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Trial registered on ANZCTR
Registration number
ACTRN12618001609246p
Ethics application status
Submitted, not yet approved
Date submitted
25/09/2018
Date registered
27/09/2018
Date last updated
27/09/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluating the Fear-Less Triple P workshop with parents of anxious children who have hearing loss.
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Scientific title
Evaluating the Fear-Less Triple P workshop with parents of anxious children who have hearing loss.
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Secondary ID [1]
296172
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None
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Universal Trial Number (UTN)
U1111-1221-0078
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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:
Anxiety
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Hearing loss
309791
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Condition category
Condition code
Mental Health
308583
308583
0
0
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Anxiety
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Ear
308584
308584
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0
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Deafness
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Mental Health
308585
308585
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The Fear-Less Triple P workshop consists of a one-day (8 hour) group-based workshop that will be held at Hear and Say site in Ashgrove, Brisbane. Up to 15 families will be included in a workshop. The content covered in the workshop includes: psychoeducation about anxiety; promoting emotional resilience in children; the role of thoughts in anxiety and how to encourage mental flexibility; the role of avoidance in anxiety and exposure; parental responses to children's anxiety (and the advantages and disadvantages of each of these); constructive coping and maintaining gains over time. Fear-Less Triple P provides parents/caregivers with the opportunity to learn through didactic presentation, demonstrations, discussion, role-plays and feedback.
The Fear-Less Triple P workshop will be conducted by the Primary Investigator - an experienced Clinical Psychologist. The workshop is attended by parents only. Ideally, both parents/caregivers would attend; but it is more likely that one parent will attend the workshop per family.
The Fear-Less Triple P workshop will be video recorded so that a research assistant who is blind to participant allocation can review and confirm treatment adherence.
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Intervention code [1]
312498
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Treatment: Other
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Intervention code [2]
312499
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Behaviour
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Comparator / control treatment
The trial will make use of a wait list control group. Parents of families assigned to the waitlist control group will complete a 'pre-intervention' assessment. Approximately three months later, they will complete the same assessment. Once they have completed this 'post-wait' assessment, these parents will be offered the Fear-Less Triple P workshop intervention (between 3-4 months after their initial pre-intervention assessment).
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Control group
Active
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Outcomes
Primary outcome [1]
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Parent report on the Spence Children's Anxiety Scale (SCAS)
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Assessment method [1]
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Timepoint [1]
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3-month follow-up (i.e., 3-months post-workshop) and 6-month follow-up (i.e., 6-months post-workshop).
Primary timepoints = 3-month and 6-months.
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Primary outcome [2]
307548
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Child report on the Spence Children's Anxiety Scale (SCAS)
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Assessment method [2]
307548
0
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Timepoint [2]
307548
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3-month follow-up (i.e., 3-months post-workshop) and 6-month follow-up (i.e., 6-months post-workshop).
Primary timepoints = 3-month and 6-months.
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Secondary outcome [1]
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Clinical severity ratings (CSRs) of anxiety diagnoses met on the parent version of the Anxiety Disorders Interview Schedule for Children (ADIS-C).
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Assessment method [1]
352276
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Timepoint [1]
352276
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3-month follow-up (i.e., 3-months post-workshop) and 6-month follow-up (i.e., 6-months post-workshop)
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Secondary outcome [2]
352277
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Clinical severity ratings (CSRs) of anxiety diagnoses met on the child version of the Anxiety Disorders Interview Schedule for Children (ADIS-C)
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Assessment method [2]
352277
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Timepoint [2]
352277
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3-month follow-up (i.e., 3-months post-workshop) and 6-month follow-up (i.e., 6-months post-workshop)
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Eligibility
Key inclusion criteria
To be eligible to participate, one or both parents will be required to be concerned about their child’s anxiety, be able to attend a Fear-Less Triple P workshop, and undertake assessment procedures. The child of concern will be required to be aged between 7-12 years old, have hearing loss and be able to undertake assessment procedures. It is not required that the children meet the diagnostic criteria for an anxiety diagnosis. There is no restriction on parent/caregiver age.
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Minimum age
7
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
Families where the child of concern is currently receiving treatment (psychological or medication) for anxiety will be excluded from the study. Participants who cannot read, write or speak in English will also be excluded from the study.
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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 will not be concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerised simple randomisation sequence generation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Other
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Other design features
Families randomised to the treatment group will receive the intervention within approximately one-fortnight of completing their pre-intervention assessment. Families randomised to the waitlist group will complete a second pre-intervention assessment approximately 3 months after completing the first pre-intervention assessment. This will effectively serve as a 'post-wait' assessment with these families constituting a naturalistic wait list control group. They will receive the intervention once they have completed their second 'pre-intervention' assessment - so approximately 3.5 months after being initially assessed.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
It is not an inclusion criteria that children meet diagnostic criteria for an anxiety diagnosis - merely that their parents/caregivers identify that their children experience anxiety. Thus, although diagnostic status will be examined, it is not the primary outcome.
The primary outcome (parent and child report of anxiety symptoms on the Spence Children's Anxiety Scale) will be analysed using repeated measures ANOVAs. Diagnostic status (where applicable) will be examined using chi-square analyses.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/10/2018
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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
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
300764
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University
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Name [1]
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The University of Queensland
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Address [1]
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School of Psychology
University of Queensland
St. Lucia, QLD, 4072
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Country [1]
300764
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Australia
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Funding source category [2]
300765
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Other Collaborative groups
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Name [2]
300765
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Hear and Say
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Address [2]
300765
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29 Nathan Avenue, Ashgrove Qld 4060
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Country [2]
300765
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Australia
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Primary sponsor type
University
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Name
The University of Queensland
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Address
School of Psychology
University of Queensland
St. Lucia, QLD, 4072
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Country
Australia
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Secondary sponsor category [1]
300302
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Other Collaborative groups
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Name [1]
300302
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Hear and Say
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Address [1]
300302
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29 Nathan Avenue, Ashgrove Qld 4060
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Country [1]
300302
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Australia
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
301545
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The University of Queensland Human Research Ethics Committee
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Ethics committee address [1]
301545
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The University of Queensland St. Lucia, QLD, 4072
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Ethics committee country [1]
301545
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Australia
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Date submitted for ethics approval [1]
301545
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30/07/2018
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Approval date [1]
301545
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Ethics approval number [1]
301545
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Summary
Brief summary
Anxiety disorders are among the most common mental health problems experienced by children and adolescents. Children with hearing loss often experience greater anxiety symptoms than children without hearing loss. Cognitive behavioural therapy (CBT) has a strong evidence base for being efficacious and useful in treating anxiety in children. However, most children with anxiety do not engage in child-focused CBT or mental health treatment of any kind due to reasons such as financial cost and parental perceptions of their child being stigmatized by others. This has led to an examination of parent-focused interventions, such as Fear-Less Triple P, in reducing children’s anxiety as a way of addressing these barriers. There has, however, been no research into specifically examining parent-focused interventions in reducing anxiety in anxious children with hearing loss. Given this gap in the literature, the current research project aims to examine the efficacy of a parenting intervention (the Fear-Less Triple P workshop) with parents of anxious children and have hearing loss. A naturalistic waitlist group will be built into the study design to allow comparison of this group with the active Fear-Less workshop.
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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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A/Prof Vanessa Cobham
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Address
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School of Psychology
University of Queensland
St. Lucia, QLD, 4072
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Country
87342
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Australia
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Phone
87342
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+61-7-33469911
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Fax
87342
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Email
87342
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[email protected]
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Contact person for public queries
Name
87343
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Vanessa Cobham
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Address
87343
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School of Psychology
University of Queensland
St. Lucia, QLD, 4072
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Country
87343
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Australia
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Phone
87343
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+61-7-33469911
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Fax
87343
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Email
87343
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[email protected]
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Contact person for scientific queries
Name
87344
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Vanessa Cobham
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Address
87344
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School of Psychology
University of Queensland
St. Lucia, QLD, 4072
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Country
87344
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Australia
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Phone
87344
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+61-7-33469911
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Fax
87344
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Email
87344
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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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