Computer coach aims to sharpen therapy for Veterans' depression
NCT ID NCT02488551
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a computer-assisted tool helps mental health providers in rural VA clinics deliver cognitive behavioral therapy (CBT) more effectively for depression and anxiety. About 34 therapists and 167 veterans will take part. Therapists are randomly assigned to use the computer tool or a manual, and researchers measure how well they stick to the therapy model and how patients improve over a year.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Computer-delivered CALM tool
- What this could lead to
- If effective, this computer tool could help therapists in rural clinics deliver better depression and anxiety care, potentially improving outcomes for many veterans.
- What could go wrong
- This is a relatively small study focused on therapist fidelity, not a direct test of a new drug or cure. The tool may not significantly improve patient outcomes or be widely adopted.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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167 people
The number who actually took part.
- Started
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Jan 2016
- Finished
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Jun 2019
- Lead sponsor
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A government agency
The lead sponsor is a US federal agency other than the NIH.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients will be considered eligible if they: 1. plan to continue to receive mental health care at the CBOC 2. have depression, PTSD, or other anxiety disorder (PD, GAD, SAD) 3. want to receive CBT specifically 4. are willing to have their therapy sessions audio-taped 5. are willing and able to participate in clinical assessments (baseline, 3, 6, and 12 months) by phone. Exclusion Criteria: * Patients will be considered ineligible if they 1. have significant cognitive impairment, are in crisis (e.g., suicidal) 2. are dependent on alcohol or drugs (substance abuse is allowed) 3. have previously completed a course of CBT or CPT treatment (patients who have previously had only one or two sessions of CBT or CPT will be allowed), or (4) have a comorbid diagnosis of schizophrenia or bipolar disorder.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
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Other studies related to the condition(s) this trial covers.
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