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Trial registered on ANZCTR
Registration number
ACTRN12609000009213
Ethics application status
Approved
Date submitted
12/09/2008
Date registered
7/01/2009
Date last updated
7/01/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
Internet based education for depression: An initial randomized controlled study
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Scientific title
A randomized controlled study on the effect of Internet based education for treating depression using cognitive behavioural techniques.
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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:
Depression
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Condition category
Condition code
Mental Health
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A randomized trial of 6 lessons of Internet based education for people who meet the Diagnostic and Statistical Manual of Mental Disorders 4th Edition (DSM-IV) criteria for major depressive disorder. One lesson will be completed every 7 to 10 days (each lesson will involve homework, an online discussion forum assignment, email contact with clinicians, and an online reading assignment, requiring up to 4 hours/week) vs wait-list control. The lessons will be completed by participants online in their own homes. Study questionnaires will be administered at application, beginning of the first lesson, 1-week poststudy, and 6 months follow-up. The educational materials are based on cognitive behavioural techniques. Once Education Group participants have completed the 6 lessons the Wait-List group participants will begin the lessons.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
Waitlist control
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Control group
Active
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Outcomes
Primary outcome [1]
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Depression measured using the Beck Depression Inventory II
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Assessment method [1]
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Timepoint [1]
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Administered at the beginning of the first lesson, 1-week poststudy, and at 6 months follow-up
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Primary outcome [2]
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Depression measured using the Patient Health Questionnaire-9 (PHQ-9)
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Assessment method [2]
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Timepoint [2]
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Administered at application, at the beginning of the first lesson, 1-week poststudy, and at 6 months follow-up
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Primary outcome [3]
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Psychological distress measured using the Kessler-10 (K-10)
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Assessment method [3]
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Timepoint [3]
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Administered at application, at the beginning of the first lesson, 1-week poststudy, and at 6 months follow-up
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Secondary outcome [1]
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Change between the primary outcome measure scores at pre and post treatment. The primary outcome measures are the Beck Depression Inventory II (BDI-II), Patient Health Questionnaire (PHQ-9), and Kessler-10 (K-10).
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Assessment method [1]
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Timepoint [1]
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Measured at the time of application and at the beginning of the first lesson.
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Eligibility
Key inclusion criteria
Meet Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria for major depressive disorder - Internet access + printer access. - Australian citizen- Males and females-
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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?
No
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Key exclusion criteria
Current substance abuse/dependence- Psychotic disorder-PHQ 9 score of lower than 5 or higher than 23- moderate or high suicide risk
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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)
Participants apply on line, followed by a telephone interview to confirm diagnosis via structured diagnostic interview (MINI). Participants will be randomized using a list generated prior to the study. Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A randomisation list will be generated prior to the study using computer software.
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Masking / blinding
Blinded (masking 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
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
13/10/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
70
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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St Vincents Hospital, Anxiety Disorders Clinic
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Address [1]
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299 Forbes Street, Darlinghurst NSW 2010
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
St Vincents Hospital, Anxiety Disorders Clinic
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Address
299 Forbes Street, Darlinghurst NSW 2010
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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]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St Vincents's Hospital
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Ethics committee address [1]
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Level 6, de Lacy Building St Vincent's Hospital 390 Victoria Street, Darlinghurst NSW 2010
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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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Approval date [1]
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08/04/2008
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Ethics approval number [1]
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08/SVH/36
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Summary
Brief summary
We will examine the efficacy of an Internet based education program for improving the mental health of people with depression. Participants will be recruited via a website developed for this Program (www.climateclinic.tv), and a structured diagnostic interview via telephone. Consenting participants will be randomly allocated to an active Education Group, or Wait-List Control Group. Participants will complete six lessons of Cognitive Behaviour Therapy (CBT) based education delivered via the Internet and weekly emails from a clinician, weekly homework, and weekly contact with other participants via an online discussion board. Participants will be assessed at application, prestudy, one week poststudy, and 6 months poststudy. Once the Education Group have completed the lessons the Control Group will be given access to the lessons.
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Trial website
www.climateclinic.tv
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Professor Gavin Andrews
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Address
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299 Forbes Street
Darlinghurst NSW 2010
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Country
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Australia
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Phone
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02 8382 1726
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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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Professor Gavin Andrews
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Address
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299 Forbes Street
Darlinghurst NSW 2010
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Country
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Australia
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Phone
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02 8382 1726
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Fax
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Email
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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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