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Trial registered on ANZCTR
Registration number
ACTRN12619000147189
Ethics application status
Approved
Date submitted
25/01/2019
Date registered
31/01/2019
Date last updated
31/01/2019
Date data sharing statement initially provided
31/01/2019
Date results provided
31/01/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Internet-based cognitive behaviour therapy for perfectionism
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Scientific title
Internet-based cognitive behaviour therapy for perfectionism: secondary impacts and modes of delivery
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Secondary ID [1]
297216
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Nil known
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Universal Trial Number (UTN)
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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:
Perfectionism
311261
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depression
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anxiety
311263
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body image
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Condition category
Condition code
Mental Health
309886
309886
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0
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Depression
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Mental Health
309887
309887
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0
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Eating disorders
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Mental Health
309907
309907
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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
Internet cognitive behaviour therapy for perfectionism (ICBT-P) comprises eight online modules for the treatment of clinical perfectionism delivered via a secure online platform wherever the participant had access to a computer. The modules are available for use in research, and each take about 30 minutes to complete. The intervention was unguided with just reminder emails sent by a university research student once a week. The modules involve reading and answering questions and trying out new ideas in practice in their own lives. In study 1 modules were completed once a week for 3 weeks, in Study 2 modules were completed around twice a week for 4 weeks. Adherence was assessed by accessing website analytics.
Module 1 (defining perfectionism) defines ‘unhelpful perfectionism’ and examines the impact it can have on your life. Module 2 (Your Perfectionism Cycle) identifies persistent perfectionistic behaviours and starts to combat them. Module 3 (Surveys and Experiments) ‘Reality check’: adjusts standards and re-examines beliefs according to others’ experiences with behaviours linked to your perfectionism. Module 4 (New Ways of Thinking) challenges and changes perfectionism related cognitions and moves towards a flexible thinking style. Module 5 (Using Skills for Managing Unhelpful Perfectionism) seeks to overcome procrastination and improve problem solving skills, learning to engage without feeling guilty over ‘wasted time’. Module 6 (Self-criticism or Self-compassion) teaches how to deal with ‘failure’; decreasing self-criticism and increasing self-compassion. Module 7 (Re-examining the way we define our self-worth) examines how you define your self-worth; self-worth is not defined by achievement. Module 8 (Staying Well) involves a brief review, and planning for the future –aspirations and preparing for possible setbacks.
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Intervention code [1]
313464
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Treatment: Other
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Comparator / control treatment
Wait list control - in Study 1 participants were offered a self-help book at the end of the 3-week intervention period; in Study 2 participants were offered a self-help book at the end of the 4-week intervention period.
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Control group
Active
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Outcomes
Primary outcome [1]
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Perfectionistic Concerns using the Concern over Mistakes subscale of the Frost Multidimensional Perfectionism Scale
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Assessment method [1]
318828
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Timepoint [1]
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Baseline and end of treatment
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Primary outcome [2]
318829
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Perfectionistic strivings using the Personal Standards subscales of the Frost Multidimensional Perfectionism Scale
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Assessment method [2]
318829
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Timepoint [2]
318829
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Baseline and end of treatment
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Secondary outcome [1]
366176
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Negative affect (composite depression and anxiety) measured in Study 1 using 9-item Depression module of the Patient Health Questionnaire and the Generalized Anxiety Disorder Assessment (GAD-7). In Study 2 14 items from the 21-item Depression Anxiety and Stress Scale were used.
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Assessment method [1]
366176
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Timepoint [1]
366176
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Baseline and end of treatment
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Secondary outcome [2]
366177
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Body Image-Acceptance and Action Questionnaire
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Assessment method [2]
366177
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Timepoint [2]
366177
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Baseline and end of treatment
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Eligibility
Key inclusion criteria
Anyone identifying as having problems with perfectionism
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Minimum age
17
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
Not concurrently receiving treatment for perfectionism
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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)
Central randomisation
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Yes - function provided by Qualtrics
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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
Linear Mixed Models - Intent to treat
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
28/04/2017
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Date of last participant enrolment
Anticipated
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Actual
26/10/2018
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Date of last data collection
Anticipated
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Actual
20/12/2018
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Sample size
Target
100
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Accrual to date
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Final
106
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
301765
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University
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Name [1]
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Flinders University
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Address [1]
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GPO Box 2100, Adelaide, South Australia, 5001
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Flinders University
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Address
GPO Box 2100, Adelaide, South Australia, 5001
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Country
Australia
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Secondary sponsor category [1]
301509
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None
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Name [1]
301509
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Address [1]
301509
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Country [1]
301509
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
302484
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Flinders University Social and Behavioural Research Ethics Committee
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Ethics committee address [1]
302484
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Flinders University, GPO Box 2100, Adelaide, 5001, South Australia, Australia
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Ethics committee country [1]
302484
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Australia
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Date submitted for ethics approval [1]
302484
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01/03/2017
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Approval date [1]
302484
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28/04/2017
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Ethics approval number [1]
302484
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7630
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Summary
Brief summary
It has been suggested that guided ICBT-P can substantially decrease perfectionism in low doses (3 or less modules) but appears to only impact secondary outcomes with higher doses of treatment. The current study addressed this question, as well as the best method to promote higher dosage use.
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Trial website
NA
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Trial related presentations / publications
NA
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Public notes
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Contacts
Principal investigator
Name
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Prof Tracey Wade
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Address
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School of Psychology, Flinders University, GPO Box 2100, Adelaide, South Australia, 5001
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Country
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Australia
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Phone
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+61-8-82013736
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Fax
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+61-8-8201 3877
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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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Tracey Wade
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Address
90379
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School of Psychology, Flinders University, GPO Box 2100, Adelaide, South Australia, 5001
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Country
90379
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Australia
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Phone
90379
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+61-8-82013736
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Fax
90379
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+61-8-8201 3877
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Email
90379
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[email protected]
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Contact person for scientific queries
Name
90380
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Tracey Wade
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Address
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School of Psychology, Flinders University, GPO Box 2100, Adelaide, South Australia, 5001
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Country
90380
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Australia
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Phone
90380
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+61-8-82013736
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Fax
90380
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+61-8-8201 3877
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Email
90380
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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)?
Yes
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What data in particular will be shared?
Anonymised data for the 5 main outcome variables
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When will data be available (start and end dates)?
July 2019 to July 2029
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Available to whom?
Any researcher who requests it
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Available for what types of analyses?
Meta-analyses, re-analysis
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How or where can data be obtained?
Open Science Framework
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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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