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Trial registered on ANZCTR
Registration number
ACTRN12614000528651
Ethics application status
Approved
Date submitted
8/05/2014
Date registered
19/05/2014
Date last updated
19/05/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effectiveness of Cognitive Behaviour Therapy in people with intellectual disability and anxiety: A pilot RCT
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Scientific title
The effect of adapted cognitive behaviour therapy (CBT) versus a wait-list control on anxiety levels in adults with mild intellectual disability and anxiety
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Secondary ID [1]
284499
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Nil
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Universal Trial Number (UTN)
U1111-1156-1269
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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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Intellectual Disability
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Condition category
Condition code
Mental Health
292120
292120
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0
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Anxiety
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Mental Health
292282
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0
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Learning disabilities
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention will be a group cognitive behavioural therapy (CBT) program for anxiety, which has been adapted for use with adults with intellectual disability. The group will run for 6 weeks, with weekly sessions approximately 1.5-2 hours long. Participants will be taught anxiety-management strategies such as cognitive challenging, and will be given home practice tasks to complete between sessions.
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Intervention code [1]
289260
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Treatment: Other
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Intervention code [2]
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Behaviour
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Comparator / control treatment
The control group will be a wait-list control group. Participants in this group will receive the same pre and post measures as the intervention group, but will be placed on a 6-week waiting list while the intervention group receives the treatment. When the intervention group finishes treatment, the wait-list control group will then receive the same treatment.
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Control group
Active
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Outcomes
Primary outcome [1]
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Mean score on the Glasgow Anxiety Scale for Learning Disabilities
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Assessment method [1]
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Timepoint [1]
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Baseline, post intervention (after 6 weeks)
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Primary outcome [2]
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Clinical or sub-clinical diagnosis of an anxiety disorder on the PAS-ADD – Psychiatric Assessment Schedules for Adults with Developmental Disabilities.
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Assessment method [2]
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Timepoint [2]
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Baseline, post-intervention (after 6 weeks)
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Secondary outcome [1]
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Glasgow depression scale
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Assessment method [1]
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Timepoint [1]
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Baseline, post-intervention (after 6 weeks)
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Secondary outcome [2]
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Mean scores on the Developmental Behaviour Checklist (DBC)
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Assessment method [2]
308026
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Timepoint [2]
308026
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Baseline, post-intervention (after 6 weeks)
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Secondary outcome [3]
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Mean scores on the Depression Anxiety and Stress Scale (DASS)
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Assessment method [3]
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Timepoint [3]
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Every session of the 6-week group
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Secondary outcome [4]
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Mean score on the Satisfaction with Life Scale (SWLS)
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Assessment method [4]
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Timepoint [4]
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Every session of the 6-week group
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Eligibility
Key inclusion criteria
Participants must have an intellectual disability, have verbal ability, can read and write short sentences to be able to complete the workbooks, and be aged 18 years old or above.
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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
Not having an intellectual disability, not having verbal ability, not being able to read or write short sentences, under 18 years old.
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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)
The procedure for allocation concealment will be to contact the holder of the allocation schedule at a central administration site who will have sealed opaque envelopes with the participant allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The method of sequence generation will be simple randomisation using an online sequence generator.
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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
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
Based on the only two other RCTs in the literature that have investigated psychological treatments for people with intellectual disability and mental health problems (i.e. depression; McCabe, McGillivray & Newton, 2006, anger management problems;Taylor, Novaco, Gillmer, Robertson, & Thorne, 2005), 15-20 participants per group is needed to detect a medium to large effect size, and this sample size was confirmed by sample size calculators (http://www.bu.edu/orccommittees/iacuc/policies-and-guidelines/sample-size-calculations/).
Statistical analysis will be intention-to-treat.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
6/05/2014
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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
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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APEX Foundation for Research into Intellectual Disability
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Address [1]
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PO Box 4075
Ringwood, Victoria 3134
Australia
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Lynette Roberts at the Centre for Disability Studies, affiliate of the University of Sydney
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Address
Centre for Disability Studies, affiliate of the University of Sydney
Level 1, Medical Foundation Building - K25
92-94 Parramatta Road
Camperdown NSW 2050 Australia
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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]
287859
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Sydney Ethics Committee
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Ethics committee address [1]
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Human Ethics Office Margaret Telfer Building (K07) University of Sydney NSW 2006
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
290967
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Approval date [1]
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17/03/2014
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Ethics approval number [1]
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2014/044
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Summary
Brief summary
Individuals with intellectual disability experience around twice the rate of mental health difficulties than typically-developing individuals. Anxiety is a common problem, however not only will the majority of people with intellectual disability not receive specialist psychological services, there is a paucity of research on evidence-based treatment approaches for this population. This study will adapt a well-validated psychological treatment (cognitive behavioural therapy; CBT) for use with adults with mild intellectual disability and anxiety. This new treatment program will be evaluated to investigate whether it is effective in treating anxiety in adults with mild intellectual disability.
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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 Lynette Roberts
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Address
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Centre for Disability Studies, affiliate of the University of Sydney
Level 1, Medical Foundation Building - K25
92-94 Parramatta Road
Camperdown NSW 2050 Australia
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Country
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Australia
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Phone
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+61-2-9036-3600
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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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Lynette Roberts
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Address
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Centre for Disability Studies, affiliate of the University of Sydney
Level 1, Medical Foundation Building - K25
92-94 Parramatta Road
Camperdown NSW 2050 Australia
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Country
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Australia
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Phone
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+61-2-9036-3600
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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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Lynette Roberts
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Address
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Centre for Disability Studies, affiliate of the University of Sydney
Level 1, Medical Foundation Building - K25
92-94 Parramatta Road
Camperdown NSW 2050 Australia
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Country
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Australia
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Phone
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+61-2-9036-3600
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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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