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Trial registered on ANZCTR
Registration number
ACTRN12609001032246
Ethics application status
Approved
Date submitted
7/11/2009
Date registered
30/11/2009
Date last updated
14/05/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Online cognitive behaviour therapy for the prevention of postnatal depression in at-risk mothers: a randomised controlled trial
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Scientific title
Online cognitive behaviour therapy (MoodGYM) for the prevention of postnatal depression in at-risk mothers: a randomised controlled trial
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Secondary ID [1]
280448
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Nil
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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:
Postpartum depression
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Perinatal depression
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Postnatal depression
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Condition category
Condition code
Mental Health
252346
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0
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Depression
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Reproductive Health and Childbirth
252347
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0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
MoodGYM is an online, interactive program delivering cognitive behaviour therapy. The program consists of five modules which take between 20 and 40 minutes to complete. However, participants can choose to spend as much or as little time as they which in a given session. Module 1: Feelings. Helps participants identify negative thinking patterns. Module 2: Thoughts. Helps people identify inaccurate and biased ways of thinking. Module 3: Unwarping. Helps participants change their negative and biased habitual thinking patterns. Module 4: De-stressing. Provides participants with stress management and relaxation techniques. Module 5: Relationships. To help participants cope with difficult relationships, and the ending of relationships.
Throughout the program, participants also complete depression and anxiety questionnaires with feedback so they may see their progress. Participants complete one module per week at their own pace. Each module must be completed before participants can go on to the next module.
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Intervention code [1]
241515
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Prevention
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Comparator / control treatment
The HealthWatch website consists of a series of five, weekly emails directing them to online modules containing general wellbeing information.
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Control group
Active
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Outcomes
Primary outcome [1]
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Postnatal distress - Edinburgh Postnatal Depression Scale (EPDS)
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Assessment method [1]
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Timepoint [1]
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Baseline, 6 weeks, 6 months, 12 months following randomisation
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Primary outcome [2]
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Clinical diagnosis (depression). Mini International Neuropsychiatric Interview (MINI)
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Assessment method [2]
253218
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Timepoint [2]
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Baseline, 12 months following randomisation
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Secondary outcome [1]
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Depressive and anxiety symptomatology - Depression, Anxiety and Stress Scale (DASS-21)
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Assessment method [1]
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Timepoint [1]
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Baseline, 6 weeks, 6 months, 12 months following randomisation
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Secondary outcome [2]
262158
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Parenting confidence - Karitane Parenting Confidence Scale (KPCS)
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Assessment method [2]
262158
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Timepoint [2]
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Baseline, 6 weeks, 6 months, 12 months following randomisation
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Eligibility
Key inclusion criteria
Have internet access, have an email address, have a telephone number, have had a live birth, are fluent in English, have an Edinburgh Postnatal Depression Scale score of over 9.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Currently receiving psychological treatment, current depressive disorder, or lifetime bipolar or psychotic disorders - Mini International Neuropsychiatric Interview (MINI)
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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)
A random number sequence will be matched with usernames prior to participant enrolment without the knowledge of the enrolling researcher. Enrolled participants will be allocated usernames enabling the enrolling researcher to remain blind to participant condition.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Participants will be randomised to condition using a computer-generated algorithm that is replicable and validated. The start value for the seed will be determined from the current server time and will be recorded for replication. Randomisation will not be stratified, however a varying block size will be used.
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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
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/06/2012
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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
175
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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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Recruitment postcode(s) [1]
2345
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2605
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
243990
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Primary sponsor type
University
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Name
Centre for Mental Health Research
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Address
Building 63
Eggleston Road
The Australian National University ACT 0200
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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]
251342
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Other collaborator category [1]
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Individual
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Name [1]
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Professor Kathy Griffiths
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Address [1]
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Building 63
Eggleston Road
The Australian National University ACT 0200
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Country [1]
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Australia
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Other collaborator category [2]
943
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Individual
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Name [2]
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Professor Helen Christensen
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Address [2]
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Building 63
Eggleston Road
The Australian National University ACT 0200
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Country [2]
943
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Australia
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Other collaborator category [3]
944
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Individual
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Name [3]
944
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Professor David Ellwood
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Address [3]
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The Australian National University Medical School,
School of Clinical Medicine, The Canberra Hospital, PO Box 11, Woden, ACT 2606
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Country [3]
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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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ACT Health Human Research Ethics Committee
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Ethics committee address [1]
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ACT Health HREC Building 10 Level 6 Canberra Hospital Garran ACT 2605
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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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01/02/2010
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Approval date [1]
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20/04/2012
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Ethics approval number [1]
244095
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ETH.9.11.231
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Summary
Brief summary
The current project is a randomised controlled trial of online cognitive behaviour therapy (MoodGYM) to prevent postnatal depression in at-risk women. To date, there have not been broad scale, cost-effective prevention programs for postnatal depression that have been effective. While the MoodGYM is effective in the wider community, it has never been used in a postnatal population. Although women will need an internet connection to access MoodGYM, major barriers, such as childcare, lack of time, stigma and low clinician availability are all overcome with this intervention. The prevention of postnatal depression in a way that is acceptable to mothers could have the potential to reduce the burden of the most common complication of the perinatal period. Prevention of this illness will result in better outcomes, not just for mothers, but for their infants and families as well.
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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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Bethany Jones
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Address
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Building 63
Eggleston Road
The Australian National University ACT 0200
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Country
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Australia
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Phone
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+61 433 167 919
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Fax
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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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Bethany Jones
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Address
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Building 63
Eggleston Road
The Australian National University ACT 0200
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Country
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Australia
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Phone
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+61 433 167 919
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Fax
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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
No additional documents have been identified.
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