NCT06601062

Leveraging Telepsychology and Behavioral Economics to Increase Fidelity to CBT

Enrolling by Invitation
NAAges 14+InterventionalHealth services
University of Pennsylvania
~100 participants
Updated 2026-05-05 on ClinicalTrials.gov
What's tested:Tele-BE

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Acceptability of Tele-BE
Measured over Week of sessions 1, 5, 9, and 12
+3 more outcomes measured
Implementation Science
1 sites across 1 states
Pennsylvania1

This trial hasn't published a contact. View it on ClinicalTrials.gov

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Eligibility criteria

Inclusion

Clinician is an outpatient mental health clinician in the City of Philadelphia trained in transdiagnostic CBT through the Penn Collaborative for CBT and Implementation Science
Clinician has completed the 22-hour intensive CBT workshop through the BCI or equivalent CBT training
Clinician provides direct mental health services to a treatment-seeking population via telehealth
Proficient in English language
Has access to a computer with internet connectivity
Patient is 14 years or older
Patient is receiving CBT from a participating clinician
Patient is able to provide informed consent (or if the client is between the ages of 14-17, the client is able to assent and has a legal guardian who is able to provide consent)
Proficient in English language
Patient has had at least one prior telehealth therapy session with enrolled therapist
Has access to a computer with internet connectivity or smartphone through which they regularly attend telehealth therapy sessions
Clinician is an outpatient mental health clinician in the City of Philadelphia trained in transdiagnostic CBT through the Penn Collaborative for CBT and Implementation Science
Clinician has completed the 22-hour intensive CBT workshop through the BCI or equivalent CBT training
Clinician is a practicing mental health clinician in the Philadelphia region in one of our partner local community agencies delivering telehealth services
Clinician has at least 2 clients on their caseload over the age of 14 with whom they are delivering CBT telehealth services
Proficient in English language
Has access to a computer with internet connectivity
Patient is 14 years or older
Patient is able to provide informed consent (or if the client is between the ages of 14 -17, the client is able to assent and has a legal guardian who is able to provide consent)
Proficient in English language
Patient has had at least one prior telehealth therapy session with enrolled therapist
Has access to a computer with internet connectivity or smartphone through which they regularly attend telehealth therapy sessions

Exclusion

Patients will be excluded if they are unable to adequately consent to study procedures. For example, clients may be excluded if they are at imminent risk for suicide or homicide requiring hospitalization.
Youth under the age of 18 will be excluded from the study if they do not have an available legal guardian who is able to provide consent for their study participation (e.g., the state has legal custody of the youth).
Patients under the age of 14 will be excluded
Patients will be excluded if they are unable to adequately consent to study procedures. For example, clients may be excluded if they are at imminent risk for suicide or homicide requiring hospitalization or are experiencing any cognitive impairment that prevents them from participating in therapy on the day their session is to be recorded.
Youth under the age of 18 will be excluded from the study if they do not have an available legal guardian who is able to provide consent for their study participation (e.g., the state has legal custody of the youth).
Patients under the age of 14 will be excluded
  • Acceptability of Tele-BEWeek of sessions 1, 5, 9, and 12

    Acceptability of Intervention Measure: A 4-item, psychometrically-validated measure that indexes the extent to which stakeholders believe an implementation strategy is acceptable Qualitative Interview

  • Feasibility of Tele-BEWeek of sessions 1, 5, 9, and 12

    Feasibility of Intervention Measure; A 4-tem, psychometrically-validated measure that indexes the extent to which stakeholders perceive an implementation strategy is feasible Web Analytics (i.e., clinician use of Tele-BE features)

  • Usability of Tele-BEWeek of sessions 1, 5, 9, and 12

    \- System Usability Scale (SUS): A 10-item questionnaire on a 5-point scale from 1=Strongly disagree to 5=Strongly agree which measures the usability of a system (in this case, Tele-BE).

  • Clinician Fidelity to CBT Structural ComponentsWeekly over the trial period (approximately 12 sessions, up to 16 weeks)

    Cognitive Therapy Rating Scale (CTRS): Clinician fidelity to structural components will be captured via direct observation to each of the 6 components of interest: ((1) progress monitoring with evidence-based assessment tools, (2) agenda setting guided by shared decision-making, (3) out-of-session practice ("homework") review, (4) skill instruction, (5) skill practice, and (6) homework planning. Items will be coded using adapted items of the CTRS, a gold-standard CBT fidelity measure that has a subscale designed to measure structural components