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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03197974
Registration number
NCT03197974
Ethics application status
Date submitted
21/06/2017
Date registered
23/06/2017
Titles & IDs
Public title
RCT of a Web-based Intervention to Improve Quality of Life in Late Stage Bipolar Disorder (ORBIT)
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Scientific title
Web-based Intervention With Email Support to Improve Quality of Life in Late Stage Bipolar Disorder (ORBIT): Randomised Controlled Trial
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Secondary ID [1]
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APP1102097
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Secondary ID [2]
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ORBIT
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Universal Trial Number (UTN)
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Trial acronym
ORBIT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Bipolar Disorder, Currently in Remission
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Condition category
Condition code
Mental Health
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Other mental health disorders
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Mental Health
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
BEHAVIORAL - Mindfulness for Bipolar
BEHAVIORAL - Psychoeducation for Bipolar
Other: Mindfulness for Bipolar - Introduction to, and training in the skills of mindfulness, self-compassion, and values-oriented action, and how these can be applied to managing symptoms of bipolar disorder.
Other: Psychoeducation for Bipolar - Information about bipolar disorder and the patient's role in managing the condition, including identifying triggers, and responding to early warning signs of episodes, and developing a healthy lifestyle
BEHAVIORAL: Mindfulness for Bipolar
Brief online self-management program with email coaching support
BEHAVIORAL: Psychoeducation for Bipolar
Brief online self-management program with email coaching support
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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 Brief QoL.BD
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Assessment method [1]
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Self-report measure to assess quality of life.
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Timepoint [1]
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Baseline, immediately post-intervention (post the 5 week active phase), 3 and 6 months.
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Secondary outcome [1]
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Change in Montgomery-Asberg Depression Scale (MADRS)
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Assessment method [1]
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A clinician-rated scale to assess depression symptoms.
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Timepoint [1]
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Baseline, immediately post-intervention (post the 5 week active phase), 3 and 6 months.
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Secondary outcome [2]
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Change in Young Mania Rating Scale (YMRS)
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Assessment method [2]
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A clinician-rated scale to assess manic symptoms.
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Timepoint [2]
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Baseline, immediately post-intervention (post the 5 week active phase), 3 and 6 months.
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Secondary outcome [3]
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Change in Quick Inventory of Depressive Symptomatology-Self-Report (QIDS-SR)
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Assessment method [3]
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A self-report measure of depression.
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Timepoint [3]
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Baseline, immediately post-intervention (post the 5 week active phase), 3 and 6 months.
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Secondary outcome [4]
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Change in Depression Anxiety Stress Scale (DASS-21, Anxiety and Stress Scales only)
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Assessment method [4]
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A self-report measure of anxiety and stress symptoms.
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Timepoint [4]
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Baseline, immediately post-intervention (post the 5 week active phase), 3 and 6 months.
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Secondary outcome [5]
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Change in Functional Assessment Staging Test (FAST)
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Assessment method [5]
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A clinician-rated scale to assess functioning across 6 different domains.
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Timepoint [5]
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Baseline, immediately post-intervention (post the 5 week active phase), 3 and 6 months.
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Secondary outcome [6]
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Change in Pittsburgh Sleep Quality Index (PSQI)
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Assessment method [6]
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A self-report measure of sleep quality.
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Timepoint [6]
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Baseline, immediately post-intervention (post the 5 week active phase), 3 and 6 months.
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Secondary outcome [7]
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Change in Sleep, Circadian Rhythms and Mood questionnaire (SCRAM)
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Assessment method [7]
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A self-report measure to assess overlap between sleep, circadian rhythms and mood.
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Timepoint [7]
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Baseline, immediately post-intervention (post the 5 week active phase), 3 and 6 months.
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Secondary outcome [8]
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Occurrence of intervention-related relapse
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Assessment method [8]
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Using the Time to Intervention for Mood Episode (TIME) and a modified version of the MINI International Neuropsychiatric Interview (MINI) to determine treatment-related relapse events.
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Timepoint [8]
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Immediately post-intervention (post the 5 week active phase), 3 and 6 months.
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Eligibility
Key inclusion criteria
To ensure ready translation, minimally restrictive inclusion and exclusion criteria will be set.
* diagnosis of BD from a mental health professional
* diagnosis of BD (BD I, BD II or Other Specified Bipolar and Related Disorder) confirmed by semi-structured interview using DSM-5 (Diagnostic and statistical manual of mental disorders-5) criteria, excluding criteria that mania/hypomania require abnormalities of activity/energy.
* must have experienced 10 or more episodes of mania, hypomania or depression
* must be under the care of and able to provide phone/mail contact details for a nominated medical practitioner
* must have local access to emergency services
* must have sufficient understanding of written and spoken English
* must have ready daily access to the internet and adequate internet literacy
* aged between 18 - 65 years
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Minimum age
18
Years
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Maximum age
65
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
Exclusion criteria:
* currently experiencing an episode of depression or hypo/mania
* currently psychotic or actively suicidal
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Study design
Purpose of the study
Other
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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
The people assessing the outcomes
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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
14/09/2017
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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
29/05/2019
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Sample size
Target
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Accrual to date
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Final
302
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Swinburne University of Technology - Hawthorn
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Recruitment postcode(s) [1]
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3122 - Hawthorn
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Funding & Sponsors
Primary sponsor type
Other
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Name
Swinburne University of Technology
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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University of British Columbia
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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National Health and Medical Research Council, Australia
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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University of California, Berkeley
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Address [3]
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Country [3]
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Other collaborator category [4]
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Other
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Name [4]
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Lancaster University
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Address [4]
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Country [4]
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Other collaborator category [5]
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Other
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Name [5]
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Deakin University
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Address [5]
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Country [5]
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Other collaborator category [6]
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Other
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Name [6]
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Australian National University
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Address [6]
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Country [6]
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Ethics approval
Ethics application status
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Summary
Brief summary
The aim of this study is to improve outcomes in people with bipolar disorder (BD) by comparing two new online interventions specifically designed to improve quality of life amongst people who have had multiple (10 or more) episodes of BD.
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Trial website
https://clinicaltrials.gov/study/NCT03197974
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Trial related presentations / publications
Fletcher K, Foley F, Thomas N, Michalak E, Berk L, Berk M, Bowe S, Cotton S, Engel L, Johnson SL, Jones S, Kyrios M, Lapsley S, Mihalopoulos C, Perich T, Murray G. Web-based intervention to improve quality of life in late stage bipolar disorder (ORBIT): randomised controlled trial protocol. BMC Psychiatry. 2018 Jul 13;18(1):221. doi: 10.1186/s12888-018-1805-9.
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Public notes
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Contacts
Principal investigator
Name
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Greg Murray
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Address
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Swinburne University of Technology
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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)?
Undecided
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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/NCT03197974