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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03067636
Registration number
NCT03067636
Ethics application status
Date submitted
23/02/2017
Date registered
1/03/2017
Titles & IDs
Public title
Retraining Body and Brain to Conquer Compulsions
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Scientific title
Retraining the Body and Brain to Conquer Compulsions
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Secondary ID [1]
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20160437
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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:
Compulsive Behavior
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Condition category
Condition code
Mental Health
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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
BEHAVIORAL - Physical Exercise
BEHAVIORAL - Stress management training A
BEHAVIORAL - Stress management training B
Active comparator: Physical exercise + stress management activity A - Eight week program of concurrent exercise and stress management training.
Active comparator: Physical exercise + stress management activity B - Eight week program of concurrent exercise and stress management training.
No intervention: Lifestyle as usual - Eight weeks period with no alteration of usual lifestyle.
Participants randomized to this arm are eligible for re-randomisation to one of the active conditions at the conclusion of week eight.
BEHAVIORAL: Physical Exercise
Physical exercise: Amount of time exercising gradually titrated from 90-minutes in week one to 180-minutes in week eight. Intensity titrated concurrently from 40 - 60% VO2 max in week one to 40 - 90% VO2 max in week eight. Eight week gym membership provided to all participants to facilitate engagement in exercise.
BEHAVIORAL: Stress management training A
Stress management training A: Daily stress management training for eight weeks with training activity delivered via app. Session lengths titrated from 10-minutes per day in the first week to 20-minutes per day in week eight.
BEHAVIORAL: Stress management training B
Stress management training B: Daily stress management training for eight weeks with training activity delivered via app. Session lengths titrated from 10-minutes per day in the first week to 20-minutes per day in week eight.
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Intervention code [1]
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BEHAVIORAL
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change in hippocampal integrity
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Assessment method [1]
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Composite score of hippocampal health indices, including volume (structural MRI) and neuronal NAA levels (MRS).
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Timepoint [1]
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Baseline (0 months), post (2 months)
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Secondary outcome [1]
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Change in functional activation during reward processing
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Assessment method [1]
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fMRI Monetary Incentive Delay Task
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Timepoint [1]
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Baseline (0 months), post (2 months)
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Secondary outcome [2]
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Change in cortisol awakening reponse
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Assessment method [2]
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Salivary cortisol
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Timepoint [2]
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Baseline (0 months), post (2 months), follow up (three months)
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Secondary outcome [3]
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Change in affective processing bias
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Assessment method [3]
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BeanFest
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Timepoint [3]
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Baseline (0 months), post (2 months), follow up (three months)
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Secondary outcome [4]
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Change in risky decision making
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Assessment method [4]
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Balloon Analogue Risk Task
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Timepoint [4]
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Baseline (0 months), post (2 months), follow up (three months)
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Secondary outcome [5]
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Change in behavioral compulsivity
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Assessment method [5]
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Transdiagnositc YBOCS
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Timepoint [5]
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Baseline (0 months), post (2 months), follow up (three months)
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Secondary outcome [6]
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Change in psychosocial well being
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Assessment method [6]
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Battery of self-report mental health and well being questionnaires assessing: symptoms of depression and anxiety, experiential avoidance, tolerance of uncertainly, impulsivity, obsession beliefs, well being, self efficacy, quality of life, and quality of inter-personal support.
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Timepoint [6]
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Baseline (0 months), post (2 months), follow up (three months)
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Secondary outcome [7]
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Change in physical fitness
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Assessment method [7]
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VO2 max
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Timepoint [7]
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Baseline (0 months), post (2 months), follow up (three months)
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Eligibility
Key inclusion criteria
* Voluntary and able to provide informed consent,
* Endorse current behavioural compulsiveness in one of the following domains: alcohol consumption, gambling, eating, checking, washing/cleaning, ordering/arranging,
* Severity of compulsivity falls within mild-moderate range on transdiagnostic YBOCS,
* Level of physical activity fell within WHO Global Recommendations on Physical Activity for Health guidelines definitions of 'sedentary/inactive' across the prior three months, and for a minimum of four of the prior six months.
* Ability to adhere to study procedures.
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Minimum age
18
Years
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Maximum age
40
Years
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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
* Lifetime history of DSM-5 defined psychotic illness, severe substance use disorder, severe gambling disorder, binge eating disorder, bulimia nervosa,
* Current major depressive episode or anxiety disorder,
* History of neurological illness or moderate - severe brain injury,
* Have a major unstable medical illness or a chronic pain condition,
* Have a history of cardiovascular disease or musculoskeletal injury or disease that would preclude safe engagement in VO2 max testing or regular physical exercise,
* Lifetime diagnosis of learning difficulty, ADHD, other condition involving cognitive impairment as a primary feature,
* Severe claustrophobia, metallic implant within the body or other contraindication to MRI scanning,
* Shift work employment schedule within the prior 6-months,
* Endocrine disorder, adrenal dysfunction, autoimmune disorder, or other condition known to have a direct effect on the HPA axis,
* Psychoactive or glucocorticoid medications within the past month,
* Currently pregnant or lactating.
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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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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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
20/12/2021
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Sample size
Target
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Accrual to date
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Final
69
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Monash University, Brain and Mental Health Lab - Melbourne
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Recruitment postcode(s) [1]
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3800 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Monash University
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Following the realisation that many aspects of the way we live our life, such as our diet, activity levels, and amount of screen time, can have a potent impact on mental health and brain functioning 'lifestyle' based interventions have become topical in medical research. In particular, much scientific attention has been devoted to the impact of physical exercise and various stress reduction techniques on mood disorders. We aim to extend this work and investigate their impact on compulsivity. We will do this by conducting a pilot proof-of-principal intervention study. The study will compare the impact of eight-weeks of: 1. regular physical exercise + stress management activity A, 2. regular physical exercise + stress management activity B, 3. lifestyle as usual. The participant cohort will be adults who endorse mild-moderate behavioural compulsivity on one of the following domains: * drinking alcohol * gambling * eating * washing or cleaning * checking * ordering or arranging objects
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Trial website
https://clinicaltrials.gov/study/NCT03067636
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03067636