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Trial registered on ANZCTR
Registration number
ACTRN12617000187347
Ethics application status
Approved
Date submitted
30/01/2017
Date registered
3/02/2017
Date last updated
23/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Applying a mental health intervention to a physical health area: Is Dialectical Behaviour Therapy helpful for cancer patients
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Scientific title
Applying a mental health intervention to a physical health area: Is Dialectical Behaviour Therapy helpful for cancer patients
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Secondary ID [1]
290893
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Nil
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Universal Trial Number (UTN)
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Trial acronym
DBT for cancer
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
cancer
301606
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distress
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mental health
301837
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Condition category
Condition code
Cancer
301316
301316
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0
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Any cancer
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Mental Health
301516
301516
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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
Group psychological intervention consisting of 6 group sessions of 2 hours each delivered by a clinical Psychologist with 20 years + experience. The format of each session involves learning a skill, discussion of how to use it and practice of the skill. The skills include Distress Tolerance Skills such as distraction and self soothing and Emotional Regulation skills such as checking the facts for example taken from the skills training manual developed for Dialectical Behaviour Therapy skills training groups developed by Marsha Linehan (1993, 20013).. Sessions are face to face over a three week period twice weekly. There will be a register of sessions attended for each participant. Participants will be coached at the next session regarding any difficulties they encountered using the skills. The intervention will take place on the premises of Auckland District Health Board, Auckland New Zealand.The intervention is based on Dialectical Behaviour Therapy skills groups. Part of the research will involve using participant feedback to adapt the intervention for cancer patients.
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Intervention code [1]
296838
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Treatment: Other
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Comparator / control treatment
The waitlist control group will be administered the measures at the beginning of the trial and then again 3 weeks post baseline. Following completion of the group by the initial participants and feedback via a focus group as to modifications of the material for cancer patients, those in the control group will recieve the modified DBT intervention.
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in distress as measured by the Depression Anxiety Stress Scale (DASS-21)
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Assessment method [1]
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Timepoint [1]
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3 weeks post baseline
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Primary outcome [2]
300925
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Change in Quality of Life as measured by The European Organisation for Research and Treatment of Cancer Quality of Life C30 Questionnaire (EORTC-C30)
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Assessment method [2]
300925
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Timepoint [2]
300925
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3 weeks post baseline
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Primary outcome [3]
300926
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Change in resilience as measured by the Connor -Davidson Resilience Scale (CD-RISC)
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Assessment method [3]
300926
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Timepoint [3]
300926
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3 weeks post baseline
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Secondary outcome [1]
331221
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Change in distress as measured by the Depression Anxiety Stress Scale (DASS-21)
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Assessment method [1]
331221
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Timepoint [1]
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6 weeks post baseline for control group
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Secondary outcome [2]
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Change in Quality of Life as measured by The European Organisation for Research and Treatment of Cancer Quality of Life C30 Questionnaire (EORTC-C30)
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Assessment method [2]
331222
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Timepoint [2]
331222
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6 weeks post baseline for control group
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Secondary outcome [3]
331223
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Change in resilience as measured by the Connor -Davidson Resilience Scale (CD-RISC)
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Assessment method [3]
331223
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Timepoint [3]
331223
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6 weeks post baseline for control group
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Eligibility
Key inclusion criteria
Inclusion criteria for participation will be 18-65 year old adults with a diagnosis of cancer who score 4 or above on the Distress Thermometer (Ransom et al., 2006), who are able to read, write and understand English and have no diagnosed psychiatric illness within the last year.
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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
Patients who have a diagnosis of cancer and who are in current psychological treatment or counselling will be excluded from this study.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
allocation not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
Two way analysis of variance (ANOVA)
One way analysis of variance (ANOVA)
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
3/04/2017
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Actual
10/04/2018
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Date of last participant enrolment
Anticipated
1/09/2018
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Actual
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Date of last data collection
Anticipated
1/09/2018
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Actual
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Sample size
Target
60
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Accrual to date
6
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Final
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Recruitment outside Australia
Country [1]
8599
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New Zealand
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State/province [1]
8599
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Auckland
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Funding & Sponsors
Funding source category [1]
295400
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University
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Name [1]
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Auckland University of Technology
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Address [1]
295400
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Private Bag 92006
Auckland 1142
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Country [1]
295400
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New Zealand
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Primary sponsor type
University
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Name
Auckland University of Technology
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Address
Faculty of Health and Environmental Science
Private Bag 92006
Auckland 1142
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Country
New Zealand
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Secondary sponsor category [1]
294222
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None
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Name [1]
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None
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Address [1]
294222
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None
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Country [1]
294222
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296733
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Central Committee
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Ethics committee address [1]
296733
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Novotel Ellerslie 72-112 Greenlane Rd East Ellerslie Auckland 1051
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Ethics committee country [1]
296733
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New Zealand
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Date submitted for ethics approval [1]
296733
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09/02/2017
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Approval date [1]
296733
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05/05/2017
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Ethics approval number [1]
296733
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Summary
Brief summary
Research has shown that about one third of cancer patients experience significant emotional distress . Consequently the New Zealand Ministry of Health is currently focussing on psychological care for cancer patients. An intervention that may be useful in reducing distress for cancer patients is Dialectical Behaviour Therapy (DBT). DBT is a group therapy that teaches strategies to regulate feelings. The research question is : How can brief Dialectical Behaviour Therapy (DBT) groups be tailored to reduce distress, increase quality of life and increase resilience for cancer patients? This research will use a mixed methods design to conduct a pilot study. Two conditions consisting of 30 participants each will be recruited through the Auckland District Health Board Oncology Department. In the first condition participants will attend unmodified brief DBT groups and then be invited to be part of a focus group whose feedback will be used to tailor the group content to include material relevant to cancer patients. In the second condition participants will act as a control group and will then receive the tailored DBT to see if the altered, tailored content achieves better results. Distress, quality of life and resilience will be measured before and after group attendance in both conditions using the Depression Anxiety Stress Scale, the European Organisation for Research and Treatment of Cancer Quality of Life C 30 Questionnaire and the Connor- Davidson Resilience Scale. The proposed pilot study may evidence a group psychological intervention for cancer patients.
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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 Kirk D. Reed
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Address
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Auckland University of Technology
Mail Code A11
Private Bag 92006
Auckland
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Country
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New Zealand
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Phone
71646
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+6499219136
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Fax
71646
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Email
71646
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[email protected]
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Contact person for public queries
Name
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Patricia (Trish) Du Villier
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Address
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Auckland District Health Board
Taylor Centre
308 Ponsonby Road, Auckland 1011
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Country
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New Zealand
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Phone
71647
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+6421620044
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Fax
71647
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Email
71647
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[email protected]
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Contact person for scientific queries
Name
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Patricia (Trish) Du Villier
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Address
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Auckland District Health Board
Taylor Centre
308 Ponsonby Road, Auckland 1011
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Country
71648
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New Zealand
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Phone
71648
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+6421620044
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Fax
71648
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Email
71648
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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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