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Trial registered on ANZCTR
Registration number
ACTRN12623000943640
Ethics application status
Approved
Date submitted
26/06/2023
Date registered
1/09/2023
Date last updated
1/09/2023
Date data sharing statement initially provided
1/09/2023
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effectiveness of Sharper Minds: A Digital Mental Health Prevention Package for University Students Targeting Multiple Health Behaviours
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Scientific title
Effectiveness of Sharper Minds: A Digital Mental Health Prevention Package for University Students Targeting Multiple Health Behaviours
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Secondary ID [1]
309981
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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
This is the parent study with several sub-studies:
ACTRN12622001432707 Fit 4 Study: Creating healthy habits through physical activity and exercise for University Students;
ACTRN12622000819729 Tuned In University Students: An emotion regulation program using music listening
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Health condition
Health condition(s) or problem(s) studied:
Anxiety
330476
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Depression
330477
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Somatic symptoms
330478
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Condition category
Condition code
Mental Health
327327
327327
0
0
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Anxiety
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Mental Health
327328
327328
0
0
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Depression
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Mental Health
327329
327329
0
0
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Other mental health disorders
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Mental Health
327330
327330
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0
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Studies of normal psychology, cognitive function and behaviour
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The Sharper Minds package aims to prevent mental health problems from developing in undergraduate students and it was co-designed by students, researchers, and health professionals at the University of Queensland. The co-design phase involved 3 focus groups with the students (16/10/2020; 27/10/20; 25/01/21), 3 with the UQ healthcare (09/09/20; 18/11/20; 5/01/21) and 1 with the Learning Systems Advisory Panel (29/10/2020). Areas of discussion included how best to engage students with the Sharper Minds project, ideas for the eTool interface, design, functions, frequency of tracking, SMS support, as well as suggestions on incentives for tracking and attending group courses. Our student advisory team was comprised of a diverse group of students aged between 18 to 33 (including international students and domestic students from various faculties). The package was designed to address students' knowledge and use of strategies across six domains: study, physical activity, healthy eating, social connection, emotion regulation, and sleep. There is a website with information, tip sheets and short videos on strategies to address the six domains in everyday life which students can access at their discretion, once or multiple times during semester. There is a weekly self-monitoring eTool that asks students how they are going that week in each of the six domains (each rated on a single item 7-point scale with emoji faces from very positive to very negative) and gives personalised feedback about the students' progress across semester. Students sign up for this via the website and then receive a link once a week by email that they can click on and complete the eTool. There are also short courses teaching skills and strategies to support university students’ mental health across the six domains (students can opt in to one course per semester). Each short course was developed by researchers from the University with relevant expertise on the target behaviour. Courses consist of 4 -5 sessions (weekly sessions of 45-60 mins), delivered online (synchronously) or in-person (participants have a choice of delivery mode) by trained postgraduate students to small groups of around 6 undergraduate students. Workbooks and online materials are provided to supplement what the students are learning during the group discussions. Workbooks were developed specifically for this Sharper Minds package, although some were adapted from existing programs (i.e., Tuned In University Students was adapted from the original Tuned In program by Dingle & Fay, 2017; Dingle et al., 2015;, the Groups 4 Education program was adapted from the Groups 4 Health program by Haslam et al., 2016; 2019; and the GRUNT program was adapted from the Grit Wellbeing program by Quinn, Walter, de Andrade, Dingle, Haslam & Hides, 2022.
The total duration of the package is 12 weeks (the duration of each academic semester), however, rolling recruitment means that students can start at various times in semester, and the interval between pre- and post-surveys varies from 6 to 10 weeks. Participants' access to the various aspects of the Sharper Minds package will be assessed by asking students which components of the package they engaged with in the post-survey as well as data collected on their entries in the weekly eTool, and attendance at the short courses.
In this level 1 trial, we aim to compare effectiveness of the package between students who opt to use one intervention (either min 6 entries on the weekly self-monitoring eTool or completion of one group course) with students who opt to use two intervention components (min 6 entries on the weekly eTool and completion of a group course simultaneously), both in comparison to a no intervention control condition (pre- and post-surveys only).
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Intervention code [1]
326402
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Prevention
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Intervention code [2]
326787
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Treatment: Other
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Comparator / control treatment
Convenience sample drawn from the same population of university undergraduate students, who opt to complete pre- and post-surveys only but do not engage with the intervention components.
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Control group
Active
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Outcomes
Primary outcome [1]
335196
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% positive on the PsyCheck mental health screener (i.e., scores >5 out of 20)
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Assessment method [1]
335196
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Timepoint [1]
335196
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Baseline (upon commencement), and post-survey (Week 8 - 12 of semester). Post-survey occurs an average of 6 weeks after baseline.
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Primary outcome [2]
335199
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Depression symptoms (sum of 4 items from the PsyCheck)
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Assessment method [2]
335199
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Timepoint [2]
335199
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Baseline (upon commencement), and post-survey (Week 8 - 12 of semester). Post-survey occurs an average of 6 weeks after baseline.
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Primary outcome [3]
335200
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Anxiety symptoms (sum of 4 items from the PsyCheck)
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Assessment method [3]
335200
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Timepoint [3]
335200
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Baseline (upon commencement), and post-survey (Week 8 - 12 of semester). Post-survey occurs an average of 6 weeks after baseline.
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Secondary outcome [1]
423430
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Somatic symptoms (sum of 4 items from the PsyCheck)
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Assessment method [1]
423430
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Timepoint [1]
423430
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Baseline (upon commencement), and post-survey (Week 8 - 12 of semester). Post-survey occurs an average of 6 weeks after baseline.
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Secondary outcome [2]
423431
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Wellbeing (Short Warwick Edinburgh Mental Wellbeing Scale scores)
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Assessment method [2]
423431
0
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Timepoint [2]
423431
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Baseline (upon commencement), and post-survey (Week 8 - 12 of semester). Post-survey occurs an average of 6 weeks after baseline.
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Secondary outcome [3]
423432
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Academic motivation (sum of 4 purpose written items)
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Assessment method [3]
423432
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Timepoint [3]
423432
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Baseline (upon commencement), and post-survey (Week 8 - 12 of semester). Post-survey occurs an average of 6 weeks after baseline.
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Secondary outcome [4]
423433
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Semester grade point average (average of grades out of 7 for all courses completed that semester) will be collected via data linkage to academic records.
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Assessment method [4]
423433
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Timepoint [4]
423433
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End of semester
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Secondary outcome [5]
423434
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% students who rate agree or strongly agree to purpose written items in the baseline and post-surveys about current use of sleeping well to support their mental health
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Assessment method [5]
423434
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Timepoint [5]
423434
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At conclusion of the study
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Secondary outcome [6]
425499
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% students who rate agree or strongly agree to purpose written items in the baseline and post-surveys about current use of healthy eating to support their mental health
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Assessment method [6]
425499
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Timepoint [6]
425499
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At the conclusion of the study
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Secondary outcome [7]
425500
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% students who rate agree or strongly agree to purpose written items in the baseline and post-surveys about currently using social connections to support their mental health
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Assessment method [7]
425500
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Timepoint [7]
425500
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At the conclusion of the study
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Secondary outcome [8]
425501
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% students who rate agree or strongly agree to purpose written items in the baseline and post-surveys about currently engaging in physical activity to support their mental health
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Assessment method [8]
425501
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Timepoint [8]
425501
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At the conclusion of the study
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Secondary outcome [9]
425502
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% students who rate agree or strongly agree to purpose written items in the baseline and post-surveys about listening to music to support their mental health
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Assessment method [9]
425502
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Timepoint [9]
425502
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At the conclusion of the study
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Secondary outcome [10]
425503
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% students who rate agree or strongly agree to purpose written items in the baseline and post-surveys about currently using mood regulation strategies to support their mental health
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Assessment method [10]
425503
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Timepoint [10]
425503
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At the conclusion of the study
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Eligibility
Key inclusion criteria
This is a university-wide prevention and early intervention program, so there is no screening for eligibility. Any undergraduate student enrolled at the University of Queensland is eligible. They will be of any age, gender, and enrolled as domestic or international students. English proficiency that is sufficient for the student to engage in the group discussions and complete the assessments (with optional support from the researchers).
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Minimum age
17
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?
Yes
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Key exclusion criteria
Students who are seeking treatment for an acute mental health episode (e.g., anxiety disorder, depression, substance use, psychosis). It will be clear in the participant information forms and on the Sharper Minds website that this is a prevention program NOT therapy. Students will be provided with a range of options for more suitable services in person and/or via the Sharper Minds website.
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Study design
Purpose of the study
Prevention
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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)
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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
Factorial
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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
Main statistical analysis will be 3 x 2 analyses of variance, comparing participants in the 3 conditions across 2 time points on the primary and secondary outcomes.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
1/03/2022
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Date of last participant enrolment
Anticipated
15/09/2023
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Actual
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Date of last data collection
Anticipated
27/10/2023
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Actual
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Sample size
Target
390
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Accrual to date
264
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment postcode(s) [1]
40645
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4072 - University Of Queensland
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Funding & Sponsors
Funding source category [1]
314156
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University
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Name [1]
314156
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The University of Queensland (Vice Chancellors strategic funding)
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Address [1]
314156
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Office of the Vice Chancellor
Chancellery Building
The University of Queensland
St Lucia QLD 4072
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Country [1]
314156
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Australia
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Funding source category [2]
314162
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University
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Name [2]
314162
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The University of Queensland (DVC(Academic) Student Support and Activities Fund)
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Address [2]
314162
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Office of the Deputy Vice Chancellor Academic
Chancellery Building
University of QLD
St Lucia QLD 4072
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Country [2]
314162
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Australia
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Funding source category [3]
314165
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Commercial sector/Industry
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Name [3]
314165
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Allianz Care Australia
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Address [3]
314165
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Locked Bag 3004
Toowong QLD 4066
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Country [3]
314165
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Australia
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Primary sponsor type
University
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Name
The University of Queensland
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Address
School of Psychology,
University of QLD
St Lucia QLD 4072
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Country
Australia
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Secondary sponsor category [1]
316081
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None
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Name [1]
316081
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Address [1]
316081
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Country [1]
316081
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
313290
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University of Queensland Human Research Ethics LNR Committee
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Ethics committee address [1]
313290
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Low and Negligible Risk Ethics Committee Faculty of Health and Behavioural Sciences Social Sciences Building The University of QLD St Lucia QLD 4072
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Ethics committee country [1]
313290
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Australia
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Date submitted for ethics approval [1]
313290
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18/02/2021
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Approval date [1]
313290
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16/03/2021
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Ethics approval number [1]
313290
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Summary
Brief summary
Psychological distress is widespread among university students in Australia, and rapid changes to higher education brought on by the pandemic have exacerbated this problem. There is a need for university-wide mental health prevention and early intervention programs that harness existing resources within the university setting. The Sharper Minds package is a mental health package that includes a website, a weekly progress tracker and a range of short group interventions that target behaviours related to students’ mental health (i.e., physical activity, diet, sleep, music listening for study, mood regulation, and social connection). This open trial of Sharper Minds examined engagement, retention, and effectiveness of the package in undergraduate students at the University of Queensland. We predict that students who use the weekly progress tracker and complete a short course will report better mental health and academic outcomes at the end of semester compared to students who only use one component or who don't use any package components.
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Trial website
https://sharperminds.psy.uq.edu.au/
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
127622
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Prof Genevieve Dingle
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Address
127622
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School of PsychologyThe University of QueenslandSt Lucia QLD 4072
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Country
127622
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Australia
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Phone
127622
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+61733657295
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Fax
127622
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Email
127622
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[email protected]
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Contact person for public queries
Name
127623
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Genevieve Dingle
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Address
127623
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School of PsychologyThe University of QueenslandSt Lucia QLD 4072
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Country
127623
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Australia
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Phone
127623
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+61733657295
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Fax
127623
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Email
127623
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[email protected]
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Contact person for scientific queries
Name
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Genevieve Dingle
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Address
127624
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School of PsychologyThe University of QueenslandSt Lucia QLD 4072
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Country
127624
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Australia
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Phone
127624
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+61733657295
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Fax
127624
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Email
127624
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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?
Data used in the analyses of the hypotheses.
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When will data be available (start and end dates)?
Available at conclusion of the study until 5 years following publication of the main findings.
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Available to whom?
Researchers providing a sound reason for accessing the data, e.g., for a meta-analysis.
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Available for what types of analyses?
meta-analysis
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How or where can data be obtained?
By contacting the principal investigator (email:
[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.
Download to PDF