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Trial registered on ANZCTR
Registration number
ACTRN12615000595516
Ethics application status
Approved
Date submitted
15/05/2015
Date registered
9/06/2015
Date last updated
9/06/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of implicit versus explicit instruction on a cognitive bias modification task in relation to pain
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Scientific title
The effect in healthy participants of implicit versus explicit cognitive bias modification for interpretation on responses to a cold pressor task
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Secondary ID [1]
286719
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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:
Acute pain
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Condition category
Condition code
Musculoskeletal
295335
295335
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention is a computerized task. Participants are either trained to interpret ambiguous tasks as painful or happy; and are either trained implicitly or explicitly. So, there are four arms: Arm 1: An implicit task where ambiguous faces are followed by a target that appears where the target was previously replaced by the painful face. Arm 2: An implicit task where ambiguous faces are followed by a target that appears where the target was previously replaced by the happy face. Arm 3: An explicit task where participants are asked to indicate if they consider the ambiguous face to be happy or painful and are given feedback that they are incorrect if they choose happy and correct if they choose painful. and Arm 4:An explicit task where participants are asked to indicate if they consider the ambiguous face to be happy or painful and are given feedback that they are incorrect if they choose painful and correct if they choose happy. Each of the four arms administers a single one-off computerized training that lasts 20-30 minutes and the cold pressor is the outcome not part of the intervention.
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Intervention code [1]
291879
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Other interventions
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Comparator / control treatment
The two interventions are compared to each other. One trains people to interpret ambiguous stimuli as painful and the other as happy.
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Control group
Active
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Outcomes
Primary outcome [1]
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HesitanceThe amount of time (taken with a stopwatch) between when the participant is asked to place their arm in the cold pressor tank and when they do so.
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Assessment method [1]
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Timepoint [1]
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post-treatment
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Primary outcome [2]
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ToleranceThe length of time (stopwatch) that participants are able to tolerate keeping their arm in the cold pressor. Maximum = 4 minutes.
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Assessment method [2]
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Timepoint [2]
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During the cold pressor task at post-treatment
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Primary outcome [3]
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Pain Average pain on a numerical rating scale (0-10). Pain ratings taken at threshold and tolerance.
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Assessment method [3]
295085
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Timepoint [3]
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During the cold pressor task after treatment
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Secondary outcome [1]
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ThresholdThe amount of time before participants report pain.
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Assessment method [1]
314724
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Timepoint [1]
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During the cold pressor task
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Secondary outcome [2]
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Distress: How much distress participants experienced during the cold pressor task on a scale of subjective units of distress 0 -10.
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Assessment method [2]
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Timepoint [2]
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post-treatment after completion of the cold pressor task
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Eligibility
Key inclusion criteria
First year psychology students
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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?
Yes
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Key exclusion criteria
Raynauld's phenomena, epilepsy, pain disorders, heart conditions.
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Study design
Purpose of the study
Educational / counselling / training
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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)
Participants volunteer from an online system in exchange for course credit. A schedule of randomized numbers is determined by computer and linked to consecutive participant numbers and concealed until the participant arrives.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
randomizer.org
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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
Factorial
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Other design features
This is a 2 (implicit vs explicit) x 2 (training towards painful vs happy expressions) design.
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
We will analyse data using a 2 x 2 ANOVA. We will also assess interpretation bias and determine with the use of regression analyses whether implicit or explicit interpretation biases analyses mediate the relationship between group allocation and outcome. Power analyses indicated that we needed a total sample of 104 to achieve 80% power, p = 0.05 given an effect size of 0.28 (achieved in previous studies).
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
3/07/2015
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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
104
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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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Recruitment postcode(s) [1]
9686
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2006 - The University Of Sydney
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Nil
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Address [1]
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Nil
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Country [1]
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Primary sponsor type
University
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Name
The University of Sydney
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Address
School of Psychology
Brennan MacCallum Building A 18
The University of Sydney
NSW 2006
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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]
289953
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The University of Sydney
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Ethics committee address [1]
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Jane Foss Russell Building The 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]
292844
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Approval date [1]
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01/05/2015
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Ethics approval number [1]
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2015/182
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Summary
Brief summary
This study will investigate the effect of modifying interpretations of ambiguous faces on performance of a painful task. Specifically, we will compare how effective training participants to interpret an ambiguous facial expression as happy compared to painful. We are interested to know whether this training is more effective when instructions are explicit versus implicit.
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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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Prof Ann Louise Sharpe
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Address
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Brennan MacCallum Building A18
The University of Sydney
NSW 2006
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Country
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Australia
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Phone
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61293514558
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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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Louise Sharpe
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Address
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Brennan MacCallum Building A18
The University of Sydney
NSW 2006
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Country
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Australia
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Phone
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61293514558
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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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Matteo Zuccala
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Address
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Brennan MacCallum Building A18
The University of Sydney
NSW 2006
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Country
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Australia
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Phone
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612401262198
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Fax
57308
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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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