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Trial registered on ANZCTR
Registration number
ACTRN12618000843257p
Ethics application status
Submitted, not yet approved
Date submitted
9/05/2018
Date registered
18/05/2018
Date last updated
18/05/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Effectiveness of group Cognitive-Behavioural Therapy for Obsessive-Compulsive Disorder
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Scientific title
Effectiveness of group Cognitive-Behavioural Therapy in reducing the symptom severity of Obsessive-Compulsive Disorder
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Secondary ID [1]
294839
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None
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Universal Trial Number (UTN)
U1111-1213-7856
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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:
Obsessive Compulsive Disorder
307785
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Condition category
Condition code
Mental Health
306828
306828
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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 is exposure and response (ERP) therapy delivered in a group format. ERP is the gold-standard treatment for obsessive-compulsive disorder. Each session involves the review of homework exercises, provision of psych education regarding the maintenance of OCD, setting up hierarchies and exposure exercises. Group numbers will not exceed 10 per group. All sessions administered by two clinical psychologists trained in ERP. Adherence to the treatment occurs at the beginning of each session when homework tasks are reviewed. Homework exercises include planned exposure exercises, reading and monitoring mood and anxiety levels. The intervention will consist of 1 group session every week of 2 hours duration conducted over 10 consecutive weeks. A final follow-up session will be held one-month post-treatment
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Intervention code [1]
301149
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Treatment: Other
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Intervention code [2]
301230
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Behaviour
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
305824
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OCD severity measured using the Obsessive Compulsive Inventory - Revised.
Obsessive Compulsive InventoryRevised (Foa et al. 2002) is a self report inventory for measuring symptom severity of OCD. The inventory contains 18 items and six subscales that
measure: washing, checking, ordering, obsessing, hoarding, and neutralizing.
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Assessment method [1]
305824
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Timepoint [1]
305824
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Pre-intervention (within 24 hours of first session), mid-intervention (5 weeks post-commencement of intervention), post-intervention (10 weeks post-commencement of intervention), and follow-up (one-month post-completion of 10 week intervention).
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Primary outcome [2]
305825
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Composite Outcome:
Depression, Anxiety and StressDepression Anxiety Stress Scale [DASS21] (P. F. Lovibond & Lovibond, 1995) is a 21 item instrument that measures an individual’s feelings of stress, anxiety and depression over the previous week. Shorter than the original 42 item scale, the DASS21 contains three 7 item subscales (stress; anxiety; and depression) that are each summed to obtain a total subscale score with higher scores indicating more negative symptoms.
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Assessment method [2]
305825
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Timepoint [2]
305825
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Pre-intervention (within 24 hours of first session), mid-intervention (5 weeks post-commencement of intervention), post-intervention (10 weeks post-commencement of intervention), and follow-up (one-month post-completion of 10 week intervention).
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Secondary outcome [1]
346686
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Obsessive Beliefs
Measured using the Obsessive Beliefs Questionnaire -20 items.
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Assessment method [1]
346686
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Timepoint [1]
346686
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Pre-intervention (within 24 hours of first session), mid-intervention (5 weeks post-commencement of intervention), post-intervention (10 weeks post-commencement of intervention), and follow-up (one-month post-completion of 10 week intervention).
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Secondary outcome [2]
346687
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Well-being: The WHO Five Well-being index
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Assessment method [2]
346687
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Timepoint [2]
346687
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Pre-intervention (within 24 hours of first session), mid-intervention (5 weeks post-commencement of intervention), post-intervention (10 weeks post-commencement of intervention), and follow-up (one-month post-completion of 10 week intervention).
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Eligibility
Key inclusion criteria
Individuals over the age of 18 who are diagnosed with OCD
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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
Active psychosis, intellectual disability
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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)
Not applicable
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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
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
We will use repeated measures ANCOVA where time (Pre, mid, post, F/up) is the independent variable and symptom outcome is the dependent variable. We will control for pre-treatment OC symptom severity in the analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
2/07/2018
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Actual
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Date of last participant enrolment
Anticipated
29/06/2020
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Actual
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Date of last data collection
Anticipated
2/11/2020
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
299436
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University
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Name [1]
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Curtin University
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Address [1]
299436
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Kent Street
Bentley
WA 6845
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Country [1]
299436
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Australia
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Primary sponsor type
University
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Name
Curtin University
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Address
School of Psychology
Curtin University
Kent Street
Bentley WA 6848
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Country
Australia
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Secondary sponsor category [1]
298725
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None
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Name [1]
298725
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Address [1]
298725
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Country [1]
298725
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
300334
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Curtin University Ethics committee
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Ethics committee address [1]
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Curtin University GPO Box U1987 Bentley 6845
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Ethics committee country [1]
300334
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Australia
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Date submitted for ethics approval [1]
300334
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09/05/2018
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Approval date [1]
300334
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Ethics approval number [1]
300334
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Summary
Brief summary
Exposure and Response Prevention (ERP), delivered individually, is the gold-standard treatment for Obsessive-Compulsive Disorder (OCD). However, there are significant barriers to accessing this form of treatment such as a limited number of specialists skilled in the provision of the treatment and long wait-lists. As such,attention has been given to exploring alternative modes of delivery of ERP. These alternatives include provision of ERP via the Internet and provision of ERP in a group format. A recent meta-analysis (Schwartz et al., 2016) found that ERP provided in a group format has equivalent effect sizes to individually administered ERP. The 12 studies in the meta-analysis were controlled trials comparing group ERP to wait-list and to individual ERP. The results of this meta-analysis lend support for the provision of ERP in group formats in clinical practice. However, most studies to date have been conducted in highly controlled settings (e.g. university clinics) and so little is known about how effective group ERP is in typical clinical settings. The aim of this study is to evaluate the effectiveness of group ERP in a ‘real-world’ clinical setting.
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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
83330
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Prof Clare Rees
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Address
83330
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School of Psychology
Curtin University
Kent Street
Bentley WA 6845
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Country
83330
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Australia
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Phone
83330
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+61 8 9266 3442
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Fax
83330
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Email
83330
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[email protected]
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Contact person for public queries
Name
83331
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Clare Rees
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Address
83331
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School of Psychology
Curtin University
Kent Street
Bentley WA 6845
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Country
83331
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Australia
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Phone
83331
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+61 8 9266 3442
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Fax
83331
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Email
83331
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[email protected]
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Contact person for scientific queries
Name
83332
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Clare Rees
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Address
83332
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School of Psychology
Curtin University
Kent Street
Bentley WA 6845
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Country
83332
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Australia
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Phone
83332
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+61 8 9266 3442
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Fax
83332
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Email
83332
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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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