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Trial registered on ANZCTR
Registration number
ACTRN12609000940279
Ethics application status
Approved
Date submitted
16/10/2009
Date registered
3/11/2009
Date last updated
15/12/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Promoting emotional health among children
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Scientific title
An early intervention for mental health problems among children: Comparisons, Openess, Peers and Esteem
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Secondary ID [1]
288167
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Nil Known
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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 in children
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Anxiety in children
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Condition category
Condition code
Mental Health
252213
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0
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Depression
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Mental Health
252214
252214
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0
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Anxiety
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The quasi-experimental intervention is designed to build resilience and equip children with the skills and strategies to use social comparisons in a positive and balanced way. The intervention will involve training children to appreciate individual differences and identify strengths in themselves and others. Children will also receive training in cognitive and behavioural strategies to lessen the impact of any negative comparisons, challenge negative beliefs about the self, and ensure they do not rely solely on the use of social comparisons to develop their self-esteem. The intervention will be adminstered to children in groups of 20 to 25 by a trained facilitator. There will be one hour weekly session for a total of 8 weeks.
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Intervention code [1]
241422
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Prevention
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Intervention code [2]
241437
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Treatment: Other
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Comparator / control treatment
The control group will not receive the intervention. They will participate in their classes as usual. However, they will be assessed on all the outcome measures as per the intervention group.
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Control group
Active
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Outcomes
Primary outcome [1]
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Depressive symptoms will be assessed using a validated self-report measure: the Children's Depression Inventory
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Assessment method [1]
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Timepoint [1]
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Pre, and immediately post, 1 month, 6 months and 12 months post intervention
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Secondary outcome [1]
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Anxiety symptoms will be assessed using a validated self-report measure: Revised Children's Manifest Anxiety Scale
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Assessment method [1]
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Timepoint [1]
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Pre, and immediately post, 1 month, 6 months and 12 months post intervention
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Secondary outcome [2]
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Self-concepts will be assessed using a validated self-report measure: Self-Description Questionnaire
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Assessment method [2]
257937
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Timepoint [2]
257937
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Pre, and immediately post, 1 month, 6 months and 12 months post intervention
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Eligibility
Key inclusion criteria
All children from participating schools in grade 3 and 4 who have parental consent
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Minimum age
8
Years
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Maximum age
11
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
Only children who do not have parental consent
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Study design
Purpose of the study
Prevention
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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)
Schools have been randomly allocated in pairs by tossing a coin to the intervention or control groups. Allocation to the two groups was not concealed.
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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
Parallel
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Other design features
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Phase
Not Applicable
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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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Date of first participant enrolment
Anticipated
30/04/2009
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Actual
30/04/2009
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Date of last participant enrolment
Anticipated
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Actual
30/08/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
600
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Accrual to date
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Final
636
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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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PO Box NSW 2150
Paramatta NSW 2124
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Country [1]
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Australian Rotary Health Research Fund
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Address
PO Box NSW 2150
Paramatta NSW 2124
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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]
251236
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Other collaborator category [1]
911
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Individual
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Name [1]
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Marita McCabe
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Address [1]
911
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School of Psychology
Deakin University
Burwood Highway
Burwood VIC 3125
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Country [1]
911
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Australia
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Other collaborator category [2]
912
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Individual
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Name [2]
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Helen Skouteris
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Address [2]
912
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School of Psychology
Deakin University
Burwood Highway
Burwood VIC 3125
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Country [2]
912
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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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Deakin University
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Ethics committee address [1]
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School of Psychology Deakin University Burwood Highway Burwood VIC 3125
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Ethics committee country [1]
244008
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Australia
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Date submitted for ethics approval [1]
244008
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Approval date [1]
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15/12/2008
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Ethics approval number [1]
244008
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CE207-2008
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Summary
Brief summary
The aim of the current study is to implement the early intervention program, COPE (Comparisons, Openness, Peers and Esteem), designed to build resilience and improve factors related to mental health problems among primary school children. It focuses on children aged between 8 and 10 years, as this is a crucial time to implement early intervention strategies to enhance children’s abilities to cope with psychosocial stressors and foster the development of positive mental health and well-being. This is also the age when children begin to frequently use social comparisons and are most vulnerable to the negative impact of these comparisons. Social comparisons are frequently used by children to learn about their own abilities and individual differences. As these social comparisons are an integral component of children’s social and emotional development, they can not be eliminated. However, for many children, an over reliance on social comparisons can lead to maladaptive coping skills, negative thought processes, pessimistic attributions, low self-esteem, and other negative beliefs about the self; all of which are known to be factors that heighten the risk of developing mental health problems. We have developed and trialled our program, COPE, which will build children’s resilience and equip children with strategies to identify, appraise and modify the use of social comparisons in ways that strengthen their self-esteem and other self-concepts, and thus reduce the risk of developing mental health problems. COPE specifically targets the use of social comparisons in four domains that are particularly salient and important for fostering the well-being of children. These include physical appearance, relationships with peers, physical activity and sport, and school achievement. For the current project we will conduct a more extensive evaluation of the COPE program, with a particular focus on how it improves the mental health of 8 to 10 year old girls and boys. It is expected that children who participate in the COPE program will demonstrate increased positive affect, lower levels of negative affect, lower depressive and anxiety symptoms, higher levels of resiliency, and more positive self-concepts than a wait-list control group. The effectiveness of COPE will be evaluated at the completion of the program and also at five follow-up periods: 1-month, 6-months, 12-months, 18-months and 24-months post-intervention.
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Trial website
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Trial related presentations / publications
1. Prytula, E & Ricciardelli, LA (2014). School-based prevention and early-intervention of anxiety and depression in children.Paper presented at the International Congress of Applied Psychology, Paris, July 9-13. 2. Prytula, E (2015) Thesis entitled: School-Based Prevention of Anxiety and Depressive Symptoms in Children. Doctor of Psychology (Clinical), School of Psychology 3. Paper submitted for publication: School-based program for anxiety and depression targeting children’s use of social comparisons (available from lina@deakin.edu.au) 4. Paper in preparation: Evaluation of an Early Intervention Program for Mental Health Problems Among Children Using Growth Mixture Modelling (available from lina@deakin.edu.au)
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Public notes
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Contacts
Principal investigator
Name
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Prof Lina Ricciardelli
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Address
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School of Psychology
Deakin University
Burwood 3125 Australia
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Country
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Australia
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Phone
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61 3 92446866
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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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Lina Ricciardelli
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Address
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School of Psychology
Deakin University
Burwood Highway
Burwood VIC 3125
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Country
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Australia
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Phone
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61 3 92446866
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Fax
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61 3 92446858
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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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Lina Ricciardelli
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Address
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School of Psychology
Deakin University
Burwood Highway
Burwood VIC 3125
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Country
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Australia
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Phone
4569
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61 3 92446866
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Fax
4569
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61 3 92446858
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Email
4569
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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
No additional documents have been identified.
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