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Trial registered on ANZCTR
Registration number
ACTRN12608000411347
Ethics application status
Approved
Date submitted
4/07/2007
Date registered
22/08/2008
Date last updated
3/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Using the web to improve knowledge and self-management of Bipolar Disorder: A randomised controlled trial
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Scientific title
Using a web-based psycho-education program to improve knowledge and self-management of Bipolar Disorder: A randomised controlled trial
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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:
Newly diagnosed (within six months) Bipolar Disorder (BD).
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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
There are Three different conditions in this study: two treatment and one minimal attention (control). All conditions involve web-based information/education, delivered over 8 consecutive weeks, about BD.
(1) BEP: This is the basic online Bipolar Education Program (BEP). The BEP consists of 8 web-based modules, which participants receive one per week, covering information about diagnosis, causes, treatments, management of BD as well as testimonies from well-known people with BD. Participants complete and submit workbook tasks related to each of the modules.
(2) BEP+ Enhanced Informed Support: This condition consists of the online BEP described above as well as receiving weekly email support from an informed support person. The “Informed Supporter” is someone who is successfully managing their BD and trained to provide email support to participants. In addition the "informed supporter" will help to develop and implement a ‘Stay-Well Plan”. A “Stay Well Plan” consists of strategies to help people manage their BD.
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Intervention code [1]
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Other interventions
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Comparator / control treatment
(3) Control: This condition is a minimal attention condition with 8 weekly emails containing attachments of information relating BD.
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Control group
Active
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Outcomes
Primary outcome [1]
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Mean understanding and self-control of Bipolar Disorder (Brief Illness Perception Questionnaire).
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Assessment method [1]
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Timepoint [1]
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Baseline, post-intervention, 3 and 6 months after intervention
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Secondary outcome [1]
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Mean work and social adjustment (Work and Social Adjustment Scale)
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Assessment method [1]
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Timepoint [1]
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baseline, post-intervention, 3 and 6 months after intervention
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Secondary outcome [2]
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Mood and functional impairment (Mood and Functioning Chart)
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Assessment method [2]
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Timepoint [2]
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baseline, post-intervention, 3 and 6 months after intervention
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Secondary outcome [3]
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Mean anxiety and depression scores (Goldberg Anxiety and Depression Questionnaire)
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Assessment method [3]
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Timepoint [3]
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baseline, post-intervention, 3 and 6 months after intervention
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Secondary outcome [4]
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Mean bipolar disorder literacy (A specifically-designed instrument has been developed for this study consisting of 32 questions and measuring participants? knowledge of the causes, diagnosis and treatments of bipolar disorder, as well as how to develop a wellbeing plan. Higher scores represent greater bipolar literacy.)
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Assessment method [4]
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Timepoint [4]
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baseline, post-intervention, 3 and 6 months after intervention
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Secondary outcome [5]
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Mean self-esteem (Rosenberg Self Esteem Inventory)
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Assessment method [5]
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Timepoint [5]
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baseline, post-intervention, 3 and 6 months after intervention
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Secondary outcome [6]
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Mean health locus of control (Multi-dimensional Health Locus of Control Scale)
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Assessment method [6]
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Timepoint [6]
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baseline, post-intervention, 3 and 6 months after intervention
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Secondary outcome [7]
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Mean satisfaction with life (Satisfaction with Life Scale)
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Assessment method [7]
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Timepoint [7]
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baseline, post-intervention, 3 and 6 months after intervention
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Eligibility
Key inclusion criteria
Received diagnosis of Bipolar Disorder from a General Practitioner or Psychiatrist within last twelve months.Has a managing health professional who takes responsibility for the treatment of their bipolar disorder and whom they see regularly. Has access to internet, email and printer, and is computer-literate.Living in Australia.Able to read and write English.
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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
under 18 years of age
Was diagnosed with Bipolar disorder more than 12months ago
Does not have a managing health professional
Does not have access to the internet
Does not live in Australia
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Study design
Purpose of the study
Educational / counselling / training
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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)
Two staff members not involved in the study hold the random allocation schedule and they randomly allocate consenting participants (by ID) to one of the three conditions, after which they inform the research staff.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerised sequence generation (ie simple randomization into 3 groups using an excel macro).
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Masking / blinding
Blinded (masking 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
Recruiting
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Date of first participant enrolment
Anticipated
12/04/2007
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Actual
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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
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Sample size
Target
300
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Australian Rotary Health Research Fund
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Address [1]
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Australian Rotary Health Research Fund
P.O. Box 3455
Parramatta,
NSW, 2150
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Country [1]
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Australia
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Funding source category [2]
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Government body
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Name [2]
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National Health and Medical Research Council
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Address [2]
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GPO Box 1421 Canberra ACT 2601
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
Dr Judy Proudfoot, Black Dog Institute, University of NSW
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Address
Black Dog Institute and University of New South Wales
Hospital Rd
Prince of Wales Hospital
Randwick
NSW, 2031
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Human Research Ethics Committee, University of New South Wales
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Ethics committee address [1]
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University of UNSW, HREC Rupert Myers Building, C/o Research Office/Ethics, Gate 14, Barker Street, Kensington, NSW, 2033
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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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Approval date [1]
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25/10/2006
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Ethics approval number [1]
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06253
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Summary
Brief summary
Aim: to determine whether the web-based Bipolar Education Program (BEP) improves understanding and control of bipolar disorder, as well as mood, functioning and psycho-social adjustment in adults with newly diagnosed with bipolar disorder, in comparison with a minimal online education control condition. Two versions of the bipolar education program will be evaluated:(a)on its own and (b)with email support from an informed supporter who will also provide structured assistance to implement a ‘stay-well’ self-management plan. Informed supporters are people with bipolar disorder who are effectively self-managing their condition and who will be trained to provide online support for the education program under supervision of our clinical team. Hypotheses: At post-intervention and follow-up (3 and 6 months post-intervention): 1. Participants who receive the Bipolar Education Program (BEP) will have greater understanding of bipolar disorder, report greater control and self-management of their condition, and experience a better illness trajectory (fewer depressive and manic/hypomanic episodes, symptoms and impairment, fewer hospitalizations) and better psycho-social functioning than the attention control group. 2. Participants who receive the full BEP package (BEP + email support from an informed supporter with assistance to develop and implement a ‘stay well’ plan) will have greater understanding of bipolar disorder, report greater control and self-management of their condition, and experience a better illness trajectory (fewer depressive and manic/hypomanic episodes, symptoms and impairment, fewer hospitalizations) and better psycho-social functioning than people receiving the BEP alone or the attention control condition. 3. People receiving the full BEP package will report greater satisfaction with the intervention than those in the other BEP conditions and in the attention control condition. 4. The health service costs associated with hospitalizations and visits to health practitioners will be significantly different between the groups.
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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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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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Dr Judy Proudfoot
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Address
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Black Dog Institute & University of NSW
Hospital Road
Randwick NSW 2031
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Country
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Australia
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Phone
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+61 2 93823767
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Fax
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+61 2 93828207
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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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Dr Judy Proudfoot
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Address
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Black Dog Institute & University of NSW
Hospital Road
Randwick NSW 2031
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Country
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Australia
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Phone
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+61 2 93823767
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Fax
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+61 2 93828207
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Email
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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
Source
Title
Year of Publication
DOI
Dimensions AI
Mechanisms underpinning effective peer support: a qualitative analysis of interactions between expert peers and patients newly-diagnosed with bipolar disorder
2012
https://doi.org/10.1186/1471-244x-12-196
N.B. These documents automatically identified may not have been verified by the study sponsor.
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