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Trial registered on ANZCTR
Registration number
ACTRN12616001601426p
Ethics application status
Submitted, not yet approved
Date submitted
18/11/2016
Date registered
21/11/2016
Date last updated
21/11/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of different preparation information on side effects following colonoscopy
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Scientific title
Can changing standard preparation information to include an explanation of the nocebo effect reduce side effect reporting after colonoscopy?
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Secondary ID [1]
290573
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None
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Universal Trial Number (UTN)
U1111-1189-9920
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Trial acronym
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Linked study record
ACTRN12616001415493p
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Health condition
Health condition(s) or problem(s) studied:
Colonoscopy
- procedure to examine the colon and rectum for early signs of cancer, or to diagnose causes of unexplained changes in bowel habits
301029
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Condition category
Condition code
Mental Health
300821
300821
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0
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Studies of normal psychology, cognitive function and behaviour
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Oral and Gastrointestinal
300822
300822
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0
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Normal oral and gastrointestinal development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Brief name: Comparison of effect of standard information vs. standard information plus nocebo explanation on side effect reporting after colonoscopy.
Participants (routine outpatients receiving first colonoscopy at Auckland City Hospital) who are randomised into the intervention group will receive a standard consultation for colonoscopy (including side effect information) plus an explanation of nocebo effect. The nocebo explanation will outline the relationship between bodily sensations and individuals‘ attributions, expectations, and beliefs, and will offer an explanation of the nocebo phenomenon.
The intervention consultation will be delivered by a Registrar Gastroenterologist according to a standardised script.
The mode of delivery will be face to face and executed individually to each patient.
The intervention will be delivered once per patient over approximately a 10 minute period
The intervention will be delivered at the Endoscopy Unit located on Level 6 of Auckland City Hospital (Auckland, New Zealand).
After the intervention has been delivered participants will be asked to complete a post-colonoscopy symptom questionnaire. Participants will also be contacted via telephone 3 days after their colonoscopy to complete the same symptom questionnaire.
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Intervention code [1]
296440
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Behaviour
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Comparator / control treatment
Participants (routine outpatients receiving first colonoscopy at Auckland City Hospital) who are randomised into the control group will receive a standard consultation for colonoscopy (including side effect information).
The control consultation will be delivered by a Registrar Gastroenterologist according to a standardised script.
The mode of delivery will be face to face and executed individually to each patient.
The control condition will be delivered once per patient over approximately a 10 minute period
The control condition will be delivered at the Endoscopy Unit on Level 6 of Auckland City Hospital (Auckland, New Zealand).
After the control consultation has been delivered participants will be asked to complete a post-colonoscopy symptom questionnaire. Participants will also be contacted via telephone 3 days after their colonoscopy to complete the same symptom questionnaire.
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Control group
Active
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Outcomes
Primary outcome [1]
300244
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Side-Effect Reporting
Side effects will be assessed by self-report on a (study-designed) questionnaire. The participant will complete this questionnaire.
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Assessment method [1]
300244
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Timepoint [1]
300244
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Immediately after Colonoscopy
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Secondary outcome [1]
329486
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Side-Effect Reporting
Side effects will be assessed by self-report on a (study-designed) questionnaire. This questionnaire will be administered over telephone by the research assistant.
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Assessment method [1]
329486
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Timepoint [1]
329486
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3 days after Colonoscopy
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Eligibility
Key inclusion criteria
To be eligible to participate in the trial, individuals must:
-be over 18 years of age
-be a patient referred to the Auckland City Hospital Gastroenterology Department for a colonoscopy
-be naive to colonoscopy procedure (i.e. not have received a colonoscopy before)
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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
Individuals will not be eligible to participate in this study if they:
-have had a previous colonoscopy
-are unable to give informed consent
-are unable to speak, write and read English
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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)
Allocation concealment (by sealed opaque envelope) will be executed in this trial
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/12/2016
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Actual
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Date of last participant enrolment
Anticipated
1/12/2017
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Actual
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Date of last data collection
Anticipated
4/12/2017
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Actual
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Sample size
Target
86
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
8403
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New Zealand
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State/province [1]
8403
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Auckland
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Funding & Sponsors
Funding source category [1]
295008
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University
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Name [1]
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University of Auckland
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Address [1]
295008
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Department of Psychological Medicine
Faculty of Medical and Health Sciences
The University of Auckland
Private Bag 92019
Auckland 1142
New Zealand
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Country [1]
295008
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New Zealand
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Primary sponsor type
Individual
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Name
Keith Petrie
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Address
Auckland Hospital Support Building
Room 12.003, Level 12, 2 Park Road, Grafton Auckland 1023, New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
293826
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Individual
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Name [1]
293826
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Dominic Burton
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Address [1]
293826
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Department of Psychological Medicine
Faculty of Medical and Health Sciences
The University of Auckland
Private Bag 92019
Auckland 1142
New Zealand
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Country [1]
293826
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New Zealand
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
296361
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University of Auckland Human Participants Ethics Committee
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Ethics committee address [1]
296361
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Research Office Level 10, Building 620 49 Symonds Street, Auckland 1010 New Zealand
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Ethics committee country [1]
296361
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New Zealand
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Date submitted for ethics approval [1]
296361
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10/10/2016
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Approval date [1]
296361
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Ethics approval number [1]
296361
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Ethics committee name [2]
296362
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Auckland District Health Board Research Review Committee
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Ethics committee address [2]
296362
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Level 14 Support Building Auckland City Hospital 2 Park Rd, Grafton, Auckland 1023
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Ethics committee country [2]
296362
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New Zealand
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Date submitted for ethics approval [2]
296362
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10/10/2016
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Approval date [2]
296362
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Ethics approval number [2]
296362
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Summary
Brief summary
Colonoscopy is a procedure used to examine the colon and rectum for early signs of cancer, or to diagnose causes of unexplained changes in bowel habits. The 30-60 minute-long examination is performed by a gastroenterologist, who may take biopsies of abnormal tissue (polyps) for testing. Colonoscopies are regularly offered to patients at Auckland City Hospital. Although complications are rare (perforation occurs approximately in 1 in 1000 examinations), unwanted side effects (such as abdominal pain and bowel distension) are commonly reported by patients (Senore et al., 2011). In a healthcare context, the nocebo effect can be defined as the experience of symptoms, that are induced by the patient’s own negative expectations and/or by negative suggestions from clinical staff (Hauser, Hansen, & Enck, 2012). In a recent study we found that an explanation of the nocebo effect as a symptomatic experience influenced by negative expectations was effective in significantly reducing symptom reporting (Crichton & Petrie, 2015). In this study we are investigating whether the nocebo effect has relevance to clinical medicine by examining whether changing standard verbal preparation information to include an explanation of the nocebo effect can reduce side effect reporting after colonoscopy. Reductions in side effect reporting may have considerable clinical benefits in terms of reducing non-compliance with medications, and reduction of illness burden and distress. Design: Potential participants will be sent study information with their appointment letter. On the day of their appointment they will be provided with verbal + written information on the project, and invited to participate by the research assistant. Once written informed consent has been obtained, a baseline questionnaire (including symptom data) will be completed. Participants will be randomised into one of 2 groups; either a) control: standardized preparation for colonoscopy including side effect information, or b) intervention: standardized preparation for colonoscopy including side effect information plus explanation of nocebo effect. The control and intervention conditions will be delivered by a registrar gastroenterologist (according to a standardised script for each condition). The nocebo intervention will outline the relationship between bodily sensations and individuals‘ attributions, expectations, and beliefs, and will offer an explanation of the nocebo phenomenon. The research assistant (who will be blind to condition) will collect participant symptom data following colonoscopy and at day 3 post-colonoscopy.
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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 Keith Petrie
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Address
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Auckland Hospital Support Building
Room 12.003, Level 12, 2 Park Road, Grafton Auckland 1023, New Zealand
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Country
70590
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New Zealand
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Phone
70590
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+64 9 373 7599 ext.86564
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Fax
70590
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Email
70590
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[email protected]
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Contact person for public queries
Name
70591
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Keith Petrie
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Address
70591
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Auckland Hospital Support Building
Room 12.003, Level 12, 2 Park Road, Grafton Auckland 1023, New Zealand
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Country
70591
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New Zealand
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Phone
70591
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+64 9 373 7599 ext.86564
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Fax
70591
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Email
70591
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[email protected]
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Contact person for scientific queries
Name
70592
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Keith Petrie
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Address
70592
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Auckland Hospital Support Building
Room 12.003, Level 12, 2 Park Road, Grafton Auckland 1023, New Zealand
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Country
70592
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New Zealand
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Phone
70592
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+64 9 373 7599 ext.86564
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Fax
70592
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Email
70592
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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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