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Trial registered on ANZCTR
Registration number
ACTRN12616000250437
Ethics application status
Approved
Date submitted
17/02/2016
Date registered
23/02/2016
Date last updated
23/02/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Community-based group cognitive behaviour therapy for adults with anxiety disorders
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Scientific title
Community-based group cognitive behaviour therapy for adults with anxiety disorders in primary care settings: a pilot study
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Secondary ID [1]
288560
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Nil known
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Universal Trial Number (UTN)
U1111-1176-8026
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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:
Any anxiety disorder (with or without depressive symptoms)
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Anxiety symptoms of moderate severity (with or without depressive symptoms)
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Condition category
Condition code
Mental Health
297858
297858
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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 (CBT) delivered in a transdiagnostic group therapy format i.e. for those with any anxiety symptoms of moderate severity (with or without depression).
Two hour sessions weekly for 6 weeks.
Each group will be delivered by two group facilitators. Group facilitators are qualified health professionals experienced in delivering CBT (clinical psychologists, counsellor with post graduate CBT qualifications).
The TCBT treatment package is manualised. An integrity checklist will be used to check that all planned treatment modules are delivered in each session. Adherence will be monitored by attendance, and by self=reported days/week of practice of strategies, assessed from session 2 onwards.
The content of the group includes education about the cognitive behavioural model of anxiety, skills for changing or detaching from unhelpful thinking patterns, learning to face rather than avoid situations, to better tolerate uncomfortable feelings, and developing a plan to maintain changes beyond the group.
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Intervention code [1]
293945
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Treatment: Other
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Comparator / control treatment
This is an open label feasibility study with no comparator treatment.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Pre-post change on the Kessler Psychological Distress Scale (K-10+)
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Assessment method [1]
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Timepoint [1]
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Pre-treatment (Week 0)
Post treatment (Week 6)
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Primary outcome [2]
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Change on the Kessler Psychological Distress Scale (K-10+) from post treatment to follow-up
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Assessment method [2]
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Timepoint [2]
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Post treatment (Week 6)
3 month follow-up
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Secondary outcome [1]
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Pre-post change on the Depression, Anxiety Stress Scales (DASS-21)
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Assessment method [1]
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Timepoint [1]
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Pre-treatment (Week 0)
Post treatment (Week 6)
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Secondary outcome [2]
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Change in the Depression Anxiety Stress scales (DASS-21) from post treatment to followup
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Assessment method [2]
320921
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Timepoint [2]
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Post treatment (Week 6)
3 month follow-up
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Secondary outcome [3]
320922
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Treatment satisfaction. This scale has been designed for this study to assess patient satisfaction with content, therapists, group process, duration of sessions and treatment package, and extent to which they attribute any symptom improvement to the group treatment.
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Assessment method [3]
320922
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Timepoint [3]
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Post treatment (week 6)
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Eligibility
Key inclusion criteria
Adults; male and female
Moderate anxiety symptoms
Sufficient English language to understand consent form, complete questionnaires and participate in group
Willing to provide informed consent,for the research, willing to participate in group therapy and available to attend all sessions
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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
In crisis, needing acute intervention, substance dependence or other comorbidity which would interfere with the ability to attend or participate in the groups.
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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)
Allocation is not concealed. This is an open label pilot study. Participants referred by general practitioners to the Brief Intervention Counselling Service. Potentially eligible participants will be phoned and screened for eligibility and willingness to do the group.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/A
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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
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Descriptive statistics. Paired t-tests.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
29/02/2016
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Actual
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Date of last participant enrolment
Anticipated
17/05/2016
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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
40
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
7597
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New Zealand
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State/province [1]
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Canterbury
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Canterbury District Health Board
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Address [1]
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Canterbury District Health Board
(Planning and Funding)
PO Box 1600
Christchurch 8140
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Country [1]
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New Zealand
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Primary sponsor type
Government body
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Name
Canterbury District Health Board
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Address
Canterbury District Health Board
(Planning and Funding)
PO Box 1600
Christchurch
8140
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Country
New Zealand
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Anxiety Disorders Service
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Address [1]
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Anxiety Disorders Service
Building 9
Hillmorton Hospital
Private Bag 4733
Christchurch 8140
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Country [1]
291653
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New Zealand
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Other collaborator category [1]
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Other Collaborative groups
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Name [1]
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Brief Intervention Coordination Service
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Address [1]
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Pegasus
P.O Box 741
Christchurch 8140
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Country [1]
278827
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New Zealand
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Other collaborator category [2]
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Individual
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Name [2]
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Claire Gilbert
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Address [2]
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Anxiety Disorders Service
Building 9
Hillmorton Hospital
Private Bag 4733
Christchurch 8140
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Country [2]
278828
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New Zealand
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Other collaborator category [3]
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Individual
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Name [3]
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Alison Alexander
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Address [3]
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Anxiety Disorders Service
Building 9
Hillmorton Hospital
Private Bag 4733
Christchurch 8140
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Country [3]
278829
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New Zealand
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Other collaborator category [4]
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Individual
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Name [4]
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Caroline Bell
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Address [4]
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Anxiety Disorders Service
Building 9
Hillmorton Hospital
Private Bag 4733
Christchurch 8140
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Country [4]
278832
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New Zealand
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Other collaborator category [5]
278833
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Individual
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Name [5]
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Helen Colhoun
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Address [5]
278833
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Anxiety Disorders Service
Building 9
Hillmorton Hospital
Private Bag 4733
Christchurch 8140
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Country [5]
278833
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New Zealand
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Other collaborator category [6]
278834
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Individual
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Name [6]
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Cerina Altenburg
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Address [6]
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Brief Intervention Coordination Service
Pegasus
PO Box 741
Christchurch 8140
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Country [6]
278834
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New Zealand
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Other collaborator category [7]
278835
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Individual
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Name [7]
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Sharen Paine
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Address [7]
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Canterbury Initiative
Canterbury District Health Board
PO Box 1600
Christchurch 8140
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Country [7]
278835
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294406
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Northern B Health and Disability Ethics Committee
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Ethics committee address [1]
294406
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Health and Disability Ethics Committees Ministry of Health Freyberg Building 20 Aitken Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
294406
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New Zealand
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Date submitted for ethics approval [1]
294406
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16/01/2016
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Approval date [1]
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10/02/2016
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Ethics approval number [1]
294406
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16/NTB/18
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Summary
Brief summary
This pilot study will evaluate the delivery of a novel adaptation of a transdiagnostic group cognitive behavioural treatment for 40 adults with mixed anxiety disorders (with or without depressive symptoms) of moderate severity treated in a primary care setting.: the Brief Intervention Coordination Service (BIC, Pegasus). The study will address feasibility and acceptability for participants and provide preliminary estimates of efficacy in reducing psychological distress, ahead of a planned randomised controlled trial. Anxiety symptoms, and mixed anxiety and depressive symptoms of moderate severity are the most common mental health conditions in the community, with high unmet need in primary care. This is an important public health concern due to the high prevalence, chronicity, impairment in quality of life and socioeconomic costs. Primary care counselling services are strained due to high demand. The Anxiety Disorders Service (CDHB) successfully developed and evaluated a transdiagnostic group cognitive behaviour therapy (TCBT) treatment for mixed anxiety disorders, with or without depression. The package was adapted from the Unified Protocol for transdiagnostic treatment of emotional disorders (David Barlow and colleagues 2010, 2011) .The TCBT package was effective and rated highly by participants with significant service efficiencies. This TCBT group has been adapted for this project to provide a shorter but sufficiently intense treatment for the moderate symptom group that may not be adequately treated by the limited number of counselling sessions (up to 5 hours) currently available in primary care. The efficiencies of group treatment mean that this evidenced-based treatment can be delivered with fewer staff resources yet patients receive at least twice the therapy hours compared to usual BIC treatment. Four group programmes (6 x 2 hour sessions) will be run with 10 participants per group. Treatment will be delivered jointly by staff from BIC and from the Anxiety Disorders Service. Primary outcome is the Kessler Psychological Distress Scale (Kessler 10+) assessed pre-post and at 3- month follow-up. If successful, the TCBT approach has the potential to boost routine service delivery in primary care. Early effective treatment may prevent the need for referrals to secondary services.
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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 Jennifer Jordan
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Address
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Clinical Research Unit
Canterbury District Health Board &
Department of Psychological Medicine
University of Otago, Christchurch
PO Box 4345
Christchurch 8140
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Country
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New Zealand
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Phone
63618
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+64 3 3720400
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Fax
63618
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+64 3 3720407
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Email
63618
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[email protected]
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Contact person for public queries
Name
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Jennifer Jordan
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Address
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Clinical Research Unit
Canterbury District Health Board &
Department of Psychological Medicine
University of Otago, Christchurch
PO Box 4345
Christchurch 8140
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Country
63619
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New Zealand
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Phone
63619
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+6433720400
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Fax
63619
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+64 3 3720400
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Email
63619
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[email protected]
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Contact person for scientific queries
Name
63620
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Jennifer Jordan
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Address
63620
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Clinical Research Unit
Canterbury District Health Board &
Department of Psychological Medicine
University of Otago, Christchurch
PO Box 4345
Christchurch 8140
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Country
63620
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New Zealand
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Phone
63620
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+64 3720400
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Fax
63620
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+64 3 3720407
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Email
63620
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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.
Download to PDF