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Trial registered on ANZCTR
Registration number
ACTRN12613001301752
Ethics application status
Approved
Date submitted
18/09/2013
Date registered
22/11/2013
Date last updated
22/11/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Treating depression and anxiety in Heart Failure outpatients in managed care.
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Scientific title
Treating depression and anxiety in Heart Failure outpatients in managed care: A pilot study investigating the therapeutic effect of a group mood management program.
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Secondary ID [1]
283248
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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:
Depression
290265
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Anxiety
290266
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Heart Failure
290580
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Condition category
Condition code
Cardiovascular
290503
290503
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0
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Other cardiovascular diseases
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Mental Health
290504
290504
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0
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Depression
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Mental Health
290654
290654
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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
Cognitive Behaviour Therapy
Treatment will compose of weekly, eight 2-hr group sessions for as per Nathan, P. R., Rees, C. S., & Smith, L. M. (2001). Mood management course: A group cognitive behavioral programme for anxiety disorders and depression. Perth, Australia: Rioby. (Available from http:// www.cci.health.wa.gov.au/index.html). Therapist intervention will be monitored in weekly supervision sessions with a Registered Clinical Psychologist.
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Intervention code [1]
287977
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Behaviour
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Intervention code [2]
288334
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Treatment: Other
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Comparator / control treatment
Uncontrolled pilot study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
290525
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Scores on Depression Anxiety Stress Scale (DASS-21)
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Assessment method [1]
290525
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Timepoint [1]
290525
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Pre treatment and at eighth session (post treatment)
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Secondary outcome [1]
304727
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Scores on Health Anxiety Inventory (HAI),
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Assessment method [1]
304727
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Timepoint [1]
304727
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Pre treatment and at eighth session (post treatment)
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Secondary outcome [2]
305004
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Minnesota Living with Heart Failure Questionnaire (MLwHF).
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Assessment method [2]
305004
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Timepoint [2]
305004
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Pre treatment and at eighth session (post treatment)
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Eligibility
Key inclusion criteria
Have a diagnosis of NYHA Class I, II or III heart failure.
Case managed by a case- worker within the Heart Failure Service .
Meet a diagnosis for depression or anxiety disorder.
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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
Psychotic comorbid diagnosis,
Suicide risk
Abuse of alcohol and other drugs
Concurrent or recent (past 6 months) psychotherapy.
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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)
Assessment to determine meets inclusion criteria, then offered place in program.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable.
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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
Single group
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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
Due to a restricted data collection period (i.e., this is a student project with a limited data collection period) - clinically significant changes on measures will be reported for each participant in the study.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
23/09/2013
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Actual
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Date of last participant enrolment
Anticipated
20/12/2013
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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
5
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
287985
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Self funded/Unfunded
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Name [1]
287985
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nil
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Address [1]
287985
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nil
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Country [1]
287985
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Primary sponsor type
University
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Name
Curtin University
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Address
Kent Street,
Bentley WA 6845
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Country
Australia
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Secondary sponsor category [1]
286705
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None
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Name [1]
286705
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Address [1]
286705
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Country [1]
286705
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289914
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Curtin University Human Research Ethics Committee
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Ethics committee address [1]
289914
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Kent Street Bentley WA 6845
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Ethics committee country [1]
289914
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Australia
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Date submitted for ethics approval [1]
289914
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Approval date [1]
289914
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20/08/2013
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Ethics approval number [1]
289914
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HR 121/2013
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Summary
Brief summary
Heart Failure (HF) is a debilitating and chronic disease that is associated with a high rate of comorbid mental illness. Depression is associated with increased risk of mortality and cardiac events. Cognitive Behaviour Therapy (CBT) is recommended as a preferred treatment in HF and cardiovascular disease (CVD) management. However determining the effect of CBT in CVD and HF patients is implicated by a history of limited randomised controlled trials, confounded sampling issues and reduced functioning ability. Furthermore, research in the field of anxiety management in cardiac patients is lacking although emerging research indicates that clinical anxiety is as prevalent as depression. This study seeks to investigate the therapeutic impact of a CBT intervention targeted to both depression and anxiety on HF outpatients in managed care. The treatment model “mood management” has been trialled and evaluated to be efficacious in depressed and anxious nonmedical clients. Participants (n=5) will be offered the program as a treatment option from a HF nurse and self refer to the study. It is hypothesised that participants will display improved scores on measures of depression and anxiety. Results will help inform current and future research on effective therapeutic treatment of CBT group therapy and the utility for depressed and anxious HF outpatients.
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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
43058
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Dr Rebecca Anderson
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Address
43058
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Curtin University
School of Psychology and Speech Pathology
Kent Street, Bentley WA 6845
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Country
43058
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Australia
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Phone
43058
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+61892663012
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Fax
43058
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Email
43058
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[email protected]
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Contact person for public queries
Name
43059
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Rebecca Anderson
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Address
43059
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Curtin University
School of Psychology and Speech Pathology
Kent Street, Bentley WA 6845
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Country
43059
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Australia
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Phone
43059
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+61892663012
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Fax
43059
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Email
43059
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[email protected]
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Contact person for scientific queries
Name
43060
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Rebecca Anderson
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Address
43060
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Curtin University
School of Psychology and Speech Pathology
Kent Street, Bentley WA 6845
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Country
43060
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Australia
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Phone
43060
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+61892663012
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Fax
43060
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Email
43060
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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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