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Trial registered on ANZCTR
Registration number
ACTRN12617001171303
Ethics application status
Approved
Date submitted
19/07/2017
Date registered
10/08/2017
Date last updated
31/01/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Impact on distress and self-compassion among women with cancer related lymphoedema following a writing exercise.
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Scientific title
Does a writing intervention designed to enhance self-compassion and body image acceptance reduce psychological distress among women with cancer-related lymphoedema?
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Secondary ID [1]
292440
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none
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Universal Trial Number (UTN)
N/A
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Trial acronym
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Linked study record
N/A
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Health condition
Health condition(s) or problem(s) studied:
Cancer related lymphoedema
304052
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Condition category
Condition code
Cancer
303375
303375
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0
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Any cancer
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The “My Changed Body” (MCB) intervention entails a writing exercise designed to enhance self-compassion. It assists an individual to develop self-warmth through personal and self-supportive disclosure.
PROCEDURE: To achieve this, the expressive writing exercise is structured in a way to mitigate the self-criticism associated with poor body image and this is achieved by the provision of 6 structured prompts that encourage the writer to be kind; to consider how they would support a friend in the same circumstances; and to look at their feelings from a broader perspective. The writing exercise will be provided online after the participant completed the questionnaire and read the general lymphoedema information (standard care). The writing exercise would take approximately 30 minutes and is only presented at baseline,
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Intervention code [1]
298620
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Behaviour
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Intervention code [2]
298657
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Treatment: Other
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Comparator / control treatment
Control group will read general lymphoedema information as part of usual care. This information contains: general information about prevalence of lymphoedema, treatment options of lymphoedema, what you can do to minimise your risk of lymphoedema progression (e.g maintained weight, skin care), how to do deep breathing exercise and self-massage.
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Control group
Active
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Outcomes
Primary outcome [1]
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Primary outcome (1): Self-compassion, assessed using the Self Compassion Scale (SCS)
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Assessment method [1]
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Timepoint [1]
302763
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Timepoint (1) : 1 week post randomisation, 3 months post randomisation and 6months post randomisation.
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Primary outcome [2]
303033
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Primary outcome (2). Body image, assessed using Body Image Scale (BIS)
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Assessment method [2]
303033
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Timepoint [2]
303033
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Timepoint (2): 1 week post randomisation, 3 months post randomisation and 6 months post randomisation
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Primary outcome [3]
303034
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Primary outcome (3) Body image appreciation or body appreciation will be measured with the Body Image Appreciation Scale (BIAS).
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Assessment method [3]
303034
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Timepoint [3]
303034
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Timepoint (3) : 1 week post randomisation, 3 months post randomisation and 6 months post randomisation
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Secondary outcome [1]
336933
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Secondary outcome (1): Female sexual functioning as measured with the short Female Sexual Functioning Index
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Assessment method [1]
336933
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Timepoint [1]
336933
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Timepoint secondary outcome (1): 6 months post randomisation
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Secondary outcome [2]
337725
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Primary outcome (4). To measure the negative emotional states of depression, anxiety and stress the Depression, Anxiety and Stress Scale will be used (DASS-21)
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Assessment method [2]
337725
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Timepoint [2]
337725
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Timepoint (4): 1 week post randomisation, 3 months post randomisation and 6 months post randomisation.
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Secondary outcome [3]
337726
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Primary outcome (5): Positive and negative affects of the last 2 weeks will be assessed using the Positive and Negative Affect Scale (PANAS)
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Assessment method [3]
337726
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Timepoint [3]
337726
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Timepoint (5): 1 week post randomisation
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Eligibility
Key inclusion criteria
Females who have some concern (such as distress, body image disturbance, anxiety, depression) about their cancer related lymphoedema .
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
non-cancer related lymphoedema
under 18
no access to internet or email
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Study design
Purpose of the study
Educational / counselling / training
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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)
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 (i.e. computerised sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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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
Available recruitment through support groups, lymphoedema therapists and the lymphoedema research unit in South Australia. We aim to recruit 150 females (75 participants in each group).
We will be using univariate (e.g ANOVA, T-Test) repeated measures and multivariate (e.g logistic regression) as appropriate.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
17/07/2017
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Date of last participant enrolment
Anticipated
1/03/2018
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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
150
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Accrual to date
101
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA
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Funding & Sponsors
Funding source category [1]
297006
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University
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Name [1]
297006
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Flinders University. Faculty of Medicine, Nursing & Health Sciences - 2016 Competitive Research Grants
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Address [1]
297006
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Flinders University of South Australia,
PO Box 2100, Adelaide, SA 5001
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Country [1]
297006
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Australia
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Primary sponsor type
Individual
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Name
Professor Carlene Wilson
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Address
Chair, Cancer Prevention and Support (Behavioural Science),
Flinders Centre for Innovation in Cancer,
Flinders University of South Australia,
PO Box 2100, Adelaide, SA 5001
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Country
Australia
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Secondary sponsor category [1]
296045
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None
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Name [1]
296045
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Address [1]
296045
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Country [1]
296045
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298197
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Social and Behaviour Research Ethics Committee
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Ethics committee address [1]
298197
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Research Services Office, Union Building Basement Flinders University Sturt Road, Bedford Park, South Australia 5042
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Ethics committee country [1]
298197
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Australia
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Date submitted for ethics approval [1]
298197
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03/04/2017
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Approval date [1]
298197
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02/06/2017
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Ethics approval number [1]
298197
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7638
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Summary
Brief summary
The purpose of the proposed study is to evaluate whether a self-compassion-focused writing exercise, (“My Changed Body”), can decrease levels of distress among women with lymphoedema Who is it for? You may be eligible to join this study if you are a woman aged 18 years or over and have cancer related lymphoedema. Study details Study participants will be allocated by chance to one of the two groups. One group will receive general lymphoedema information as per usual care. This contains information about lymphoedema prevalence, reducing the risk, and self management strategies . The second group will receive a writing exercise. The writing exercise consists of 6 steps (total 30 minutes) with structured prompts that will encourage the writer to be kind; to consider how they would support a friend in the same circumstances; and to look at their feelings from a broader perspective Study questionnaires will be completed up to six months past intervention completion to assess self-compassion and sexual functioning. This is a significant project because lymphoedema is a prevalent side-effect of cancer treatment, is incurable and leads to concerning levels of psychological morbidity, which may be alleviated by a simple, low-cost writing exercise.
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Trial website
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Trial related presentations / publications
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Public notes
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Attachments [1]
1898
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/AnzctrAttachments/373310-participant information sheet.pdf
(Participant information/consent)
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Contacts
Principal investigator
Name
76298
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Prof Carlene Wilson
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Address
76298
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Chair, Cancer Prevention and Support (Behavioural Science), Flinders Centre for Innovation in Cancer, Flinders University of South Australia, PO Box 2100, Adelaide, SA 5001
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Country
76298
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Australia
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Phone
76298
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+61 3 9496 9967
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Fax
76298
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Email
76298
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[email protected]
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Contact person for public queries
Name
76299
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Malou van Zanten
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Address
76299
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Flinders Centre for Innovation in Cancer, Flinders University of South Australia, PO Box 2100, Adelaide, SA 5001
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Country
76299
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Australia
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Phone
76299
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+61 8 7421 9959
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Fax
76299
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Email
76299
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[email protected]
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Contact person for scientific queries
Name
76300
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Carlene Wilson
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Address
76300
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Chair, Cancer Prevention and Support (Behavioural Science), Flinders Centre for Innovation in Cancer, Flinders University of South Australia, PO Box 2100, Adelaide, SA 5001
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Country
76300
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Australia
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Phone
76300
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+61 3 9496 9967
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Fax
76300
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Email
76300
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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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