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Trial registered on ANZCTR
Registration number
ACTRN12611000410954
Ethics application status
Approved
Date submitted
19/04/2011
Date registered
20/04/2011
Date last updated
5/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Dignity Therapy: A Psychotherapeutic Intervention to Enhance the End of Life Experience for Persons with Motor Neurone Disease and their Family Carers
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Scientific title
A pilot study to assess the feasibility, acceptability and potential effectiveness of Dignity Therapy for persons with motor neurone disease and their family carers
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Secondary ID [1]
260038
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Nil
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Universal Trial Number (UTN)
U1111-1120-8584
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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:
Motor Neurone Disease
265698
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Amyotrophic Lateral Sclerosis
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Condition category
Condition code
Neurological
265835
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0
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Neurodegenerative diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Dignity Therapy is a brief, individualized psychotherapeutic intervention where people with terminal illness are offered the opportunity to create a generativity document, the Dignity Therapy transcript. In a recorded face-to-face interview guided by a counsellor, the patient is invited to recount aspects of their life they want remembered, find meaning and purpose to their life, and express final words or advice to their family and friends. The interview is transcribed and edited, and a final document is returned to the patient to share with others as they wish. This short-term therapy can be delivered in two to four sessions of 45 minutes to an hour over the course of a week or two, depending on the patient's desires and health status.
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Intervention code [1]
264457
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Treatment: Other
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Comparator / control treatment
Uncontrolled
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Hopefulness in persons with MND, as measured by the Herth Hope Index
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Assessment method [1]
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Timepoint [1]
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One week post treatment
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Primary outcome [2]
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Perceived caregiver burden in MND family carers, as measured by the Zarit Burden Interview
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Assessment method [2]
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Timepoint [2]
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One week post treatment
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Secondary outcome [1]
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Spiritual wellbeing in persons with MND, as measured by the FACIT-sp
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Assessment method [1]
276075
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Timepoint [1]
276075
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One week post treatment
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Secondary outcome [2]
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Patient Dignity in persons with MND, as measured by the Patient Dignity Inventory
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Assessment method [2]
276076
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Timepoint [2]
276076
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One week post treatment
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Secondary outcome [3]
276077
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Hopefulness in MND family carers, as measured by the Herth Hope Index
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Assessment method [3]
276077
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Timepoint [3]
276077
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One week post treatment
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Secondary outcome [4]
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Anxiety and depression in MND family carers, as measured by the Hospital Anxiety and Depression Scale
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Assessment method [4]
276078
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Timepoint [4]
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One week post treatment
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Secondary outcome [5]
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Acceptability of Dignity Therapy to persons with MND and their family carers, as measured by the Dignity Therapy Feedback Questionairre.
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Assessment method [5]
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Timepoint [5]
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One week post treatment
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Eligibility
Key inclusion criteria
Persons diagnosed with MND/ALS able to provide informed consent and communicate in English. Family carers of persons diagnosed with MND who are accepted into the study and able to communicate in 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
Persons unable to communicate in English and/or provide informed consent due to cognitive issues or illness severity
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
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Who is / are masked / blinded?
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Intervention assignment
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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
16/05/2011
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Actual
25/05/2011
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Date of last participant enrolment
Anticipated
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Actual
26/07/2013
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Date of last data collection
Anticipated
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Actual
21/08/2013
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Sample size
Target
50
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Accrual to date
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Final
29
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Australian Research Council
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Address [1]
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GPO Box 2702
CANBERRA
ACT 2601
AUSTRALIA
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Country [1]
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Australia
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Funding source category [2]
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Charities/Societies/Foundations
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Name [2]
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Motor Neurone Disease Association of WA, Inc
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Address [2]
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The Niche
Suite B/11 Aberdare Rd
Nedlands WA 6009
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Country [2]
264927
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Australia
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Primary sponsor type
University
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Name
School of Psychology and Speech Pathology
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Address
GPO Box U1987
Perth WA 6845
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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]
264027
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Country [1]
264027
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Curtin University Human Research Ethics Committee
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Ethics committee address [1]
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c/o Office of Research and Development Curtin University GPO Box 1987U Perth WA 6845
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Ethics committee country [1]
266885
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Australia
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Date submitted for ethics approval [1]
266885
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Approval date [1]
266885
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06/04/2011
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Ethics approval number [1]
266885
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19/2011
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Summary
Brief summary
Dignity Therapy, a brief psychotherapeutic intervention based on empirical research into the concept of dignity at the end of life, has proven successful at increasing hope, sense of meaning and will to live in a palliative care population where most patients had cancer diagnoses (Chochinov, Hack et al. 2005). This study will establish the feasibility and acceptability of offering Dignity Therapy to the MND patient population, and measure associations of the intervention with increased hope, meaning and dignity. It will lay the groundwork for a possible future experimental study. This study will also examine what impact Dignity Therapy has on the MND family carer during the caring experience, specifically looking at whether Dignity Therapy with the patient is associated with an increase in hope or decrease in anxiety, depression and caregiver burden in the family carer. Previous Dignity Therapy studies focused on the intervention’s positive influence on the bereavement experience of family members, but did not look at how the intervention may affect the carer during the caring experience.
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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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Dr Brenda Bentley
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Address
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Murdoch University, School of Health Professions
90 South Street, Murdoch, WA 6150
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Country
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Australia
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Phone
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+61427737712
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Fax
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Email
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b,
[email protected]
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Contact person for public queries
Name
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Brenda Bentley
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Address
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Murdoch University, School of Health Professions, 90 south Street, Murdoch WA 6150
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Country
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Australia
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Phone
15766
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+61427737712
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Fax
15766
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Email
15766
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[email protected]
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Contact person for scientific queries
Name
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Brenda Bentley
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Address
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Murdoch University, School of Health Professions, 90 south Street, Murdoch WA 6150
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Country
6694
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Australia
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Phone
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+61427737712
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Fax
6694
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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
Embase
Is dignity therapy feasible to enhance the end of life experience for people with motor neurone disease and their family carers?.
2012
https://dx.doi.org/10.1186/1472-684X-11-18
Embase
Feasibility, acceptability and potential effectiveness of dignity therapy for family carers of people with motor neurone disease.
2014
https://dx.doi.org/10.1186/1472-684X-13-12
N.B. These documents automatically identified may not have been verified by the study sponsor.
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