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Trial registered on ANZCTR
Registration number
ACTRN12621000375853
Ethics application status
Approved
Date submitted
7/07/2020
Date registered
1/04/2021
Date last updated
11/10/2022
Date data sharing statement initially provided
1/04/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Randomised controlled trial of a brief e-mental health program with Australian university students
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Scientific title
Randomised controlled trial of the effect of a brief e-mental health program on symptoms of mental health problems in Australian university students.
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Secondary ID [1]
301716
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None
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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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anxiety
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psychological distress
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Condition category
Condition code
Mental Health
316185
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0
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Depression
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Mental Health
316186
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0
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Anxiety
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Mental Health
316503
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention is a brief video-based e-mental health intervention that consists of 12 modules targeting the common mechanisms that underlie mental health problems in university students (e.g. low mood and negative thinking styles, worry/anxiety, procrastination, sleep problems). Each module consists of a brief video (transcript will be available through a link) followed by an exercise to practice the therapeutic technique that is described. An example of an exercise is a thought diary or a guided relaxation exercise. Two modules of the program will be e-mailed to participants during each week of the intervention period (6 weeks). The e-mail will also contain a link to a self-monitoring quiz (e.g. brief anxiety screener or procrastination screener) for participants to track their symptoms (2-5 mins). Self-monitoring quizzes include the PHQ-9, GAD-7, Westside exam anxiety scale, The Sleep Condition Indicator, The Almost Perfect Scale – Revised, The Procrastination Scale. The duration of each module is approximately 5 minutes. The modules are self-administered one-on-one via an e-mailed video, and can be accessed at a participants' location of choice. The videos contained in each module were developed specifically for this study. Adherence to the intervention will be monitored via video analytics and self-report questionnaire.
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Intervention code [1]
318016
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Treatment: Other
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Comparator / control treatment
Participants allocated to the attention control condition will receive a weekly e-mail containing information on health topics not related to mental health. Example topics include: effects of sun exposure, how to keep your bones healthy. The modules are self-administered one-on-one via an e-mailed PDF, and can be accessed at a participants' location of choice. 12 modules of approximately 5 minutes duration will be administered.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Depression symptoms - PHQ-9
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Assessment method [1]
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Timepoint [1]
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Baseline (pre-intervention commencement), post-intervention (at 6 weeks - primary timepoint), 3 months post intervention, and 6 months post intervention
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Primary outcome [2]
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Anxiety symptoms - GAD-7
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Assessment method [2]
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Timepoint [2]
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Baseline (pre-intervention commencement), post-intervention (at 6 weeks - primary timepoint), 3 months post intervention, and 6 months post intervention
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Secondary outcome [1]
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Help seeking - General Help-seeking Questionnaire
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Assessment method [1]
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Timepoint [1]
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Baseline, 6 weeks post baseline, 3 months post intervention, 6 months post intervention
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Secondary outcome [2]
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Quality of life - EURO-HIS
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Assessment method [2]
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Timepoint [2]
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Baseline, 6 weeks post baseline, 3 months post intervention, 6 months post intervention
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Secondary outcome [3]
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Self-efficacy - Academic Self-Efficacy Scale
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Assessment method [3]
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Timepoint [3]
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Baseline, 6 weeks post baseline, 3 months post intervention, 6 months post intervention
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Secondary outcome [4]
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Social Anxiety Disorder Screener
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Assessment method [4]
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Timepoint [4]
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Baseline, 6 weeks post baseline, 3 months post intervention, 6 months post intervention
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Secondary outcome [5]
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General Self-Efficacy Scale (GSE-10)
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Assessment method [5]
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Timepoint [5]
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Baseline, 12 weeks post baseline, 3 months post intervention, 6 months post intervention
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Secondary outcome [6]
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Satisfaction (designed specifically for study)
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Assessment method [6]
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Timepoint [6]
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Baseline, 6 weeks post baseline, 3 months post intervention, 6 months post intervention
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Secondary outcome [7]
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Functioning (Re-QOL)
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Assessment method [7]
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Timepoint [7]
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Baseline, 6 weeks post baseline, 3 months post intervention, 6 months post intervention
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Secondary outcome [8]
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Psychological distress (DQ-5)
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Assessment method [8]
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Timepoint [8]
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Baseline, 6 weeks post baseline, 3 months post intervention, 6 months post intervention
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Secondary outcome [9]
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Wellbeing (WHO-5)
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Assessment method [9]
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Timepoint [9]
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Baseline, 6 weeks post baseline, 3 months post intervention, 6 months post intervention
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Secondary outcome [10]
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Body appreciation (BAS-2)
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Assessment method [10]
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Timepoint [10]
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Baseline, 6 weeks post baseline, 3 months post intervention, 6 months post intervention
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Secondary outcome [11]
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ENACT (skill acquisition and use) (designed specifically for study)
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Assessment method [11]
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Timepoint [11]
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Baseline, 6 weeks post baseline, 3 months post intervention, 6 months post intervention
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Eligibility
Key inclusion criteria
Aged 18 years or older
Current student of an Australian university
Currently residing in Australia
Elevated psychological distress (score of 8-17 on DQ-5)
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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
No/mild psychological distress (score of less than 8 on DQ-5)
High/severe psychological distress (score of greater than 17 on DQ-5)
Diagnosis of bipolar disorder, schizophrenia, PTSD or a personality disorder and not currently receiving professional support
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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)
Randomisation will be conducted by a researcher not involved with the trial.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A researcher who is independent of the trial will generate a sequence of random integers between the values of 1 and 2 at https://www.random.org/, and manually allocate participants to the trial conditions according to this sequence.
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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
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
Active, not recruiting
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Date of first participant enrolment
Anticipated
16/08/2021
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Actual
31/08/2021
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Date of last participant enrolment
Anticipated
31/07/2022
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Actual
23/05/2022
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Date of last data collection
Anticipated
31/12/2022
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Actual
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Sample size
Target
666
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Accrual to date
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Final
523
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
306153
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Charities/Societies/Foundations
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Name [1]
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Australian Rotary Health
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Address [1]
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2nd Floor, 43 Hunter Street,
Parramatta NSW 2150
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Louise Farrer
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Address
63 Eggleston Rd
The Australian National University
Canberra ACT 2601
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Philip Batterham
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Address [1]
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63 Eggleston Rd
The Australian National University
Canberra ACT 2601
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Australian National University Human Research Ethics Committee
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Ethics committee address [1]
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48A Geography Building The Australian National University Canberra ACT 2601
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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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14/07/2020
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Approval date [1]
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28/08/2020
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Ethics approval number [1]
306370
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Summary
Brief summary
This project is a randomised controlled trial of a brief video-based e-mental health intervention designed to improve the mental health of university students. Students from all universities in Australia will be recruited and randomised to one of two conditions, an intervention condition in which participants will receive bi-weekly e-mails containing brief video-based modules containing health information and strategies for a period of 6 weeks, or an attention control condition, in which they will receive bi-weekly e-mails containing health information (not related to mental health) for a period of 6 weeks. Participants will complete outcome assessments at baseline, post-intervention, and 3 and 6 months post intervention. Outcome measures include depressive symptoms, anxiety symptoms, psychological distress, academic self-efficacy, quality of life, help seeking behaviour, engagement and satisfaction with the intervention.
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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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Dr Louise Farrer
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Address
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63 Eggleston Rd
The Australian National University
Canberra ACT 2601
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Country
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Australia
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Phone
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+61 2 6125 8859
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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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Louise Farrer
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Address
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63 Eggleston Rd
The Australian National University
Canberra ACT 2601
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Country
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Australia
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Phone
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+61 2 6125 8859
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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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Louise Farrer
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Address
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63 Eggleston Rd
The Australian National University
Canberra ACT 2601
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Country
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Australia
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Phone
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+61 2 6125 8859
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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)?
Yes
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What data in particular will be shared?
De-identified individual participant data underlying published results
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When will data be available (start and end dates)?
For 5 years following publication of research outputs
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Available to whom?
Case by case basis at the discretion of the primary sponsor
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Available for what types of analyses?
IPD meta-analyses and other purposes at the discretion of the primary sponsor
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How or where can data be obtained?
Access subject to approval by Principal Investigator (
[email protected]
)
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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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