Can a 2-Minute chat reverse acute stress? new trial aims to find out
NCT ID NCT06482567
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a short intervention called iCOVER, designed to help people quickly regain focus and calm after an acute stress reaction. The intervention takes just 60-120 seconds and can be given by peers or medical staff. Researchers will enroll 450 adults in an emergency department who show signs of distress or dissociation, and compare iCOVER to usual care or simple reassurance. The goal is to see if iCOVER improves thinking and functioning right after the stressful event.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- iCOVER (a brief behavioral intervention using steps: Identify, Connect, Offer commitment, Verify facts, Establish order, Request action)
- What this could lead to
- If it works, this could provide a quick, easy-to-use tool for peers or medical staff to help someone snap out of an acute stress reaction and think clearly again.
- What could go wrong
- This is an early efficacy trial with 450 participants, so results may not apply broadly. The intervention is very brief and may not work for everyone or in all stressful situations.
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
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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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About 450 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2024
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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 to 50 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: * ≥ 18 years and ≤ 50 years of age (if age not known, appears to be) * In the emergency department as a patient or loved one of a patient * If a patient, anticipated to be discharged to home from the emergency department after evaluation * Exhibiting visible signs of distress Richmond Agitation and Sedation Scale ((RASS) (+1 to +3)) or dissociation (awake and alert but reduced responsiveness) * Likely able to speak English Exclusion Criteria: * Known pregnancy * Prisoner or in custody * Known history of psychosis or bipolar disorder * Known or suspected drug intoxication * Known history of substantial cognitive impairment * Known or suspected altered mental status due to traumatic brain injury * Known active psychosis, suicidal ideation, or homicidal ideation * Unable to use both hands (e.g. due to sprain) * Any other history or condition that would, in the site investigator's judgement, indicate that the individual would very likely be non-compliant with the study or unsuitable for the study (e.g. might interfere with the study, confound interpretation, or endanger participant)
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
4 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Cooper University Health Care
RECRUITINGCamden, New Jersey, 08103, United States
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Henry Ford Health System
RECRUITINGDetroit, Michigan, 48202, United States
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McLean Hospital, Harvard Medical School
ACTIVE_NOT_RECRUITINGBelmont, Massachusetts, 02478, United States
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University of Massachusetts Chan Medical School
RECRUITINGWorcester, Massachusetts, 01655, United States
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Washington University, St. Louis
RECRUITINGSt Louis, Missouri, 63110, United States
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