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Trial registered on ANZCTR
Registration number
ACTRN12611001086954
Ethics application status
Approved
Date submitted
19/10/2011
Date registered
19/10/2011
Date last updated
23/01/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Cognitive Behavioural Therapy for Vestibular Migraine
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Scientific title
Assessing the effectiveness of cognitive behavioural therapy to improve the severity and frequency of dizzy spells, dizziness handicap and quality of life in people with vestibular migraine
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Secondary ID [1]
273233
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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:
Vestibular migraine
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Depression
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Anxiety
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Condition category
Condition code
Neurological
279174
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0
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Other neurological disorders
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Mental Health
279175
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0
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Depression
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Mental Health
279176
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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
If participants agree to take part in this study they will be randomly allocated to one of two conditions, an immediate treatment condition or a waitlist control. The immediate treatment condition involves a detailed assessment of psychological functioning and 8 weeks of group psychological treatment based on cognitive behavioural therapy principles. This program is specifically designed to try to improve frequency of dizzy spells, dizziness-related handicap, quality of life and psychopathology in the context of vestibular migraine. Each weekly treatment session will be conducted by a psychologist and last 120 minutes. The sessions will include the following components: orientation to therapy and psychoeducation about vestibular migraine and anxiety; behavioural experiments and addressing avoidance through exposure; cognitive therapy strategies to challenge unhelpful beliefs; consolidation of skills developed throughout the program, identification of high risk situations and development of a plan for managing symptoms.
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Intervention code [1]
269564
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Treatment: Other
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Intervention code [2]
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Behaviour
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Comparator / control treatment
Wait-list control. Will be offered treatment three months after assessment.
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Control group
Active
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Outcomes
Primary outcome [1]
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Migraine frequency. This will be measured using participant self-report diaries and the Migraine Disability Assessment Questionnaire (MIDAS; Lipton et al., 2001) 7-item scale strongly related to migraine frequency.
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Assessment method [1]
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Timepoint [1]
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Diary kept one week prior to commencement of the groups and throughout treatment. MIDAS administered pre-treatment (assessment session) at post-treatment (final therapy session) then 3 and 6 months post-treatment.
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Primary outcome [2]
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Dizziness handicap. This will be measured using the Dizziness Handicap Inventory (DHI; Jacobsen & Newman, 1990) 25-item scale to measure self-perceived handicap experienced due to vestibular system disease.
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Assessment method [2]
279813
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Timepoint [2]
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Pre-treatment (assessment session) at post-treatment (final therapy session) then 3 and 6 months post-treatment.
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Primary outcome [3]
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Anxiety and depression symptomatology. This will be measured using the Hospital Anxiety Depression Scale (HADS; Zigmond & Snaith, 1983) 14 item self-report measure.
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Assessment method [3]
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Timepoint [3]
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Pre-treatment, post-treatment, three and six month follow-up
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Secondary outcome [1]
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Quality of life. This will be measured using the WHOQoL-BREF Australian version (WHO, 2000) 26 item self-report measure.
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Assessment method [1]
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Timepoint [1]
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Pre-treatment (assessment session) at post-treatment (post final therapy session) and then 3 and 6 months post-treatment.
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Eligibility
Key inclusion criteria
People with vestibular migraine
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Minimum age
18
Years
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Maximum age
75
Years
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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
About to undergo major surgery or significant change to medication
Significantly impaired cognitive functioning
Psychosis
Inability to speak English
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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)
Central randomisation carried out by computer
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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 (i.e. computerised sequence generation).
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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
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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
10/01/2012
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Actual
27/08/2012
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Date of last participant enrolment
Anticipated
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Actual
10/07/2015
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Date of last data collection
Anticipated
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Actual
24/05/2016
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Sample size
Target
70
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Accrual to date
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Final
61
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Royal Prince Alfred Hospital - Camperdown
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Primary sponsor type
Hospital
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Name
Royal Prince Alfred Hospital
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Address
Royal Prince Alfred Hospital
Missenden Rd
Camperdown
NSW 2050
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Sydney Psychology Clinic
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Address [1]
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Psychology Clinic
Mackie Building K01
University of Sydney
Camperdown NSW 2006
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Country [1]
269025
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
272018
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Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
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Research Development Office Royal Prince Alfred Hospital Camperdown NSW 2050
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Ethics committee country [1]
272018
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Australia
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Date submitted for ethics approval [1]
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26/10/2011
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Approval date [1]
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14/12/2011
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Ethics approval number [1]
272018
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11/RPAH643
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Summary
Brief summary
The experience of both migrainous and vestibular symptoms is likely to be associated with greater compromise than for either disorder presenting independently. The impact of VM is compounded due to the current lack of evidence-based treatment that has proven to be definitely efficacious. CBT is likely to be an effective adjunct treatment to medication in the treatment of VM. Trials are urgently needed to provide an evidence-base for such approaches.
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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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Prof Louise Sharpe
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Address
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Room 450, Brennan MacCallum (A18)
The University of Sydney
NSW 2006 Australia
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Country
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Australia
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Phone
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+61 2 9351 4558
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Fax
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Query!
Email
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[email protected]
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Contact person for public queries
Name
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Ingrid McPhee
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Address
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School of Psychology
Brennan MacCallum Building (A18)
University of Sydney
Camperdown NSW 2006
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Country
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Australia
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Phone
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+61 02 90367855
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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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Ingrid McPhee
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Address
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School of Psychology
Brennan MacCallum Building (A18)
University of Sydney
Camperdown NSW 2006
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Country
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Australia
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Phone
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+61 02 90367855
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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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