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Trial registered on ANZCTR
Registration number
ACTRN12613000041752
Ethics application status
Approved
Date submitted
13/12/2012
Date registered
14/01/2013
Date last updated
7/08/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Randomised controlled trial of a brief mental health intervention for mild mental health syndromes in primary care
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Scientific title
Cluster RCT of the impact on distress and functioning of an ultra brief guided self help intervention for common mental health syndromes in primary care compared to treatment as usual
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Secondary ID [1]
281670
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Nil
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Universal Trial Number (UTN)
Nil
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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:
Common mild mental health syndromes
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Condition category
Condition code
Mental Health
288341
288341
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0
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Depression
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Mental Health
288447
288447
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0
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Anxiety
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Mental Health
288448
288448
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0
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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
3 brief guided self help sessions (one hour total: one 30 minute & 2 fiften minute sessions) provided by GP in primary care setting, over a 5 week period, using cognitive behaviour therapy based treatment manual and self help booklets
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Intervention code [1]
286205
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Behaviour
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Intervention code [2]
286206
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Treatment: Other
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Comparator / control treatment
Practice as usual
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Control group
Active
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Outcomes
Primary outcome [1]
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K10 scores to assess psychological distress
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Assessment method [1]
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Timepoint [1]
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Start and end of treatment
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Secondary outcome [1]
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Hosital Anxiety and Depression Scale
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Assessment method [1]
300347
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Timepoint [1]
300347
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Start and end of treatment
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Secondary outcome [2]
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Work and Social Adjustment Scale to assess functioning
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Assessment method [2]
300600
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Timepoint [2]
300600
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Start and end of treatment
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Secondary outcome [3]
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EQ5D-3L to assess quality of life
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Assessment method [3]
306833
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Timepoint [3]
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Start and end of treatment
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Eligibility
Key inclusion criteria
K-10 scores 35 or below, Age 18-65, no significant cognitive impairment, able to communicate in english, not suicidal in past 2 weeks
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Minimum age
18
Years
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Maximum age
65
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
Significant cognitive impairment, suicidal ideation in the past 2 weeks, unable to communicate in english
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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)
Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Subjects will be recruited by their treating GP.
Participating GP practices will be randomised by practice into treatment arm and practice as usual.A sequence of random allocations (of the GP practices, rather than individual patients) will be generated using a random number in a statistical package (SAS). An initial allocation list will be produced for all participating practices, with half assisnged to intervention and half assigned to control. Initial ranomisation will be stratified by GP practice size. Any subsequent recruitment of more GP practices will be randomised in a similar fashion in blocks of four practices
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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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
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data analysis is complete
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
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Date of first participant enrolment
Anticipated
15/02/2013
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Actual
1/05/2013
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Date of last participant enrolment
Anticipated
31/01/2015
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Actual
1/07/2016
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Date of last data collection
Anticipated
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Actual
1/01/2017
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Sample size
Target
240
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Accrual to date
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Final
189
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Wellington
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Otago
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Address [1]
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PO Box 56
Dunedin 9054
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Country [1]
286462
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New Zealand
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Funding source category [2]
286463
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Other
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Name [2]
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Compass Primary Health Organisation
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Address [2]
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PO Box 27 380 Marion Square, Wellington
6141, New Zealand
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Country [2]
286463
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New Zealand
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Funding source category [3]
288983
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Charities/Societies/Foundations
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Name [3]
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Wellington Medical Research Foundation
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Address [3]
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PO Box 51211 Tawa Wellington 5429
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Country [3]
288983
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New Zealand
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Funding source category [4]
288984
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Charities/Societies/Foundations
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Name [4]
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Oakley Mental Health Research Foundation
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Address [4]
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PO Box 68323 Newton Auckland 1145
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Country [4]
288984
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New Zealand
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Primary sponsor type
University
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Name
University of Otago, Wellington
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Address
PO Box 7343, Wellington 6242
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Country
New Zealand
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Secondary sponsor category [1]
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Other
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Name [1]
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Compass Health, Primary Health Organisation
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Address [1]
285251
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PO Box 27 380 Marion Square, Wellington
6141, New Zealand
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Country [1]
285251
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288539
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Northern B Health and Disability Ethics Committee
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Ethics committee address [1]
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Ministry of Health, PO Box 5013, Wellington 6011
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Ethics committee country [1]
288539
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New Zealand
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Date submitted for ethics approval [1]
288539
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Approval date [1]
288539
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21/11/2012
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Ethics approval number [1]
288539
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12/NTB/2
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Summary
Brief summary
This study is evaluating the effectiveness of a brief mental health intervention delivered by GPs in primary care. It is comparing it to treatment as usual to see if it is effective.
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Trial website
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Trial related presentations / publications
Collings, S., Mathieson, F., Dowell, A. Stanley, J.,Hatcher, S., Goodyear-Smith, F., Lane, B. & Munsterman, A.(2015).The clinical and cost-effectiveness of an ultra-brief intervention for common mental health syndromes in primary care: study protocol for a cluster RCT. Trials 06/2015; 16(1):260. DOI:10.1186/s13063-015-0778-y Mathieson, F., Collings, S., Dowell, A., Goodyear-Smith, F. Stanley, J., Hatcher, S. (2013). Collaborative research: a case example of dissemination of CBT in primary care. The Cognitive Behaviour Therapist. Vol 6 e4, 1-13 Mathieson, F., Stanley, J., Collings, S., Tester, R. & Dowell, A. (submitted April 2018) A cluster randomised controlled trial of a guided self-help mental health intervention in primary care. BMJ Open Mathieson, F., & Collings, S. (2009) Sub-threshold mental health syndromes: Finding an alternative to the medication of unhappiness. Journal of Primary Health Care. Vol 1, (1), 74-76. Mathieson, F., Mihaere, K., Collings, S., Dowell, A. & Stanley, J. (2012). Maori cultural adaptation of a brief mental health intervention in primary care. Journal of Primary Health Care, 4 (3): 231-238. Collings, S. , Mathieson, F., Dowell, A., Stanley, J., Jenkin, G., Goodyear-Smith, F. & Hatcher, S (2011) Acceptability of a self help mental health intervention in general practice. Family Practice. 0:1-7. doi: 10.1093/fampra/cmr066. URI 201644.pdf.
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Public notes
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Contacts
Principal investigator
Name
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Ms Fiona Mathieson
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Address
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Department of Psychological Medicine
University of Otago,Wellington
PO Box 7343, Wellington 6242
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Country
36606
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New Zealand
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Phone
36606
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64 4 9186034
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Fax
36606
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64 4 3855877
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Email
36606
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[email protected]
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Contact person for public queries
Name
36607
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Fiona Mathieson
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Address
36607
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Department of Psychological Medicine
University of Otago,Wellington
PO Box 7343, Wellington 6242
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Country
36607
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New Zealand
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Phone
36607
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64 4 9186034
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Fax
36607
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64 4 3855877
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Email
36607
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[email protected]
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Contact person for scientific queries
Name
36608
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Sunny Collings
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Address
36608
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Deans Department
University of Otago,Wellington
PO Box 7343, Wellington 6242
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Country
36608
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New Zealand
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Phone
36608
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64 4 3855541
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Fax
36608
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64 4 3855877
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Email
36608
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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
Clinical effectiveness of an ultra-brief intervention for common mental health syndromes in primary care: Study protocol for a cluster randomized controlled trial.
2015
https://dx.doi.org/10.1186/s13063-015-0778-y
Embase
Cluster randomised controlled trial of a guided self-help mental health intervention in primary care.
2019
https://dx.doi.org/10.1136/bmjopen-2018-023481
N.B. These documents automatically identified may not have been verified by the study sponsor.
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