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Trial registered on ANZCTR
Registration number
ACTRN12616001393448p
Ethics application status
Not yet submitted
Date submitted
5/10/2016
Date registered
7/10/2016
Date last updated
7/10/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
What’s in a name: a study protocol for a randomised controlled trial to identify the influence of diagnostic labels for mild depression and acute bronchitis on intended medication use.
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Scientific title
What’s in a name: a study protocol for a randomised controlled trial to identify the influence of diagnostic labels for mild depression and acute bronchitis on intended medication use.
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Secondary ID [1]
290239
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Nil known
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Universal Trial Number (UTN)
U1111-1188-1151
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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
300430
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Acute Bronchitis
300431
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Overdiagnosis
300432
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Condition category
Condition code
Mental Health
300294
300294
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0
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Depression
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Respiratory
300296
300296
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will be presented with one of four case scenarios. Case scenarios (which include the label) will be presented via a web-based survey using the online survey platform Qualtrics. Following randomisation to either “mild depression” or “acute bronchitis”, participants will receive either a scenario with a “diagnostic label' (e.g. "mild depression" or "acute bronchitis") or “symptomatic label" (e.g "the symptoms you are experiencing"). All scenarios: (1) describe symptoms of the allocated condition; (2) offer medication as a treatment option (i.e. SSRIs for “mild depression” and antibiotics for “acute bronchitis”); and (3) contain evidence-based information on the potential harms and benefits of medications for the relevant condition.
The time required to complete the scenario and assessment is approximately 10 minutes.
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Intervention code [1]
296019
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Other interventions
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Comparator / control treatment
Symptomatic label group
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Control group
Active
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Outcomes
Primary outcome [1]
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Participants' intention to take the proposed medication (i.e. SSRIs or antibiotics). This will be assessed on a 4-Point Likert scale from "Definitely wouldn't take" to "Definitely would take".
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Assessment method [1]
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Timepoint [1]
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The outcome will be assessed immediately after reading the scenario information.
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Secondary outcome [1]
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Why participants made the decision they did. This will be assessed using the following open-ended questions: 1) Why did you make this decision; and, 2) Which part(s) of the scenario most influenced your decision.
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Assessment method [1]
328072
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Timepoint [1]
328072
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The outcome will be assessed following presentation of the case scenario and related question.
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Eligibility
Key inclusion criteria
We will recruit adults who can understand written English and provide informed consent, and who live in one of three English speaking, developed countries that have fee-for-service healthcare environments (Australia, Ireland, and Canada) and do not have direct consumer advertising.
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Minimum age
18
Years
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Maximum age
70
Years
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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
We will exclude those with current depression or acute bronchitis.
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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)
Computerized randomisation
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerized sequence generation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
Stratified by diagnosis
Following randomisation to either “mild depression” or “acute bronchitis”, participants will receive either a scenario with a “diagnostic label” or “symptomatic label.”
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
We will analyse dichotomised data using Chi squared analysis. We will also look at a subgroup analysis by country of origin. We will also do an adjusted analysis adjusting for gender, age, educational level and previous history of the condition. Open-ended questions will be analysed using content analysis.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
31/10/2016
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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
1600
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Accrual to date
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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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Recruitment outside Australia
Country [1]
8276
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Ireland
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State/province [1]
8276
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Country [2]
8277
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Canada
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State/province [2]
8277
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Bond University
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Address [1]
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14 University Drive, Robina, QLD 4226
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Bond University
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Address
14 University Drive, Robina, QLD 4226
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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]
293467
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Country [1]
293467
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
296047
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Bond University Human Research Ethics Committee
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Ethics committee address [1]
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14 University Drive, Robina, QLD 4226
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Ethics committee country [1]
296047
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Australia
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Date submitted for ethics approval [1]
296047
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07/10/2016
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Approval date [1]
296047
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Ethics approval number [1]
296047
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Summary
Brief summary
The current study will conduct a randomised controlled trial via an online survey. Recruitment will be conducted by Survey Sampling International (SSI) in order to obtain the desired 1600 participants. The current study aims to identify whether individuals given a diagnostic label for either a psychological (“mild depression”), or physiological condition (“acute bronchitis”) are more likely to decide to take medication than if given a symptomatic description only. We hypothesise that a higher proportion of those provided with a diagnostic label will decide to take medication for that condition, than those given a symptomatic description.
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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 Amanda McCullough
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Address
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Centre for Research in Evidence Based Practice
14 University Dr, Robina, QLD 4226
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Country
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Australia
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Phone
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+61 (7) 5595 5204
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Fax
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Email
69346
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[email protected]
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Contact person for public queries
Name
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Amanda McCullough
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Address
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Centre for Research in Evidence Based Practice
14 University Dr, Robina, QLD 4226
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Country
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Australia
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Phone
69347
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+61 (7) 5595 5204
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Fax
69347
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Email
69347
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[email protected]
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Contact person for scientific queries
Name
69348
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Amanda McCullough
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Address
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Centre for Research in Evidence Based Practice
14 University Dr, Robina, QLD 4226
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Country
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Australia
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Phone
69348
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+61 (7) 5595 5204
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Fax
69348
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Email
69348
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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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