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Study finishedNA

Psychological Adjustment to Long-term (PAL) Physical Conditions: A Randomised Cross-over Feasibility Trial of a Self-guided App

Sponsor: King's College London

NCT ID: NCT07099365

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Orbi (device)
How long the study runs
Study runs about 13 months (dates as stated)
About the drug or intervention
Orbi — device: Orbi is adapted from COMPASS, a web-based cognitive behavioural therapy (CBT) intervention based on the Transdiagnostic Model of Adjustment in Long-Term (physical) Conditions Model.
Patient visit burden
Not specified by the sponsor
Type of study
Testing a treatment
Ages
18 Years and over
Who
All
Number of participants
58
Started
2025-06-10
Last checked
2025-01

Plain English Summary

What is this study?

  • • Testing a new treatment for depression, anxiety
  • • NA - 58 participants
  • • This study is a two-arm, randomised controlled cross-over feasibility study with a nested, optional qualitative study

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with depression, anxiety

Where?

  • • London - Health Psychology Department, King's College London

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

This study is a two-arm, randomised controlled cross-over feasibility study with a nested, optional qualitative study. The intervention consists of a self-guided smartphone app (Orbi) based on cognitive behavioural therapy (CBT) principles, which is designed to support psychological adjustment in long-term physical conditions. Orbi is an app adaption of an existing, evidence-based web-based intervention COMPASS. The control condition consists of usual charity support (UCS) for the relevant long-term physical health conditions (LTCs). All charity support includes a helpline which can be accessed via telephone or email. The goal of this trial is to evaluate the feasibility of Orbi and the main questions it aims to answer are: 1. Is Orbi a feasible and acceptable intervention for individuals experiencing psychological distress related to LTCs? 2. Which aspects of the Orbi app and the trial enhance or diminish participants' experiences? Participants will: * Be randomised and each participant has an equal (50 %) chance of being assigned either to the Orbi+UCS group or to UCS group alone for 12 weeks. After 12 weeks, they will be crossed over to the alternate condition for another 12 weeks * Complete questionnaires to assess psychological distress and intervention engagement at baseline, 6 weeks, and 12 weeks. * A subset of participants will be invited to take part in a nested, optional semi-structured interviews to explore their experiences using Orbi and participating in the study.

Depression, AnxietyChronic Disease

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders

What the study is looking for

  • ✓Aged ≥18-years
  • ✓Verbal and written proficiency in English
  • ✓United Kingdom resident (General Practitioner registered)
  • ✓Basic computer literacy
  • ✓Email address to register with Orbi

Who cannot take part

  • ✗Receiving active psychological treatment from psychologist/counsellor/therapist or online psychological intervention
See the full criteria
Inclusion Criteria: * Aged ≥18-years * Verbal and written proficiency in English * United Kingdom resident (General Practitioner registered) * Basic computer literacy * Email address to register with Orbi * Have a long-term physical health condition * Are experiencing distress related to their long-term physical condition Exclusion Criteria: * Evidence of substance dependency, cognitive impairment, severe mental health conditions identified by adhering to usual care Improving Access to Psychological Therapies (IAPT) screening practices that are employed at assessment and triage * Those with evidence of severe depression and/ or anxiety scoring over 6 on the Patient Health Questionnaire-4 (PHQ-4) eligibility questionnaire or scoring 1 or above on the eligibility Patient Health Questionnaire-9 (PHQ-9) suicide risk question * Receiving active psychological treatment from psychologist/counsellor/therapist or online psychological intervention

Where Is This Study? (1 UK site)

Health Psychology Department, King's College London

London SE1 9RT, United Kingdom

Hospital R&D contact (matched)

Jasmine Palmer

kch-tr.research@nhs.net0203 299 1980
Data sourced from ClinicalTrials.gov · Last verified: 2025-01