultado
Medida Descripción
Periodo de tiempo
Client satisfaction questionnaires (CSQ-I)
Periodo de tiempo: At 3 months follow-up.

The 8-item questionnaire assesses how satisfied the participants are with the interventions, only administrated to those who are in the interventional arms.

At 3 months follow-up.

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Enlaces Útiles

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

10 de agosto de 2026

Finalización primaria (Estimado)

1 de febrero de 2028

Finalización del estudio (Estimado)

1 de febrero de 2028

Fechas de registro del estudio

Enviado por primera vez

22 de diciembre de 2025

Primero enviado que cumplió con los criterios de control de calidad

7 de enero de 2026

Publicado por primera vez (Actual)

16 de enero de 2026

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

5 de noviembre de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

2 de noviembre de 2026

Última verificación

1 de noviembre de 2026

Más información

Términos relacionados con este estudio

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • 870757

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

SÍ

Descripción del plan IPD

The dataset underlying the results will be shared together with publications.

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

No

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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