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Trial Review
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Trial registered on ANZCTR
Registration number
ACTRN12620001155987
Ethics application status
Approved
Date submitted
27/07/2020
Date registered
4/11/2020
Date last updated
4/11/2020
Date data sharing statement initially provided
4/11/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
What is the impact of Smiling Mind App programs on the well-being of adult participants?
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Scientific title
Investigating the impact of access to the Smiling Mind app for naive adult users on levels of stress, sleep quality, and relationship outcomes, as compared to a wait list-controlled group.
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Secondary ID [1]
301884
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None
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Universal Trial Number (UTN)
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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:
Sleep disturbance
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Stress
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Loneliness
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Condition category
Condition code
Public Health
316404
316404
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0
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Health promotion/education
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Mental Health
316405
316405
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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 Smiling Mind app targets three primary areas of daily functioning: stress reduction, increase sleep quality, and reduced loneliness. The users are able to choose which program (or all) they would like to register for.
Once participants complete the consent form and baseline assessment (via online platform: REDcap), they will be randomised in to one of two conditions: waitlist/control group, or app treatment group. Respondents randomised to the app treatment group get sent an email with instructions on how to download and get started with the programs (of their choice).
The activities in the app includes audio guided meditations, which the participants are encouraged to engage with every day, however, the minimum number of meditations required is five over two weeks. The intervention duration is four weeks in total, with the baseline assessment given to participants at two weeks and four weeks.
Before the two- and four-week assessments are sent to participants in the treatment group, research team members from Smiling Mind (listed and approved on ethics) will check the registration and engagement in the app via the email address provided by the participant.
Participants allocated to the waitlist/control group will be asked to declare any engagement in mindfulness meditation at the beginning of the two- and four-week online surveys. Declaration of engagement deems them ineligible to continue with the project.
All participants who complete all three assessments go into the draw to win a $100 Amazon voucher, emailed to them at the conclusion of the project.
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Intervention code [1]
318174
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Lifestyle
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Intervention code [2]
318175
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Treatment: Other
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Comparator / control treatment
The control/waitlist group will be 50% of the trial participants and will be given access to the Smiling Mind mindfulness application after the four weeks of the research study. The waitlist group will complete intermittent and four-week online assessments (same as the intervention group).
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Control group
Active
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Outcomes
Primary outcome [1]
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Change stress scores, as measured by the Short Stress Overload Scale (SOS-short).
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Assessment method [1]
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Timepoint [1]
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This will be measured at both the intermittent (2-week) and conclusion (4-week) assessments.
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Secondary outcome [1]
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Change in sleep quality score as measured by the Sleep Disturbance Scale (SDS).
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Assessment method [1]
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Timepoint [1]
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This will be measured at both the intermittent (2-week) and conclusion (4-week) assessments.
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Secondary outcome [2]
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Change in loneliness score as measured by the UCLA loneliness scale.
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Assessment method [2]
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Timepoint [2]
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This will be measured at both the intermittent (2-week) and conclusion (4-week) assessments.
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Secondary outcome [3]
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Change in mindfulness scores, as measured by the five facet mindfulness questionnaire (FFMQ)
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Assessment method [3]
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Timepoint [3]
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Baseline, 2 weeks (intermittent), and 4 weeks (conclusion)
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Eligibility
Key inclusion criteria
Over 18 years old,
Australian resident,
English speaking,
Regular access to a smart phone with internet access,
Self-declared good physical and mental health, with no previous (within the past 3 years) or current diagnosis of a psychiatric illness such as depression or anxiety.
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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?
Yes
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Key exclusion criteria
Under 18 years of age,
Non-English speaking,
No smartphone with internet access,
A diagnosis of a psychiatric illness within the previous three years,
Having practiced mindfulness previously
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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)
The randomisation model is completed by a statistician who is not involved in the recruitment or analysis of data for this project.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation will be completed using an excel spreadsheet which will be uploaded to a researcher specific survey collection database (REDcap).
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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
200 participants to complete the baseline survey (100 in each group) to retain 62 per group at follow-up to detect a moderate effect size difference between groups on the stress scale at follow-up assessment. This accounts for a 35% attrition rate.
The outcomes will be tested using ANOVA and if appropriate ANCOVA (i.e. if one or demographic variables have an influence on the participant outcomes). Descriptives and frequencies will also be analysed to test differences between groups within each treatment condition.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
12/01/2021
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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
200
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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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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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NIB Foundation
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Address [1]
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22 Honeysuckle Drive, Newcastle, NSW, 2300.
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Newcastle
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Address
University Drive, Callaghan, NSW, 2308
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Country
Australia
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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Smiling Mind
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Address [1]
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55 Cromwell St, Collingwood VIC 3066
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Newcastle's Human Research Ethics Committee (HREC)
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Ethics committee address [1]
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University Drive, Callaghan, NSW, 2308.
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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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29/05/2020
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Approval date [1]
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24/07/2020
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Ethics approval number [1]
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H-2020-0198
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Summary
Brief summary
This study is a randomised controlled trial, comparing the participation in a Smiling Mind program with a waitlist/control group. Participants will be recruited through facebook and will be given the participation information statement outlining the research. Those agreeing to participate will be redirected to the initial survey (baseline data collection) which will be generated through REDcap survey software. Once the survey is complete participants will be
randomised to either the waitlist/control group, or participation in a Smiling Mind program of their choice (sleep, relationships, or stress). Participants allocated to the waitlist group will receive an email with detailing that they will need to wait to join the program. Participants allocated to participate in the program will be sent instructions for joining the program. Participants will be asked to complete the initial survey (minus questions asking about
demographics, and their experience with mindfulness practice) at two more time points: two weeks (half way), and four weeks (conclusion of the program).
The data collected from the surveys at each time-point will be analysed to assess if there is a difference between the experimental and control groups. As an incentive to complete follow up surveys participants who complete all of the surveys will go in the draw win one $100 Amazon gift voucher. Throughout the study the Smiling Mind team will monitor using participant email addresses provided at baseline whether intervention participants have downloaded the application and are participating. If after 5 days participants have not downloaded the app and started engaging in the program, then the University of
Newcastle team will send an email reminder. The email address will also be used to match participant responses between surveys. The data collected from interventions application usage will also be analysed to determine patterns of usage and engagement.
It is hypothesised that participants who engage in the Smiling Mind program will have significantly improved well-being in comparison to the control group.
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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 Frances Kay-Lambkin
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Address
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University of Newcastle, Faculty of Medicine and Public Health
Level 5, McAuley Center, Calvary Mater Hospital, Waratah, NSW 2298
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Country
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Australia
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Phone
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+61 422 620 385
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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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Mrs Jessica Wilson
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Address
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University of Newcastle, Faculty of Medicine and Public Health
Level 5, McAuley Center, Calvary Mater Hospital, Waratah, NSW 2298
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Country
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Australia
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Phone
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+61 422620385
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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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Mrs Jessica Wilson
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Address
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University of Newcastle, Faculty of Medicine and Public Health
Level 5, McAuley Center, Calvary Mater Hospital, Waratah, NSW 2298
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Country
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Australia
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Phone
104144
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+61 422 620 385
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Fax
104144
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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
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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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