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Trial registered on ANZCTR
Registration number
ACTRN12614000324617
Ethics application status
Approved
Date submitted
28/02/2014
Date registered
26/03/2014
Date last updated
19/01/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
A randomised controlled trial for the effect of symptom feedback on help-seeking for mental health issues.
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Scientific title
A randomised controlled trial for the effect of symptom feedback on help-seeking for mental health issues in the general public.
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Secondary ID [1]
284090
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Nil
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Universal Trial Number (UTN)
U1111-1153-3028
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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:
Help-seeking
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Mental health issues
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Condition category
Condition code
Public Health
291496
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0
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Health promotion/education
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Mental Health
291802
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants from a larger validation study of mental health screening questionnaires will also be able to opt in to a low-intensity randomised controlled trial providing feedback about their symptoms. In the trial, participants will get feedback about their symptoms (intervention condition) or general feedback about symptoms in the population (control condition). This feedback will be for either depression symptoms, adult ADHD, or social phobia, depending on which screener is presented in the larger validation study. The feedback will be provided to the participants in the intervention online on a single screen. Prior to the feedback, participants will complete a brief set of questions on quality of life and service use. Following the feedback, participants will then complete another brief survey 3 months later. Respondents who choose to participate in the trial will only be identifiable through their provision of an email address.
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Intervention code [1]
288784
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Early detection / Screening
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Comparator / control treatment
Active control: participants in the control condition will receive general feedback about symptoms in the population.
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Control group
Active
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Outcomes
Primary outcome [1]
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Help-seeking behaviour (AHSQ: Actual Help-Seeking Questionnaire).
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Assessment method [1]
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Timepoint [1]
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3 months
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Secondary outcome [1]
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Help-seeking intentions (GHSQ: General Help-Seeking Questionnaire).
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Assessment method [1]
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Timepoint [1]
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3 months
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Eligibility
Key inclusion criteria
All participants who opt-in for participation by providing their email address. These participants will be from a larger national validation study of mental health screening questionnaires.
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Minimum age
18
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?
Yes
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Key exclusion criteria
No exclusion criteria
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Study design
Purpose of the study
Diagnosis
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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)
Participants will be able to opt-in for participation in the study after completing a large survey of mental health screening questionnaires. Allocation will be concealed by central randomisation by computer.
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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 (within limesurvey).
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
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
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
In the Australian general population 11.9% of people seek help for a mental disorder in a 12-month period. However, 20% meet criteria for a disorder and substantially more have mental health problems. The feedback intervention aims to reduce the service gap by 30%, i.e., increase overall helpseeking from 11.9% to 15.5%. To find such a difference with 85% power, we will require 3372 participants (1686 in each condition across the three disorders of interest). The study will also have 90% power to find small differences (d > 0.10) in help seeking intentions between intervention and control groups overall, and to find small differences (d > 0.17) between intervention and control groups within the three disorders of interest.
Binary mixed effects repeated measures models will be used to analyse the help seeking outcomes, following an intention to treat approach under the missing at random assumption.
Burgess, P. M., Pirkis, J. E., Slade, T. N., Johnston, A. K., Meadows, G. N., & Gunn, J. M. (2009). Service use for mental health problems: findings from the 2007 National Survey of Mental Health and Wellbeing. Australian and New Zealand Journal of Psychiatry, 43(7), 615-623.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
16/06/2014
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Actual
1/08/2014
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Date of last participant enrolment
Anticipated
24/04/2015
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Actual
19/12/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
3372
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Accrual to date
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Final
2773
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council
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Address [1]
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Level 1
16 Marcus Clarke Street
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
University
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Name
The Centre for Mental Health Research, The Australian National University
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Address
Building 63
Mills Road
Acton ACT 0200
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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National Drug and Alcohol Research Centre at the University of New South Wales
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Address [1]
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NDARC
University of New South Wales
Sydney NSW 2052, Australia
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Country [1]
287430
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294201
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ANU Science & Medical Delegated Ethics Review Committee
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Ethics committee address [1]
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The Australian National University Acton ACT 2601
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Ethics committee country [1]
294201
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Australia
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Date submitted for ethics approval [1]
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23/08/2013
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Approval date [1]
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27/09/2013
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Ethics approval number [1]
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2013/509
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Summary
Brief summary
This study aims to examine whether feedback regarding mental health symptoms encourages increased help-seeking or service use. The research group will be initially running a national survey of an estimated 105,000 people. The survey will contain screening questionnaires for common mental health issues. At the end of this survey, participants will be asked whether they would like to be included in a randomised controlled trial (RCT). If yes, participants will be asked to provide their email addresses only. The national survey (already completed by participants) will serve as baseline data. They will then be randomised into one of two conditions: 'Feedback' or 'No Feedback' (control condition). Those who are randomised into the 'Feedback' condition will immediately be provided with feedback regarding their mental health symptomology, based on screening results . All RCT participants will then be assessed in a post-intervention survey, 3 months after the initial survey regarding their help-seeking or service use for mental health problems, quality of life, disability (days out of role) and mental health symptoms.
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Trial website
http://cmhr.anu.edu.au/research/projects
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Trial related presentations / publications
Batterham PJ, Calear AL, Sunderland M, Carragher N, Brewer J. (In press). Online screening and feedback to increase help seeking for mental health problems: Population-based randomised controlled trial. British Journal of Psychiatry Open. Accepted 15/12/2015.
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Public notes
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Contacts
Principal investigator
Name
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Dr Philip Batterham
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Address
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The Centre for Mental Health Research
The Australian National University
Building 63
Mills Road
ACTON ACT 0200
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Country
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Australia
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Phone
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+61 2 6125 1031
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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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Jacqueline Brewer
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Address
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The Centre for Mental Health Research
The Australian National University
Building 63
Mills Road
ACTON ACT 0200
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Country
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Australia
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Phone
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+61 2 6125 7122
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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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Philip Batterham
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Address
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The Centre for Mental Health Research
The Australian National University
Building 63
Mills Road
ACTON ACT 0200
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Country
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Australia
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Phone
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+61 2 6125 1031
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Fax
46244
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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.
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