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Trial registered on ANZCTR
Registration number
ACTRN12613000486729
Ethics application status
Approved
Date submitted
11/04/2013
Date registered
1/05/2013
Date last updated
22/04/2020
Date data sharing statement initially provided
22/04/2020
Date results provided
22/04/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
Acceptance and commitment therapy: Evaluation of a novel approach to enhance the quality of life of aged care residents
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Scientific title
Acceptance and commitment therapy: Evaluation of a novel approach to enhance the quality of life of aged care residents
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Secondary ID [1]
282289
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Nil known
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Universal Trial Number (UTN)
U1111-1141-7451
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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:
Poor quality of life
288824
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Depression
288825
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Anxiety
288826
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Condition category
Condition code
Mental Health
289181
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0
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Depression
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Mental Health
289368
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0
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Anxiety
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
12 sessions of Acceptance and Commitment Therapy (ACT). The aim of ACT is to maximise a person’s potential for a rich, full and meaningful life. ACT does this by: a) teaching mindfulness skills, b) helping the client to clarify their values - then using that knowledge to guide, inspire and motivate the client to change their life for the better.
ACT will be administered in individual sessions (2 x 60 minute sessions per week for 6 weeks) by Doctor of Psychology (Clinical) candidates, under supervision from the research team. Attendence record will be kept and treatment adherence will be monitored in weekly supervision sessions.
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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
No treatment (wait list control). This group will be offered the intervention after 2 months.
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Control group
Active
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Outcomes
Primary outcome [1]
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Increase in Lancaster Quality of Life Profile-Residential
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Assessment method [1]
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Timepoint [1]
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Baseline, 7 weeks and 3 months after intervention commencement
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Secondary outcome [1]
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Decrease in Geriatric Depression Scale-15 score
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Assessment method [1]
302195
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Timepoint [1]
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Baseline, and 7 weeks and 3 months after intervention commencement
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Secondary outcome [2]
302196
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Decrease in total score on Geriatric Anxiety Inventory
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Assessment method [2]
302196
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Timepoint [2]
302196
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Baseline, and 7 weeks and 3 months after intervention commencement
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Eligibility
Key inclusion criteria
Permanent resident in aged care facility.
Facility staff reports of mental health concern or adjustment difficulty or poor quality of life.
Fluency in English.
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Minimum age
60
Years
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Maximum age
No limit
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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
Substantial cognitive impairment (MMSE < 19).
Severe medical illness that would compromise participation in psychtherapy.
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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)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
Wait list control
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
A Multiple Analysis of Covariance (MANCOVA) will be used to compare outcome measures at baseline and post-intervention. This method allows for comparison of multiple outcomes simultaneously, and also controls for any differences between groups in baseline scores.
Changes in outcome measures from post-intervention (i.e., follow-up data) will be recorded for the intervention group only (due to the difficulty of following two waves for 5 months within a 12 month study period). Repeated-measures t-tests will be employed.
A power analysis was performed using G*Power (version 3.1.4; Faul et al., 2007). For the scales chosen, a sample size of 26 can detect pre-post differences of an effect size of 0.5, with power exceeding 0.8, at alpha = 0.05 (two-sided). Our previous systematic review of psychotherapy in aged care settings reported a mean attrition rate of 19% (Davison et al., 2012). We will recruit 36 participants, to allow for a conservative estimate of 28% attrition.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
10/04/2013
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Actual
10/04/2013
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Date of last participant enrolment
Anticipated
19/07/2013
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Actual
10/12/2013
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Date of last data collection
Anticipated
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Actual
10/04/2014
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Sample size
Target
36
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Accrual to date
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Final
41
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
287073
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Charities/Societies/Foundations
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Name [1]
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Lions John Cockayne Memorial Grant Trust Fund
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Address [1]
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Professor Barbara Workman
Chair, Lions John Cockayne Memorial Fellowship Trust Fund Committee
Monash Ageing Research Centre
c/o Medical Administration
Kingston Centre
Warrigal Road
Cheltenham VIC 3192 AUSTRALIA
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Country [1]
287073
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Australia
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Primary sponsor type
Individual
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Name
Dr Tanya Davison
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Address
Aged Mental Health Research Unit, Monash University
Kingston Centre, Warrigal Road, Cheltenham, VIC 3192.
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Prof Daniel O'Connor
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Address [1]
285848
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Aged Mental Health Research Unit, Monash University
Kingston Centre, Warrigal Road, Cheltenham, VIC 3192.
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Country [1]
285848
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Southern Health HREC
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Ethics committee address [1]
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Monash Medical Centre Clayton Road Clayton VIC 3168
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
289088
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Approval date [1]
289088
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09/04/2013
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Ethics approval number [1]
289088
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Summary
Brief summary
This project aims to evaluate the effectiveness of acceptance and commitment therapy (ACT) in improving the quality of life and mental health of older adults living in aged care facilities. We also aim to determine the feasibility of this approach when implemented as part of a psychology student placement program and its acceptance to older adults and their professional carers. Older adults living in residential care facilities often report poor quality of life and are at a high risk depression and anxiety. Despite this, this population has very limited access to nonpharmacological interventions and support. Our team is currently establishing a placement program for Doctor of Psychology (Clinical) candidates, who will deliver a structured program of ACT to residents across three aged care facilities, under supervision, in 2013. This therapy has proven effective and popular for use with younger adults, but has not yet been evaluated in aged care settings. The placement program offers an opportunity for future clinical psychologists to gain experience in working with older adults, and helps address the shortage of trained mental health clinicians in aged care settings. This study will use a randomized controlled design to evaluate the effectiveness of this student-led intervention in improving quality of life, as well as reducing symptoms of depression and anxiety, compared to a control group. The results of this study will be used to inform our future training program, as well as contribute to the literature on the effectiveness of psychological interventions with older adults residing in residential care settings. Participants will include 36 aged care residents who will be randomly allocated to the intervention or control group, with control participants offered the intervention at the end of the study. The intervention consists of 12 individual 60minute sessions delivered by a student psychologist twice weekly. The intervention will be evaluated using measures related to quality of life, symptoms of depression and anxiety, with satisfaction and feasibility determined in postintervention interviews with the participants and facility staff.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Tanya Davison
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Address
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Aged Mental Health Research Unit
Monash University
Kingston Centre
Warrigal Road
Cheltenham
VIC 3192
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Country
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Australia
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Phone
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+61 3 9265 1700
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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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Tanya Davison
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Address
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Aged Mental Health Research Unit
Monash University
Kingston Centre
Warrigal Road
Cheltenham
VIC 3192
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Country
39151
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Australia
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Phone
39151
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+61 3 9265 1700
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Fax
39151
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Email
39151
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[email protected]
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Contact person for scientific queries
Name
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Tanya Davison
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Address
39152
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Aged Mental Health Research Unit
Monash University
Kingston Centre
Warrigal Road
Cheltenham
VIC 3192
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Country
39152
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Australia
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Phone
39152
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+61 3 9265 1700
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Fax
39152
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Email
39152
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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No/undecided IPD sharing reason/comment
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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.
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