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Trial registered on ANZCTR
Registration number
ACTRN12612000922875
Ethics application status
Approved
Date submitted
29/08/2012
Date registered
29/08/2012
Date last updated
17/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Computerised psychoeductional intervention for inflammatory bowel disease
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Scientific title
Effect of a computerised psychoeducational intervention on quality of life in people with inflammatory bowel disease.
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Secondary ID [1]
281117
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Nil known
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Universal Trial Number (UTN)
U1111-1133-9642
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Trial acronym
CCBT4IBD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Inflammatory Bowel Disease
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Depression
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Anxiety
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Condition category
Condition code
Mental Health
287604
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0
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Depression
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Mental Health
287605
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0
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Anxiety
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Oral and Gastrointestinal
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0
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Inflammatory bowel disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The computerised psychoeducation will cover a number of topics: goal setting; thoughts feelings and behaviours; avoiding avoidance; coping styles; diet; effective communication; pain management; and relapse prevention. Patients will be given up to 12 weeks to complete the 8 one hour sessions; this is to allow for the effects of holidays, busy schedules, etc. to be nullified by people being given opportunities to “catch up”. Cognitive behavioural therapy techniques are used as part of the intervention.
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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Behaviour
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Comparator / control treatment
Treatment as usual. Those allocated to the treatment as usual group will receive usual care (i.e. not have any treatment withheld aside from the computerised psychoeducation).
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Control group
Active
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Outcomes
Primary outcome [1]
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Inflammatory Bowel Disease Quality of Life will be measured using the Inflammatory Bowel Disease Questionnaire (IBDQ).
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Assessment method [1]
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Timepoint [1]
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Baseline, post intervention (12 weeks), 6 months post intervention, and 12 months post intervention.
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Secondary outcome [1]
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Anxiety will be measured using the Hospital Anxiety and Depression Scale (HADS) .
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Assessment method [1]
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Timepoint [1]
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Baseline, post intervention (12 weeks), 6 months post intervention, and 12 months post intervention.
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Secondary outcome [2]
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Depression will be measured using the Hospital Anxiety and Depression (HADS).
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Assessment method [2]
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Timepoint [2]
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Baseline, post intervention (12 weeks), 6 months post intervention, and 12 months post intervention.
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Secondary outcome [3]
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Medical Costs will be measured at 12 months by examining patient notes and allocating amounts to outpatient clinic visits, hospital stays, number of procedures, medication use, and so forth.
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Assessment method [3]
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Timepoint [3]
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12 months
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Secondary outcome [4]
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Coping will be measured using the Brief COPE and the IBD Cope.
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Assessment method [4]
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Timepoint [4]
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Baseline, post intervention (12 weeks), 6 months post intervention, and 12 months post intervention.
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Secondary outcome [5]
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Generic quality of life will be measured using the SF-12.
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Assessment method [5]
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Timepoint [5]
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Baseline, post intervention (12 weeks), 6 months post intervention, and 12 months post intervention.
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Eligibility
Key inclusion criteria
Patients will be prescreened to see whether they meet the inclusion criteria of the study, which includes age 18-65, IBD diagnosis, willingness to participate, adequate computer literacy.
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Severe disease, significant cognitive deficit, previous exposure to Cognitive Behavioural Therapy, and severe physical or psychiatric comorbidity.
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Study design
Purpose of the study
Treatment
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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)
Patients will be approached in person and asked whether they are interested in participating in the study. They will also be screened to ensure they meet inclusion/exclusion criteria. If they show interest and meet the criteria, then they will be presented with an information sheet and consent form and have the study explained to them in lay terms. The consent form will give them an option to either opt in or opt out of the study. They will have the option of consenting at that time or deciding later.
Patients will be screened before they are randomized which means that when the decision is made regarding their inclusion/exclusion, the person making this decision will be unaware of which group the subject will be allocated to.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computer program provided by John Pearson (biostatistian) will be used to randomise the subjects
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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
Parallel
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Other design features
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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
Stopped early
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Data analysis
Data analysis is complete
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Reason for early stopping/withdrawal
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
1/11/2012
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Actual
29/10/2012
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Date of last participant enrolment
Anticipated
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Actual
2/10/2013
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Date of last data collection
Anticipated
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Actual
2/10/2014
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Sample size
Target
240
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Accrual to date
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Final
199
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Canterbury
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Otago, Christchurch
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Address [1]
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PO Box 4345
Christchurch 8140
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
University of Otago, Christchurch
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Address
PO Box 4345
Christchurch 8140
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Country
New Zealand
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Secondary sponsor category [1]
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Charities/Societies/Foundations
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Name [1]
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Todd Foundation
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Address [1]
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Postal Address: PO Box 3142
Street Address: L14, Todd Building, 95 Customhouse Quay
Wellington 6011
New Zealand
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Country [1]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Health and Disability Ethics Committee (HDEC)
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Ethics committee address [1]
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Ministry of Health No 1 The Terrace PO Box 5013 Wellington 6011
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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29/08/2012
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Approval date [1]
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19/10/2012
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Ethics approval number [1]
287926
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Summary
Brief summary
In this study, we will be randomizing 238 inflammatory bowel disease (IBD) patients to either an 8 session course of a computerised psychoeducational intervention or treatment as usual (TAU). The psychoeducation will cover a number of topics: goal setting; thoughts feelings and behaviours; avoiding avoidance; coping styles; diet; effective communication; pain management; and relapse prevention. Patients will be given up to 12 weeks to complete the 8 sessions; this is to allow for the effects of holidays, busy schedules, etc. to be nullified by people being given opportunities to “catch up”. We will be recruiting more patients into psychoeducation (n=126) than TAU (n=112) because we have been told by researchers who have done a similar study in Adelaide that we can expect more people to drop out of the computerised psychoeducation group. We will be measuring anxiety, depression, quality of life (QOL), coping styles, and IBD symptoms at baseline and obtaining demographic information (with patients’ consent) from the Concierto Patient Management System. We will also be measuring anxiety, depression, QOL, coping styles, and IBD symptoms post intervention in the psychoeducation group and at the 12-week equivalent in the TAU group. In addition, we will measure patient perceptions of the computerised psychoeducation program by asking such questions as whether they found the computerised psychoeducation relevant, valid, and effective. Perhaps our most important measure will come at 12 months post-intervention, when we will be asking patients about the abovementioned variables and also measuring whether direct medical costs have been reduced through less outpatient visits and hospitalizations in the psychoeducation group.
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Trial website
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Trial related presentations / publications
1. McCombie, Andrew, Gearry, Richard, Andrews, Jane et al. (2 more authors) (2016) Does Computerized Cognitive Behavioral Therapy Help People with Inflammatory Bowel Disease? : A Randomized Controlled Trial. Inflammatory bowel diseases. pp. 171-181. ISSN 1536-4844 2. McCombie A, Gearry R, Mulder R, Andrews J, and Mikocka-Walus A. Does computerised cognitive behavioural therapy help people with inflammatory bowel disease? A randomized controlled trial. The 10th Annual Conference of the European Crohn’s and Colitis Organisation, Barcelona, Spain, 18-21 February, 2015. 3. McCombie A, Gearry R, Mulder R, Andrews J, and Mikocka-Walus A. Does computerised cognitive behavioural therapy help people with inflammatory bowel disease? A randomized controlled trial. The New Zealand Society of Gastroenterology Annual Scientific Meeting 2014, Auckland, New Zealand, 27-29 November, 2014. (Winner of Best luminal poster/paper)
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Public notes
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Contacts
Principal investigator
Name
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Dr Dr Andrew McCombie
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Address
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University of Otago, Christchurch
PO Box 4345
Christchurch 8140
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Country
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New Zealand
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Phone
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+64272626111
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Andrew McCombie
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Address
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PO Box 4345
Department of Medicine
University of Otago
Christchurch 8140
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Country
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New Zealand
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Phone
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+64 3 3786305
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Andrew McCombie
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Address
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PO Box 4345
Department of Medicine
University of Otago
Christchurch 8140
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Country
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New Zealand
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Phone
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+64 3 3786305
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Fax
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Email
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[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
No additional documents have been identified.
Download to PDF