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Trial registered on ANZCTR
Registration number
ACTRN12622000354785
Ethics application status
Approved
Date submitted
26/01/2022
Date registered
28/02/2022
Date last updated
28/02/2022
Date data sharing statement initially provided
28/02/2022
Date results provided
28/02/2022
Type of registration
Retrospectively registered
Titles & IDs
Public title
Cognitive Behavioural and Art-based program (CB-ART):
A pilot study in an early parenting centre
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Scientific title
Is CB-ART a useful resource for women admitted to an early parenting centre? A pilot study assessing feasibility, acceptability, safety and preliminary efficacy.
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Secondary ID [1]
306282
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Nil known
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Universal Trial Number (UTN)
Nil known
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Trial acronym
CB-Art
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Linked study record
N/A
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Health condition
Health condition(s) or problem(s) studied:
Mental Health
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postnatal depression
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Condition category
Condition code
Mental Health
322471
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0
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Depression
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Reproductive Health and Childbirth
322472
322472
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
-CB-Art intervention was offered over two, one-hour face to face group sessions held on day 2 and day 5 of a 5-day inpatient stay, for 3 participants at a time. The intervention was implemented with three independent groups at Masada Private Hospital Early Parenting Centre.
-Post enrollment in the study, attendance was checked off on a list for session 1 and session 2.
-Sessions were facilitated by a clinical psychologist and an assistant.
-Participants were provided with new art materials (A3 sheets of white paper, oil pastels, coloured pencils, grey lead pencils, charcoal and erasers) which were placed at the centre of a large oval table.
-During session one participants were instructed to draw an image associated with a personal source stress. They were given 10 uninterrupted minutes to work on the image
-Each participant was invited to talk about what had been drawn, and what they thought it meant to them, and then to respond to questions or comments from other group members.
-In session two participants were instructed to draw an image associated with a personal source of strength. They were given 10 minutes to complete the drawing. In the second session, participants were invited to respond to differences they observed between their own or others’ first and second drawings. Cognitive behavioural techniques were employed to assist participants to reframe thoughts and perceptions and to facilitate solution-focussed problem solving.
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Intervention code [1]
322710
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Treatment: Other
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Comparator / control treatment
No control group.
Pilot study.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Feasibility
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Assessment method [1]
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Timepoint [1]
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Assessed by review of the field notes and study specific questionnaire completed over the phone one week post discharge.
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Primary outcome [2]
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Acceptability
Evaluated from participant uptake and retention of participants.
Assessed by recruitment numbers and attrition rate.
Also during follow up one week post discharge with a study specific telephone interview.
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Assessment method [2]
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Timepoint [2]
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Assessed at the recruitment phase. Ie the number of people approached regarding the study who participated.
Also assessed post completion of the follow up interview, conducted one week post discharge. At this time assessing for retention of participants.
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Primary outcome [3]
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Safety
Participants were screened at the structured telephone follow up interview one week after discharge, Question addressed any harms or unpleasant components associated with participation in the program
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Assessment method [3]
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Timepoint [3]
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One week post discharge
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Secondary outcome [1]
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Change in Edinburgh Postnatal Depression score
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Assessment method [1]
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Timepoint [1]
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Pre-intervention scores and post-intervention scores obtained one week post intervention and compared
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Secondary outcome [2]
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Change in Short profile of emotional competence score
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Assessment method [2]
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Timepoint [2]
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Pre-intervention scores and post-intervention scores obtained one week post intervention and compared
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Secondary outcome [3]
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Discussion themes prompted by CB-Art intervention.
During session 1 and session 2 of CB-Art sessions field notes were recorded in the form of written documentation of key phrases that emerged in the discussion as well as the links to the images.
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Assessment method [3]
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Timepoint [3]
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Assessed during session one and session 2.
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Eligibility
Key inclusion criteria
Mothers admitted to Masada Private Hospital Early Parenting Centre.
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
None
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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 is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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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
Pilot study using a single-centre, mixed-methods pre- and post- test design
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Mean pre- and post-intervention scores were calculated and compared
Significance tests were not conducted because of the small sample size.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
17/08/2015
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Date of last participant enrolment
Anticipated
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Actual
11/09/2015
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Date of last data collection
Anticipated
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Actual
18/09/2015
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Sample size
Target
9
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Accrual to date
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Final
9
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
21564
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Masada Private Hospital - East St Kilda
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Recruitment postcode(s) [1]
36476
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3183 - East St Kilda
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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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Monash University
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Address [1]
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Monash University
Wellington Road, Clayton, Victoria 3800
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Country [1]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Global and Women’s Health
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Address
School of Public Health and Preventive Medicine
Monash University
Level 4, 553 St Kilda Road
Melbourne VIC 3004
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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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N/A
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Address [1]
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N/A
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Country [1]
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Other collaborator category [1]
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Other Collaborative groups
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Name [1]
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Centre for Women's Health Studies
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Address [1]
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Ben Gurion University of the Negev
Beer Sheva 84105
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Country [1]
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Israel
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Avenue Hospital Human Research Ethics Committee
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Ethics committee address [1]
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40 The Avenue Windsor Victoria, 3181
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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15/05/2015
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Approval date [1]
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23/06/2015
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Ethics approval number [1]
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reference number 188
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Summary
Brief summary
The period of pregnancy and early motherhood is a substantial life change associated with psychological turbulence. During this period, some women experience symptoms of anxiety and depression of sufficient severity to warrant professional psychological assistance. Psychosocial and psychological interventions are key therapeutic approaches for women at this life stage. There is growing evidence of the value of the arts in prevention and treatment of mental health problems. Evidence suggests that women prefer psychological interventions that provide social support and shared space for reflection. Cognitive Behavioural and Art-based Intervention (CB-ART) is a novel therapy for prevention and treatment of perinatal mental health problems. The aim of this study was to implement and evaluate CB-ART for acceptability, feasibility, safety, and preliminary efficacy among women admitted to a residential early parenting unit. The pilot study used a single-centre, mixed-methods pre- and post- test design to evaluate CB-ART among women admitted to a 5-day residential early parenting service in Melbourne, Australia. Participants completed questionnaires before and after attendance at two, one-hour CB-ART group sessions on day 2 and day 5 of admission during which field notes were taken. Evaluation interviews were conducted by telephone one week after discharge. The Short Profile of Emotional Competence and the Edinburgh Postnatal Depression Scale were used to assess emotional insight and symptoms of depression, respectively. Feasibility, acceptability and safety were assessed using an analysis of field notes, with quantitative data collected by telephone questionnaire and qualitative data by telephone interviews.
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Trial website
N/A
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Trial related presentations / publications
N/A
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Public notes
N/A
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Contacts
Principal investigator
Name
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Dr Hilary Brown
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Address
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School of Public Health and Preventive Medicine
Monash University
Level 4, 553 St Kilda Road
Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 408384116
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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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Hilary Brown
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Address
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School of Public Health and Preventive Medicine
Monash University
Level 4, 553 St Kilda Road
Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 408384116
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Fax
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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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Hilary Brown
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Address
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School of Public Health and Preventive Medicine
Monash University
Level 4, 553 St Kilda Road
Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 408384116
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Fax
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Email
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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
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
14822
Informed consent form
383470-(Uploaded-26-01-2022-14-13-21)-Study-related document.pdf
14825
Ethical approval
383470-(Uploaded-26-01-2022-14-16-22)-Study-related document.pdf
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.
Download to PDF