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Trial registered on ANZCTR
Registration number
ACTRN12621000735853
Ethics application status
Approved
Date submitted
18/04/2021
Date registered
11/06/2021
Date last updated
11/06/2021
Date data sharing statement initially provided
11/06/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
How does balneotherapy impact sleep and mood?
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Scientific title
A randomised controlled trial to investigate sleep, mood state and cardiovascular effects of four spa behaviours in healthy participants aged 18 to 45 years
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Secondary ID [1]
300790
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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:
Mental health
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Sleep quality
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Condition category
Condition code
Alternative and Complementary Medicine
314902
314902
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0
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Other alternative and complementary medicine
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Mental Health
319670
319670
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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
Each participant will be randomised to weekly placements over 4 weeks in the following interventions which deliver an assortment of manipulated independent variables:
- Thermoneutral bathing (37 degrees C) for 20 minutes, seated position, neck high.
- Warm water bathing (39 degrees C) for 20 minutes, seated position, neck high.
- Hot water bathing (42 degrees C) 2X10 minutes sessions, seated position, neck high, with X2 cold plunges.
- Quiet time X20 minutes in semi-darkened dome lounges within Peninsula Hot Springs (PHS) surrounds, no bathing.
All interventions take place within Peninsula Hot Springs, Victoria, Australia. Each intervention takes place at 7.30pm. Bathing interventions are in outdoor geothermal mineral pools. Research assistants onsite control for adherence to the intervention protocols, including session timing, water temperatures and distribution/collection of self-reported questionnaires.
Washout between treatments is 7 days.
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Intervention code [1]
317114
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Treatment: Other
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Comparator / control treatment
This is the fourth intervention group described above: Quiet time X20 minutes in semi-darkened dome lounges within PHS surrounds, no bathing.
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Control group
Active
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Outcomes
Primary outcome [1]
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Polysomnograph data
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Assessment method [1]
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Timepoint [1]
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Sleep data uploaded morning after each intervention
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Primary outcome [2]
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Actigraph wrist watch
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Assessment method [2]
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Timepoint [2]
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Sleep data uploaded morning after each intervention
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Primary outcome [3]
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Subjective mood reports: Profile of Mood State (PoMS) 2SF
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Assessment method [3]
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Timepoint [3]
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Pre and post 4 week program.
Pre and post each intervention.
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Secondary outcome [1]
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Karolinsky Sleep Scale (KSS) reporting
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Assessment method [1]
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Timepoint [1]
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Pre and post each intervention.
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Secondary outcome [2]
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Blood pressure and heart rate measured as composite outcomes by oscillometric automatic blood pressure monitors.
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Assessment method [2]
381212
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Timepoint [2]
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Pre and post each intervention
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Secondary outcome [3]
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Short Form 8 Quality of Life index
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Assessment method [3]
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Timepoint [3]
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Pre and post 4 week program
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Eligibility
Key inclusion criteria
Healthy volunteers aged 18-45, local to the testing site (living within 20 minutes drive).
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Minimum age
18
Years
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Maximum age
45
Years
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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
• Unable to give informed consent
• A known mood state disorder (eg. anxiety/depression) and/or psychopharmacological medication, hypertensive medication within 4 weeks of recruitment.
• Sleeping problems/taking any sleep medications or supplements that may interfere with sleep.
• Caffeine or other addictions.
• Serious illness including: Rheumatic disease, cardiovascular disease, diabetes mellitus.
• Abnormal blood pressure.
• Have undergone cancer treatment within 4 weeks of recruitment.
• Bathing within 2 weeks prior to the study.
• Shift workers: defined as those who work outside of generally perceived normal working hours.
• Holiday makers will be excluded for the likelihood their escape/getaway motivation skews sleep/relaxation/QoL data and they are considered more likely to drop-out.
• Allergic reaction to the PHS water.
• Claustrophobia.
• Pregnant or within lactation period.
• Epilepsy.
• Recent hospitalisation, surgery or antibiotic therapy.
• Need to travel across time zones two weeks before or during the study period.
• No evening baths at home post-intervention.
• Rheumatic diseases including arthritis, causing pain at night.
• Cortisone intake within 4 weeks prior to the study.
• Changes in dose rates of other medications up to 1 week before study entry.
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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 receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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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
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
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Actual
28/04/2021
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Date of last participant enrolment
Anticipated
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Actual
30/04/2021
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Date of last data collection
Anticipated
28/05/2021
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Actual
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Sample size
Target
24
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Accrual to date
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Final
24
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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RMIT University
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Address [1]
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Plenty Road, Bundoora, VIC 3083
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Country [1]
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Australia
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Primary sponsor type
University
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Name
RMIT University
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Address
Plenty Road, Bundoora, VIC 3083
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
305605
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Country [1]
305605
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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RMIT Human Research Ethics Committee
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Ethics committee address [1]
305590
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RMIT, Plenty Road, Bundoora, VIC 3083
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Ethics committee country [1]
305590
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Australia
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Date submitted for ethics approval [1]
305590
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20/03/2020
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Approval date [1]
305590
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31/03/2021
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Ethics approval number [1]
305590
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22950
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Summary
Brief summary
This study aims to determine the effect of a hot springs bathing program (balneotherapy) on sleep and mood state among healthy adults, at a major commercial hot springs destination in Australia, Peninsula Hot Springs. Parallel to the study's main aim, the measures and different groupings will also enable comparison of various commonly practiced bathing behaviours in the outcomes. The potential for habituation is to be explored in the results, with first bathing session results compared to the total program outcomes. Hypothesis: All bathing interventions will show significantly improved mood, cardiovascular function and sleep quality compared to 'quiet time' control intervention.
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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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Mr James Clark-Kennedy
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Address
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RMIT, Plenty Road, Bundoora, VIC 3083
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Country
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Australia
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Phone
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+61 408561347
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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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Russell Conduit
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Address
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RMIT, Plenty Road, Bundoora, VIC 3083
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Country
100883
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Australia
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Phone
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+61 3 9925 6658
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Fax
100883
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Email
100883
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[email protected]
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Contact person for scientific queries
Name
100884
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Russell Conduit
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Address
100884
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RMIT, Plenty Road, Bundoora, VIC 3083
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Country
100884
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Australia
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Phone
100884
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+61 3 9925 6658
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Fax
100884
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Email
100884
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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)?
No
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No/undecided IPD sharing reason/comment
Privacy considerations for participants
RMIT data ownership
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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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