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Trial registered on ANZCTR
Registration number
ACTRN12615000761561
Ethics application status
Approved
Date submitted
25/06/2015
Date registered
22/07/2015
Date last updated
24/11/2020
Date data sharing statement initially provided
11/07/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Truce: A pragmatic controlled trial of a seven-week Acceptance and Commitment Therapy program for young people who have a parent with cancer
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Scientific title
Evaluation of a group-based Acceptance and Commitment Therapy intervention for the reduction of distress and increase in psychological wellbeing in AYA offspring of cancer patients relative to wait-list controls
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Secondary ID [1]
286960
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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:
Psychological distress related to having a parent with cancer
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Condition category
Condition code
Mental Health
295672
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0
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Other mental health disorders
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Cancer
295746
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0
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Any cancer
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The administration of Truce, a manualised, structured Acceptance and Commitment Therapy program for adolescents and young adults (AYAs) with a parent with cancer. The program is delivered orally in a group format, by two psychologists/social workers with training in ACT. Groups consist of 4-8 participants and runs once a week for 7 sessions of 1.5-2 hours duration, for an overall duration of 7 weeks. Parallel to the intervention one parent of the participant (not necessarily the parent with cancer) is given a psychoeducational booklet which provides details about the program, ACT and research findings regarding the impact on children of having a parent with cancer. Session 6 is a joint participant-parent session. The content of session 6 follows on from the content of the parent psychoeducational booklet and provides an opportunity for the participants and their parents to discuss issues pertinent to the family situation when a parent has cancer.
Homework is administered through weekly tasks with a participant booklet. Homework exercises consist of small daily tasks that would take approximately 30-60 minutes per week. Fidelity to the program measured by facilitator compliance to the manualised program, homework compliance and participant engagement. Facilitator compliance is measured through written logs of each group session which is sent to the independent administrating team and discussed at weekly briefing/debriefing meetings. Homework compliance is measured by a homework log that is completed by the participant at each session and forwarded to the administration team. Participant engagement is measured through a 10-point scale of session engagement administered to each participant at the end of each session.
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
292235
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Behaviour
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Comparator / control treatment
wait-list control group comprises of participants who are interested in the program but unable to attend the group or it is not available in their area. Provided with an informational booklet until eligible/available for group participation.
The informational booklet is uses psychoeducation: about cancer, treatment, some of the common family changes that can result from having a parent with cancer and practical suggestions for support and emotional regulation.
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Control group
Active
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Outcomes
Primary outcome [1]
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K10 Distress score
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Assessment method [1]
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Timepoint [1]
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baseline, post intervention and 2-month post intervention follow-up
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Secondary outcome [1]
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RADS Depression Score
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Assessment method [1]
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Timepoint [1]
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Baseline, post intervention and 2-month post intervention follow-up
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Secondary outcome [2]
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Keyes Psychological Wellbeing Score
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Assessment method [2]
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Timepoint [2]
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Baseline, post intervention and 2-month post intervention follow-up
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Eligibility
Key inclusion criteria
Participants need to be aged between 14 and 22 years
Able to read English
Able to provide informed consent
And have a parent/caregiver with a current (last 5 years) diagnosis of cancer, not currently in palliative care or terminal
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Minimum age
14
Years
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Maximum age
22
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
Bereaved
Currently engaged in other psychosocial treatments
Considered to be too highly distressed or in need of urgent support
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
The sample will include a total of 140 young people who have a parent with cancer and, where possible, one parent of each young person. The number of required participants is based on sample size analyses assuming: 80% power, alpha of 0.05 and a minimally important change in K10 scores of 4.9 (effect size of 0.5). According to these calculations, 70 participants are needed in each of the intervention conditions.
Descriptive statistics will be used to report demographic information. Fidelity and satisfaction measures will also be summarised. Missing data will be managed using multiple imputation techniques. The impact of the treatment condition on the change in outcome variables will be assessed using mixed-models statistical analysis. Secondary analyses (such as testing for potential moderators and mediators) will be conducted using multiple regression statistical techniques.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/09/2012
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Actual
1/09/2012
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Date of last participant enrolment
Anticipated
31/12/2020
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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
140
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Accrual to date
131
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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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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CanTeen Australia
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Address [1]
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75 King St, Newtown NSW 2042
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Country [1]
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Australia
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Funding source category [2]
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Charities/Societies/Foundations
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Name [2]
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Australian Rotary Health
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Address [2]
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PO Box 3455
Parramatta, NSW 2124
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Country [2]
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
CanTeen
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Address
75 King St, Newtown NSW 2042
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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]
290204
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Wollongong Human Research Ethics Committee
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Ethics committee address [1]
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Research Services Office University of Wollongong NSW 2522
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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30/11/2011
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Approval date [1]
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05/03/2012
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Ethics approval number [1]
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HE11-482
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Summary
Brief summary
This study aims to measure the effectiveness of Acceptance and Commitment Therapy in reducing distress and increasing positive wellbeing in Adolescent and Young Adults (AYAs) who are offspring (children) of cancer patients. Who is it for? You may be eligible to join this study if you are aged between 14 and 22 years and have a parent or caregiver with a current (last 5 years) diagnosis of cancer, who is not currently in palliative care or terminal. Study details: Participants in this study will receive Acceptance and Commitment Therapy (ACT) in small group sessions administered by 2 psychologists/social workers trained in ACT. Sessions will be conducted weekly in 1.5-2 hour sessions across seven weeks. ACT is a psychological therapy designed to help people find new ways of managing their difficult thoughts and feelings by changing how they respond to them. ACT teaches skills in mindfulness and also ways to commit to values-based living despite difficult circumstances. Completion of 6 homework tasks, administered weekly is also required. Participants who are interested in the program but unable to attend the group or if it is not available in their area, will be provided with an informational booklet until eligible/available for group participation. All participants will be asked to complete some questionnaires at baseline, post-intervention and 2 months post intervention in order to evaluate their levels of distress, depression and their psychological wellbeing.
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Trial website
www.truce.org.au
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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 Pandora Patterson
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Address
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CanTeen Australia
75 King St Newtown NSW 2042
GPO Box 3821 Sydney NSW 2001
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Country
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Australia
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Phone
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+61 2 9007 0212
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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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Fiona McDonald
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Address
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CanTeen Australia
75 King St Newtown NSW 2042
GPO Box 3821 Sydney NSW 2001
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Country
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Australia
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Phone
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+61 2 9007 0213
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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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Fiona McDonald
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Address
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CanTeen Australia
75 King St Newtown NSW 2042
GPO Box 3821 Sydney NSW 2001
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Country
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Australia
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Phone
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+61 2 9007 0213
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
The individual participant data is strictly confidential. The participants are not consenting that their data will be made available.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
2396
Study protocol
368809-(Uploaded-20-06-2019-12-27-08)-Study-related document.pdf
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
A study protocol for Truce: a pragmatic controlled trial of a seven-week acceptance and commitment therapy program for young people who have a parent with cancer.
2015
https://dx.doi.org/10.1186/s40359-015-0087-y
N.B. These documents automatically identified may not have been verified by the study sponsor.
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