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Trial registered on ANZCTR
Registration number
ACTRN12621001480875
Ethics application status
Approved
Date submitted
17/03/2021
Date registered
29/10/2021
Date last updated
29/10/2021
Date data sharing statement initially provided
29/10/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
A feasibility study of a remotely delivered brief psychological intervention targeted at well-being of international students
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Scientific title
A feasibility study of a remotely delivered brief psychological intervention targeted at well-being of international students
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Secondary ID [1]
303717
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Nill 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:
Wellbeing
321140
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Depression
321141
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Anxiety
321142
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Condition category
Condition code
Mental Health
318943
318943
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0
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Depression
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Mental Health
318944
318944
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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
The intervention consists of 3 weekly online group sessions, delivered via Zoom videoconferencing app, lasting about one hour each. Sessions will be delivered by psychology graduates trained and experienced in the intervention by Each group will consist of 6-8 participants/students. Intervention teaches 3 strategies; Stress management through relaxation, behavioral activation and strengthening and seeking social support. Session 1 provides information about common reactions to adversity, psychoeducation about common mental disorders (anxiety, depression and stress), and trains participants in a basic stress management strategy (slow breathing). Session 2 introduces behavioral activation during which participants are encouraged to re-engage gradually with pleasant activities to improve well-being. Sessions 3 support participants’ continued application of behavioral activation and stress management and introduce strategies to strengthen social support networks retaining intervention gains. Adherence to intervention is monitored through the practice of strategies given as home work (completed on worksheets) as well as session attendance from session records.
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Intervention code [1]
320025
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Behaviour
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Intervention code [2]
320026
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Prevention
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Comparator / control treatment
nill
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Feasibility and acceptability: The primary outcome will be feasibility and acceptability of intervention measured using a composite of the following indicators;
1. Delivery of intervention with at least 75% fidelity using a structured tool ENACT: Enhancing Competence in Common therapeutic factors adapted for current intervention.
2. Retention of at least 50% by the completion of 3 intervention sessions ( Data from attendance records of participants)
3. Retention rate of 60% at post-assessment
4. Mean score of 22 (70%) or above on Client Satisfaction Questionnaire
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Assessment method [1]
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Timepoint [1]
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Baseline and one week post-intervention
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Secondary outcome [1]
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Symptoms of depression as assessed by Patient Health Questionnaire-9 (PHQ-9)
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Assessment method [1]
392923
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Timepoint [1]
392923
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Baseline and one week post-intervention
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Secondary outcome [2]
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Symptoms of Anxiety as measured by Generalized Anxiety Disorder Scale (GAD-7)
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Assessment method [2]
392935
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Timepoint [2]
392935
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Baseline and One week Post intervention
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Secondary outcome [3]
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Wellbeing/positive mental health as measured by WHO-5 Wellbeing index (WHO-5)
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Assessment method [3]
392936
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Timepoint [3]
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Baseline and One week Post intervention
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Secondary outcome [4]
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Ways of Coping Checklist to assess coping strategies used by participants
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Assessment method [4]
392937
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Timepoint [4]
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Baseline and One week Post intervention
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Eligibility
Key inclusion criteria
All the Pakistani international students, enrolled in any university in China in a degree program (undergraduate, masters or PhD), currently residing in Pakistan due to COVID-19 travel restrictions
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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
Participants will be exclude if they are not familiar with Zoom videoconferencing app, do not have a stable internet connection and an electronic device to attend the group sessions.
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Study design
Purpose of the study
Prevention
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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)
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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
Single group
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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
Completed
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Date of first participant enrolment
Anticipated
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Actual
18/03/2021
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Date of last participant enrolment
Anticipated
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Actual
6/06/2021
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Date of last data collection
Anticipated
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Actual
6/07/2021
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Sample size
Target
30
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Accrual to date
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Final
30
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Recruitment outside Australia
Country [1]
23540
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Pakistan
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State/province [1]
23540
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Funding & Sponsors
Funding source category [1]
308017
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University
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Name [1]
308017
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Xi'an Jiaotong University
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Address [1]
308017
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Room 306, Basic Sciences Building, Xi'an Jiaotong university, 76 West Yanta District, Xi'an, Postcode 710061
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Country [1]
308017
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China
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Primary sponsor type
University
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Name
Xi'an Jiaotong University
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Address
Xi'an Jiaotong university, 76 West Yanta District, Xi'an, 76 West Yanta District, Xi'an
Postcode 710061,
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Country
China
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Secondary sponsor category [1]
308887
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None
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Name [1]
308887
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Address [1]
308887
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Country [1]
308887
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
308007
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Xi'an Jiaotong biomedical ethics committee
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Ethics committee address [1]
308007
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Xi'an Jiaotong biomedical ethics committee, Xi'an jioatong University, 76 West Yanta Road, Xi'an Postcode 710061,
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Ethics committee country [1]
308007
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China
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Date submitted for ethics approval [1]
308007
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16/03/2021
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Approval date [1]
308007
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17/03/2021
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Ethics approval number [1]
308007
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Summary
Brief summary
Mental health of university students is a growing concern all over the globe, particularly in the context of Covid-19 pandemic. Problem management Plus (PM+) is a 5-session group intervention incorporating stress management, behavioral activation and social support strategies, delivered by non-specialist healthcare workers and has been found to be effective in reducing symptoms of psychological distress among different groups. The aim of the present study is to evaluate the feasibility and acceptability of a remotely delivered adapted PM+ intervention in improving psychological well-being amongst a group of Pakistani international students enrolled in Chinese universities, but who are unable to return to campuses due to COVID-19 travel restrictions. A single arm pre-post study to evaluate the feasibility of the group intervention will be conducted. 30 participants will be recruited. Intervention will be delivered via Zoom videoconferencing app by trained non-specialists. Outcome assessments will be conducted immediately after the completion of the intervention. The primary outcome will be feasibility and acceptability of intervention (measured in terms of client satisfaction , intervention fidelity, recruitment and drop-out rates and no. of intervention sessions completed by participants). Secondary outcome is change in the scores of clinical outcomes measured by Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder scale (GAD-7), ways of coping checklist and WHO-5 well-being index) from baseline to post-intervention. Outcomes from this study will contribute to furnish evidence on acceptability, feasibility and of this approach for improving psychological well-being of international students.
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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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Miss Parveen Akhtar
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Address
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School of public Health, Xi'an Jiaotong University,
76 West Yanta Road, Xian. P.R. China
Postcode 710061,
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Country
109210
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China
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Phone
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+862982655450
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Fax
109210
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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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Parveen Akhtar
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Address
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School of public Health, Xi'an Jiaotong University,
76 West Yanta Road, Xian. P.R. China
Postcode 710061,
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Country
109211
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China
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Phone
109211
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+862982655450
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Fax
109211
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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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Parveen Akhtar
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Address
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School of public Health, Xi'an Jiaotong University,
76 West Yanta Road, Xian. P.R. China
Postcode 710061,
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Country
109212
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China
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Phone
109212
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+862982655450
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Fax
109212
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Email
109212
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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
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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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