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Trial registered on ANZCTR
Registration number
ACTRN12610000555055
Ethics application status
Approved
Date submitted
7/07/2010
Date registered
9/07/2010
Date last updated
4/12/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
The Wellbeing Program2: An open trial of a brief internet based treatment of anxiety and depression
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Scientific title
An open trial of a brief Internet based treatment for anxiety and depression
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Secondary ID [1]
252171
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Nil
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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:
Social phobia (an anxiety disorder)
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Panic disorder (with or without agoraphobia) (both anxiety disorders)
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Generalised anxiety disorder (an anxiety disorder)
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Major depressive disorder (a depressive disorder)
257717
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Condition category
Condition code
Mental Health
257882
257882
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0
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Anxiety
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Mental Health
257883
257883
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is an open trial where participants are allocated to recieve 8 week internet-based treatment. All participants will meet Diagnostic and Statistical Manual of Mental Disorders 4th Edition (DSM-IV) criteria for depression, and/or social phobia and/or panic disorder (with or without agoraphobia) and/or generalised anxiety disorder (GAD). All participants will complete 5 lessons of Internet based treatment about management of symptoms of depression and anxiety. One lesson will be completed every 7 to 10 days. Each lesson will take about 15 minutes to complete. Participants will also have access to summaries of each lesson, and will read anonymous stories about other people with anxiety, taking a further 20 minutes per summary. All participants will also receive automatic email and weekly reminder phone calls by a clinical psychologist. The duration of the reminder emails/phone calls and contribution to the forum is expected to be 5-10 minutes per week. The duration of the program is 8 weeks, but participants will be contacted 3 months post program and asked to complete follow-up questionnaires. Study questionnaires will be administered at application, pre-education, post-education, and at 3-months post-education. These will take about 20-30 minutes to complete. The treatment materials are based on the Anxiety and Sadness Programs, which apply cognitive behavioural techniques.
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Intervention code [1]
256768
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Treatment: Other
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Comparator / control treatment
None.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Anxiety is measured by the Generalised Anxiety Disorder 7 Item Scale (GAD-7)
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Assessment method [1]
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Timepoint [1]
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Administered at pre-treatment, post-treatment, and at 3-months post-treatment
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Primary outcome [2]
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Social phobia is measured by the Social Phobia Scale (SPS)
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Assessment method [2]
258749
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Timepoint [2]
258749
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Administered at pre-treatment, post-treatment, and at 3-months post-treatment
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Primary outcome [3]
258750
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Social phobia is measured by the Social Interaction Anxiety Scale (SIAS)
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Assessment method [3]
258750
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Timepoint [3]
258750
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Administered at pre-treatment, post-treatment, and at 3-months post-treatment
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Secondary outcome [1]
264797
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Neuroticism is measured by using the NEO-Five Factor Inventory (NEO-FFI) Neuroticism scale
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Assessment method [1]
264797
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Timepoint [1]
264797
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Administered at pre-treatment, post-treatment, and at 3-months post-treatment
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Secondary outcome [2]
264798
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Disability is measured by the Sheehan Disability Scale (SDS)
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Assessment method [2]
264798
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Timepoint [2]
264798
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Administered at pre-treatment, post-treatment, and at 3-months post-treatment
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Secondary outcome [3]
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Psychological distress is measured by the Kessler 10-item scale (K-10)
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Assessment method [3]
264799
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Timepoint [3]
264799
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Administered at pre-treatment, post-treatment, and at 3-months post-treatment
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Secondary outcome [4]
264800
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Panic disorder is measured by the Panic Disorder Severity Rating Scale - Self Report Version (PDSS-SR)
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Assessment method [4]
264800
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Timepoint [4]
264800
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Administered at pre-treatment, post-treatment, and at 3-months post-treatment
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Secondary outcome [5]
264801
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Generalised anxiety disorder is measured by the Penn State Worry Questionnaire (PSWQ)
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Assessment method [5]
264801
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Timepoint [5]
264801
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Administered at pre-treatment, post-treatment, and at 3-months post-treatment
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Secondary outcome [6]
264802
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Symptoms and severity of depression is measured by the Patient Health Questionnaire-9 (PHQ-9)
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Assessment method [6]
264802
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Timepoint [6]
264802
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Administered at pre-treatment, post-treatment, and at 3-months post-treatment
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Eligibility
Key inclusion criteria
-Meet DSM-IV criteria for major depressive disorder, social phobia and/or panic disorder (with or without agoraphobia) and/or GAD
- Internet access + printer access
- Australian resident
- 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 - Current or planned psychological treatment during study duration - Change in medications during last 1 month or intended change during study duration - Current use of benzodiazepines or beta-blockers.
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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)
Participants apply online, followed by a telephone interview to confirm diagnosis via structured diagnostic interview using the Mini Neuropsychiatric Interview Schedule (MINI 5.0.0).
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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
5/07/2010
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Actual
5/07/2010
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Date of last participant enrolment
Anticipated
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Actual
5/08/2011
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
32
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
257263
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Government body
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Name [1]
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National Health and Medical Research Council (NHMRC)
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Address [1]
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National Health and Medical Research Council GPO Box 1421 Canberra ACT 2601
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Country [1]
257263
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Australia
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Primary sponsor type
University
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Name
Clinical Research Unit for Anxiety and Depression (CRUfAD), School of Psychiatry, University of New South Wales
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Address
CRUfAD, Level 4, O’Brien Center, 390 Victoria Street, Darlinghurst
NSW 2010, Australia
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Country
Australia
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Secondary sponsor category [1]
256507
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Individual
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Name [1]
256507
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Dr Peter McEvoy
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Address [1]
256507
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Centre for Clinical Interventions (CCI) 223 James St Northbridge Western Australia 6003
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Country [1]
256507
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Professor Michelle Craske
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Address [1]
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Department of Psychology, University of California at Los Angeles (UCLA) 405 Hilgard Ave., Los Angeles, CA 90095-1563
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Country [1]
251377
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United States of America
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259281
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St Vincent's Hospital Human Research Ethics Committee
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Ethics committee address [1]
259281
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390 Victoria Street Darlinghurst NSW 2010
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Ethics committee country [1]
259281
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Australia
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Date submitted for ethics approval [1]
259281
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Approval date [1]
259281
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05/02/2010
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Ethics approval number [1]
259281
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Summary
Brief summary
This project is part of a research program funded by the NHMRC (No. 630560) to develop and evaluate Internet based transdiagnostic treatment programs for people with anxiety and depression. This preliminary project examines the efficacy of a treatment program for people with depression, social phobia and/or panic disorder (with or without agoraphobia) and/or GAD. The purpose of this study is to see if a brief internet-based intervention is effective at reducing levels fo anxiety and depression.
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Trial website
www.virtualclinic.org.au
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Trial related presentations / publications
- Andrews, G. and N. Titov, Alternate models of care. Treating people you never see: Internet-based treatment of the internalizing mental disorders. Australian Health Review, In Press. - Titov, N., et al., The Shyness Program: Longer Term Benefits, Cost-Effectiveness, and Acceptability. Australian & New Zealand Journal of Psychiatry, 2009. 43(1): p. 36-44. - Titov, N., G. Andrews, and P.M. McEvoy, Key components in low intensity interventions for anxiety. Oxford Guide, submitted - Titov, N. and G. Andrews, Email and brief internet based mental health interventions. Oxford Guide, submitted. - Titov, N., et al., Brief Internet Treatment for Social Phobia reduces Comorbidity Australian and New Zealand Journal of Psychiatry in press. - Titov N, Andrews G, Schwencke G: Shyness 2: Treating social phobia online: replication and extension. Australian and New Zealand Journal of Psychiatry 2008 42(7):595-605. - Titov N, Andrews G, Schwencke G, Drobny J, Einstein D: Shyness 1: Distance treatment for social over the Internet. A randomized controlled trial. Australian & New Zealand Journal of Psychiatry 2008; 42(7):585-594. - Titov N, Andrews G, Choi I, Schwencke G, Mahoney A: Shyness 3: An RCT of guided vs unguided internet based CBT for social phobia. Australian & New Zealand Journal of Psychiatry 2008; 42(12):1030-1040. - Titov N: Status of computerized cognitive behavioural therapy for adults. Australian & New Zealand Journal of Psychiatry 2007; 41(2):95-114. - Wims E, Titov N, Andrews G: The Climate Panic program: an open trial of Internet-based treatment for panic disorder. Electronic Journal of Applied Psychology 2008; 4(2)
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Public notes
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Contacts
Principal investigator
Name
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Prof Nickolai Titov
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Address
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Department of Psychology, Human Sciences, Macquarie University, Sydney, Australia
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Country
31373
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Australia
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Phone
31373
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+61 2 98509901
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Fax
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Email
31373
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[email protected]
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Contact person for public queries
Name
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Dr Nickolai Titov
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Address
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CRUfAD, Level 4, O’Brien Center, 390 Victoria Street, Darlinghurst
NSW 2010, Australia
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Country
14620
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Australia
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Phone
14620
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+61 2 8382 1732
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Fax
14620
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+61 2 8382 1721
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Email
14620
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[email protected]
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Contact person for scientific queries
Name
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Dr Nickolai Titov
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Address
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CRUfAD, Level 4, O’Brien Center, 390 Victoria Street, Darlinghurst
NSW 2010, Australia
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Country
5548
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Australia
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Phone
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+61 2 8382 1732
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Fax
5548
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+61 2 8382 1721
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Email
5548
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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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