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Trial registered on ANZCTR
Registration number
ACTRN12611000700932
Ethics application status
Approved
Date submitted
6/07/2011
Date registered
7/07/2011
Date last updated
7/07/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of a tailored online same-sex attracted youth focused transdiagnostic/multi-symptom mental health and wellbeing program
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Scientific title
An online program for same sex attracted youth for the early intervention and prevention of multiple mental health symptoms
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Secondary ID [1]
262554
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Anxiety disorders
268217
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Depression
268218
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Condition category
Condition code
Mental Health
268345
268345
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0
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Anxiety
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Mental Health
268346
268346
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
An online mental health and wellbeing program for same-sex attracted youth aged between 18-25 years. The program includes 7 brief modules containing mental health and wellbeing information and exercises based on cognitive-behaviour therapy. The modules contain generic information and information and exercises specific for the symptoms participants endorse in an online assessment, which screens for generalised anxiety, obsessions and compulsions, posttraumatic stress, specific fear, social anxiety and depressive symptoms. It is recommended to participants that they spend an hour a week over 8 weeks reading through the online modules and practising offline exercises.
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Intervention code [1]
266890
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Early detection / Screening
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Intervention code [2]
266901
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Prevention
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Comparator / control treatment
20-week delayed access control. Participants receive access to the intervention program after a 20-week delay. They are able to access any other mental health and wellbeing services in this time
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Control group
Active
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Outcomes
Primary outcome [1]
269122
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Depressive symptoms, as measured by the Patient Health Questionnaire-9
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Assessment method [1]
269122
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Timepoint [1]
269122
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For intervention group: pre-program (0 weeks), post-program (8 weeks), and 3 month follow-up (20 weeks)
For waitlist control group: pre-waitlist (0 weeks), 8 weeks post-waitlist (8 weeks), 20 weeks post-waitlist (20 weeks), and post-program (28 weeks)
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Primary outcome [2]
269123
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Symptoms of anxiety disorders:
- Generalised Anxiety Disorder (GAD-7)
- Panic Disorder (Panic Disorder Severity Scale)
- Obsessive Compulsive Disorder (Obsessive-Compulsive Inventory-Revised)
- Post-traumatic Stress Disorder (Posttraumatic Stress Disorder Checklist-Civilian Version)
- Specific Phobia (The Fear Questionnaire)
- Social Anxiety (Social Phobia Inventory)
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Assessment method [2]
269123
0
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Timepoint [2]
269123
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For intervention group: pre-program (0 weeks), post-program (8 weeks), and 3 month follow-up (20 weeks)
For waitlist control group: pre-waitlist (0 weeks), 8 weeks post-waitlist (8 weeks), 20 weeks post-waitlist (20 weeks), and post-program (28 weeks)
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Secondary outcome [1]
276974
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Psychological distress, as measured by the Kessler-10
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Assessment method [1]
276974
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Timepoint [1]
276974
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For intervention group: pre-program (0 weeks), on 3 occasions every two weeks during program access period, post-program (8 weeks), and 3 month follow-up (20 weeks)
For waitlist control group: pre-waitlist (0 weeks), 8 weeks post-waitlist (8 weeks), 20 weeks post-waitlist (20 weeks), on 3 occasions every two weeks during program access period, and post-program (28 weeks)
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Secondary outcome [2]
276975
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Satisfaction with life, as measured by Satisfaction with Life Scale
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Assessment method [2]
276975
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Timepoint [2]
276975
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For intervention group: pre-program (0 weeks), post-program (8 weeks), and 3 month follow-up (20 weeks)
For waitlist control group: pre-waitlist (0 weeks), 8 weeks post-waitlist (8 weeks), 20 weeks post-waitlist (20 weeks), and post-program (28 weeks)
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Secondary outcome [3]
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Emotional, psychological and social wellbeing, as measured by the Mental Health Continuum Short Form
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Assessment method [3]
276976
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Timepoint [3]
276976
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For intervention group: pre-program (0 weeks), post-program (8 weeks), and 3 month follow-up (20 weeks)
For waitlist control group: pre-waitlist (0 weeks), 8 weeks post-waitlist (8 weeks), 20 weeks post-waitlist (20 weeks), and post-program (28 weeks)
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Secondary outcome [4]
276977
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Internalised homophobia (attitudes towards one's same-sex attraction), as measured by the Internalised Homophobia Scale-Revised
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Assessment method [4]
276977
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Timepoint [4]
276977
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For intervention group: pre-program (0 weeks), post-program (8 weeks), and 3 month follow-up (20 weeks)
For waitlist control group: pre-waitlist (0 weeks), 8 weeks post-waitlist (8 weeks), 20 weeks post-waitlist (20 weeks), and post-program (28 weeks)
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Secondary outcome [5]
276978
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Help-seeking attitudes - as measured by the Attitudes Toward Seeking Professional Psychological Help scale
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Assessment method [5]
276978
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Timepoint [5]
276978
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For intervention group: pre-program (0 weeks), post-program (8 weeks), and 3 month follow-up (20 weeks)
For waitlist control group: pre-waitlist (0 weeks), 8 weeks post-waitlist (8 weeks), 20 weeks post-waitlist (20 weeks), and post-program (28 weeks)
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Secondary outcome [6]
276979
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Locus of control - extent to which a person believes that their mental health status is under the control of themselves, chance or powerful others - as measured by the Multidimensional Health Locus of Control Scales - Form C
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Assessment method [6]
276979
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Timepoint [6]
276979
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For intervention group: pre-program (0 weeks)
For waitlist control group: pre-waitlist (0 weeks)
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Secondary outcome [7]
276980
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Program satisfaction as measured by an online survey developed for this study, the Intervention Evaluation Questionnaire
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Assessment method [7]
276980
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Timepoint [7]
276980
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For both intervention and waitlist control groups: post-program
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Eligibility
Key inclusion criteria
1. Australian resident
2. Aged between 18 and 25 years
3. Same-sex attracted
4. Access to the internet
5. Symptoms of anxiety and/or depression
The program being tested in this study is designed for people who have some symptoms of mental health difficulties but not diagnosed mental health disorders. People whose symptoms suggest an extremely severe level of mental health disorder will be advised to see face-to-face treatment but not excluded from taking part.
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Minimum age
18
Years
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Maximum age
25
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Not an Australian resident
2. Aged under 18 or over 25 years
3. Not same-sex attracted
4. No access to the internet
5. No symptoms of anxiety or depression
The program being tested in this study is designed for people who have some symptoms of mental health difficulties but not diagnosed mental health disorders. People whose symptoms suggest an extremely severe level of mental health disorder will be advised to see face-to-face treatment but not excluded from taking part.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Potential participants will go to www.anxietyonline.org.au in response to advertising. They will first read an information statement and if they wish to take part they provide online consent. They will then be taken through a set of pre-program questionnaires. At this stage, participants who have reached the cut-off score of at least one symptom of anxiety or depression will move on to the random allocation stage. Randomisation will be computer generated and then allocation to one of the two groups occurs. Participants will be advised on their computer screen of which group they have been allocated to.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
An automated computerised randomisation system will be built to generate the random sequences of group allocation. This will be based on a permuted blocked randomisation method to allow for stratification of gender, ensuring that equal gender numbers are allocated to each of the two conditions.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
Participants in the intervention group receive the intervention after completing the pre-program assessment, which they can do at any time while the trial is open for recruitment. Participants in the intervention group receive the intervention group 20-weeks after completing the pre-program assessment. Therefore, participants will complete the program at different times over the course of the study depending on when they register.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/02/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
267367
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Charities/Societies/Foundations
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Name [1]
267367
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beyondblue Victorian Centre of Excellence in Depression, Anxiety and Related Disorders
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Address [1]
267367
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PO Box 6100
Hawthorn West, VIC, 3122
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Country [1]
267367
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Australia
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Funding source category [2]
267368
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University
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Name [2]
267368
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National eTherapy Centre, Swinburne University
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Address [2]
267368
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H29, PO BOX 218
Hawthorn, VIC, 3122
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Country [2]
267368
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Australia
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Primary sponsor type
University
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Name
National eTherapy Centre and BPsyC eTherapy Unit
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Address
Mail H29, PO Box 218, Hawthorn, VIC, 3122
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Country
Australia
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Secondary sponsor category [1]
266438
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None
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Name [1]
266438
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Address [1]
266438
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Country [1]
266438
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Other collaborator category [1]
252088
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University
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Name [1]
252088
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University of Ballarat
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Address [1]
252088
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School of Behavioural and Social Sciences and Humanities
PO Box 663
Ballarat VIC 3353
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Country [1]
252088
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Australia
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Other collaborator category [2]
252089
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Charities/Societies/Foundations
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Name [2]
252089
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ALSO Foundation
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Address [2]
252089
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City Village, Level 8
225 Bourke St
Melbourne VIC 3000
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Country [2]
252089
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
269352
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Swinburne University Human Research Ethics Committee
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Ethics committee address [1]
269352
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Swinburne Research Swinburne University Mail H68, PO Box 218 Hawthorn, VIC, 3122
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Ethics committee country [1]
269352
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Australia
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Date submitted for ethics approval [1]
269352
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Approval date [1]
269352
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20/06/2011
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Ethics approval number [1]
269352
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2011/109
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Summary
Brief summary
This study aims to develop and evaluate an online mental health and wellbeing program for same-sex attracted youth (SSAY) aged between 18-25 years. The program will deliver symptom-relevant material across multiple mental health symptom categories, where relevant, so as to present individual users with an integrated mental health and wellbeing program that respects their individuality, and acknowledges the reality and frequency of co-occurring mental health problems. The mental health symptoms covered will include depressive symptoms, generalised anxiety, panic, obsessions, compulsions, post traumatic stress, specific phobia and social anxiety. In addition, participants will receive access to a module that provides psycho-educational information about suicide. By using the results of an automated online screening questionnaire, the program will tailor content based on participants' current symptom presentation and their gender. We will evaluate the outcomes and user acceptability and satisfaction of the mental health and wellbeing program with approximately 76 SSAY (recruiting about 200 initially to allow for attrition). A randomised controlled trial will be conducted, with assessments at pre-program, post-program and 3 month follow-up. Participants will be randomly allocated to receive the mental health and wellbeing program with treatment as usual or a 20 week delayed access control with treatment as usual.
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Trial website
www.anxietyonline.org.au
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
32825
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Address
32825
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Country
32825
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Phone
32825
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Fax
32825
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Email
32825
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Contact person for public queries
Name
16072
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A/Prof Britt Klein
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Address
16072
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BPsyC eTherapy Research Unit and National eTherapy Centre
Faculty of Life and Social Sciences
Swinburne University of Technology
Mail H29, PO Box 218
Hawthorn, VIC, 3122
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Country
16072
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Australia
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Phone
16072
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+61 3 9214 8851
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Fax
16072
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Email
16072
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[email protected]
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Contact person for scientific queries
Name
7000
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A/Prof Britt Klein
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Address
7000
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BPsyC eTherapy Research Unit and National eTherapy Centre
Faculty of Life and Social Sciences
Swinburne University of Technology
Mail H29, PO Box 218
Hawthorn, VIC, 3122
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Country
7000
0
Australia
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Phone
7000
0
+61 3 9214 8851
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Fax
7000
0
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Email
7000
0
[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Out & Online effectiveness of a tailored online multi-symptom mental health and wellbeing program for same-sex attracted young adults: Study protocol for a randomised controlled trial.
2014
https://dx.doi.org/10.1186/1745-6215-15-504
N.B. These documents automatically identified may not have been verified by the study sponsor.
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