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Trial registered on ANZCTR
Registration number
ACTRN12613000217707
Ethics application status
Approved
Date submitted
20/02/2013
Date registered
25/02/2013
Date last updated
25/02/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
A multi-centre randomised controlled trial of cognitive behavioural therapy for managing anxiety in adolescents with acquired brain injury
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Scientific title
A multi-centre randomised controlled trial of cognitive behavioural therapy for managing anxiety in adolescents with acquired brain injury
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Secondary ID [1]
281566
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nil
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Universal Trial Number (UTN)
U1111-1137-1640
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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:
anxiety
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acquired brain injury
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Condition category
Condition code
Mental Health
288197
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0
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Anxiety
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Neurological
288648
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Cognitive behavioural therapy sessions will be conducted over 11 sessions on a weekly basis. Sessions include psychoeducation, gradual exposure, realistic thinking strategies, and other anxiety management activities. Activities are tailored to suit needs of those with brain injury.
The participant will meet one on one with a psychologist. Each session lasts 1 to 1.5 hours.
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Intervention code [1]
286088
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Behaviour
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Comparator / control treatment
Treatment group will be compared to a waitlist control group. Those in the waitlist group will be receiving treatment as usual, which varies from receiving no services to receiving a range of rehabilitation services. In this health context, it is likely that many participants in the waitlist control group will receive limited services for these difficulties. Those in waitlist control group will be offered the program at the completion of the 2 month follow-up assessment.
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Control group
Active
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Outcomes
Primary outcome [1]
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Primary outcome 1: Mean Spence Children's Anxiety Scale score
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Assessment method [1]
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Timepoint [1]
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Baseline, post-intervention, 2 and 6 months follow up.
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Primary outcome [2]
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Primary outcome 2: Screen for child anxiety related disorders
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Assessment method [2]
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Timepoint [2]
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Baseline, post-intervention, 2 and 6 months follow up.
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Primary outcome [3]
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Primary outcome measure 3: Anxiety Disorders Interview Schedule for DSM-IV (ADIS-IV)
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Assessment method [3]
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Timepoint [3]
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Baseline, post-intervention, 2 and 6 months follow up.
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Secondary outcome [1]
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Children’s Depression Inventory
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Assessment method [1]
301205
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Timepoint [1]
301205
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Baseline, post-intervention, 2 and 6 months follow up.
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Secondary outcome [2]
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Child and Adolescent Scale of Participation
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Assessment method [2]
301206
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Timepoint [2]
301206
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Baseline, post-intervention, 2 and 6 months follow up.
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Secondary outcome [3]
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Self-Perception Profile for Adolescents
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Assessment method [3]
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Timepoint [3]
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Baseline, post-intervention, 2 and 6 months follow up.
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Secondary outcome [4]
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Sydney Psychosocial Reintegration Scale for Children
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Assessment method [4]
301208
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Timepoint [4]
301208
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Baseline, post-intervention, 2 and 6 months follow up.
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Secondary outcome [5]
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Stress Index for Parents of Adolescents
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Assessment method [5]
301209
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Timepoint [5]
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Baseline, post-intervention, 2 and 6 months follow up.
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Eligibility
Key inclusion criteria
1. aged 12 to 19 years
2. acquired brain injury
3. clinical levels of anxiety
4. time post onset/injury greater than 6 months
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Minimum age
12
Years
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Maximum age
19
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
1. non-fluency in English
2. IQ less than 70
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Study design
Purpose of the study
Treatment
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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 computer generated series of random numbers will be used to allocate participants to treatment condition. Codes for the group allocation (1=CBT, 2=NoT) will be matched to sequential ID numbers. This master list will be kept a location external to the recruitment site (‘off site’). Each eligible participant will be allocated the next available number. The staff member who is recruiting the participant will email an independent person at the external site requesting group allocation for the participant.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated series of random numbers will be used. This will be done by a member of team not involved in recruitment.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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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
All analyses will be conducted on an intention-to-treat basis where outcome data is available.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
21/04/2011
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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
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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The Royal Childrens Hospital - Parkville
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Recruitment hospital [2]
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The Children's Hospital at Westmead - Westmead
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Recruitment postcode(s) [1]
6292
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3052 - Parkville
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Recruitment postcode(s) [2]
6293
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2145 - Westmead
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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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National Health and Medical Research Council
(NHMRC)
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Address [1]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Murdoch Childrens Research Institute, Royal Children's Hospital
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Address
Flemington Road
Parkville VIC 3052
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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]
285553
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288810
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Royal Children's Hospital Ethics Committee
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Ethics committee address [1]
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Flemington Road Parkville VIC 3052
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
288810
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Approval date [1]
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22/12/2009
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Ethics approval number [1]
288810
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29119
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Ethics committee name [2]
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Children's Hospital at Westmead Ethics Committee
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Ethics committee address [2]
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Cnr Hainsworth and Hawkesbury Road Westmead NSW 2145
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
288811
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Approval date [2]
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29/11/2011
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Ethics approval number [2]
288811
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11/CHW/46
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Summary
Brief summary
We know that after an acquired brain injury (ABI), a number of adolescents experience increased levels of anxiety. So far, very little research has looked at the ways we can help young people with ABI overcome these difficulties and improve the way they are able to get along with others at school, home and in the community. Our aim is to trial a program for managing anxiety for adolescents with ABI. The program incorporates cognitive behaviour therapy which previous research has shown to be helpful for adolescents who do not have brain injury. Components of the program have been especially adapted for young people who may have cognitive difficulties associated with TBI (e.g., memory impairments). This study aims to evaluate this adapted program for managing anxiety in a sample of young people who have had an ABI. The program aims to reduce anxiety and increase levels of participation in everyday activities of young people following ABI. If effective, the program used in this trial will be developed into a manual thereby allowing for applicability of the program in a range of therapeutic settings.
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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 Cheryl Soo
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Address
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Murdoch Childrens Research Institute
Royal Children's Hospital
Flemington Road
Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 9936 6761
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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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Irene Dinatale
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Address
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Murdoch Childrens Research Institute
Royal Children's Hospital
Flemington Road
Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 9936 6630
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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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Cheryl Soo
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Address
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Murdoch Childrens Research Institute
Royal Children's Hospital
Flemington Road
Parkville VIC 3052
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Country
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Australia
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Phone
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+61 3 9936 6761
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Fax
9103
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Email
9103
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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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