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Trial registered on ANZCTR
Registration number
ACTRN12621001642875
Ethics application status
Approved
Date submitted
4/11/2021
Date registered
30/11/2021
Date last updated
7/12/2022
Date data sharing statement initially provided
30/11/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
EndoSMS: A text message supportive program for individuals with endometriosis
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Scientific title
EndoSMS: Development and feasibility study of a text-based supportive intervention for individuals with endometriosis
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Secondary ID [1]
305723
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Nil
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Universal Trial Number (UTN)
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Trial acronym
EndoSMS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Endometriosis
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Quality of Life
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Psychological distress
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Condition category
Condition code
Reproductive Health and Childbirth
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0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
EndoSMS is a text messaged based intervention that provides supportive messages to individuals living with endometriosis. Messaging covers a range of domains including general endometriosis information, psychological support, self-care and general lifestyle tips. Participants will receive four semi-personalised text messages (e.g., to their preferred name) per week, free of charge, for a period of three months with messages selected from the EndoSMS message bank according to their user characteristics (e.g., smoker vs. non-smoker). Each message is very brief - a maximum of 50 characters and should take less than 1 minute to read.
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Intervention code [1]
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Behaviour
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Comparator / control treatment
Participants randomised to the waitlist control condition will receive no additional support beyond their usual care (e.g., GP/gynaecologist appointments) until the pilot is complete at 3 months and then they will be given the option to receive the text messaging program for a period of 3 months
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Control group
Active
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Outcomes
Primary outcome [1]
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Endometriosis-specific quality of life assessed with the reliable and valid Endometriosis Health Profile Questionnaire-30 (EHP-30; Jones et al., 2006)
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Assessment method [1]
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Timepoint [1]
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3 months post baseline
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Primary outcome [2]
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Emotional health measured using the widely used and validated short-version of the original DASS, the Depression, Anxiety and Stress Scales 21 item (DASS-21; Lovibond & Lovibond
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Assessment method [2]
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Timepoint [2]
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3 months post baseline
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Secondary outcome [1]
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Self-efficacy for managing endometriosis symptoms, daily activities, medication/treatment and social interactions, assessed by the reliable and valid PROMIS Self-Efficacy for Managing Chronic Conditions Short-Form 4-item subscales (Cella et al., 2010; Lee et al., 2020).
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Assessment method [1]
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Timepoint [1]
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3 months post baseline
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Secondary outcome [2]
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User acceptability (e.g., messages easy to understand) is assessed via a self-report online survey using Likert-type questions (i.e., along a scale from Not at all to Very Much so). These questions are derived from questions used in prior research by this team:
Sherman KA, Shaw LK, Jørgensen L, Harcourt D, Cameron L, Boyages J, Elder E, Kirk J, Tucker K. Qualitatively understanding patients' and health professionals' experiences of the BRECONDA breast reconstruction decision aid. Psychooncology. 2017 Oct;26(10):1618-1624. doi: 10.1002/pon.4346. Epub 2017 Jan 30. PMID: 27957772.
and
Singleton, A., Partridge, S., Raeside, R., Regimbal, M., Hyun,
K., Chow, C., Sherman, K., Elder, E., Redfern, J. (2019). A text
message intervention to support women's physical and mental
health after breast cancer treatments (EMPOWER-SMS): a
randomised controlled trial protocol. BMC Cancer, 19(1), 1-8.
doi ="http://dx.doi.org/10.1186/s12885-019-5886-8"
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Assessment method [2]
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Timepoint [2]
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3 months post baseline
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Eligibility
Key inclusion criteria
Participants are eligible to participate if they are: over 18 years of age; clinically diagnosed with endometriosis; proficient in English; have access to the internet and a mobile phone; resident in Australia
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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
-
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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 intervention will be administered entirely online, along with randomisation. Concealment will be by central randomisation by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Participants will be randomly assigned to conditions using a random generator following completion of the online baseline survey.
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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
Safety/efficacy
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Statistical methods / analysis
Statistical and thematic analysis will be conducted using SPSS and nVIVO, respectively. With the aim of pilot studies to provide indicative data of an intervention’s potential benefit (Lee et al., 2014), this trial aimed to gain user acceptability and feasibility data to inform a future definitive trial. We will provide confidence interval estimates (95% through 75%) of the range of possible intervention effects for the outcomes of interest. Difference scores (3-month – baseline) are analysed using independent sample t-tests (or Mann-Whitney U-tests for small samples) based on a Minimal Clinically Important Difference (MCID) score for each outcome. Sub-sample analyses are undertaken for: 1) Indigenous only; 2) Taking hormone medication only; 3) Rural/regional located participants only; and 4) Participants indicating having medication taking difficulties. For participants assigned to the Intervention condition, descriptive data were reported regarding user acceptability, along with baseline characteristics of participants completing the study versus those who dropout, and SMS-system delivery data.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/12/2021
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Actual
18/11/2021
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Date of last participant enrolment
Anticipated
17/12/2021
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Actual
8/12/2021
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Date of last data collection
Anticipated
22/03/2022
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Actual
30/03/2022
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Sample size
Target
120
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Accrual to date
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Final
279
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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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Endometriosis Australia
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Address [1]
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C/O Weston Woodley & Robertson
PO Box 1070 North Sydney
NSW 2059 Australia
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Macquarie University
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Address
School of Psychological Sciences, Balaclava Rd, Macquarie University, North Ryde, NSW, 2109
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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]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Macquarie University HREC (Medical Sciences)
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Ethics committee address [1]
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Balaclava Road, North Ryde NSW 2109
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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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15/02/2021
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Approval date [1]
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13/05/2021
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Ethics approval number [1]
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52021963527729
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Summary
Brief summary
With 1 in 9 Australians of childbearing age living with endometriosis, this chronic condition is characterised by debilitating physical symptoms which negatively impact on their psychological wellbeing and quality of life. This pilot study will assess the feasibility of a co-designed supportive text message program (EndoSMS) to enhance the psychological wellbeing and quality of life of those with endometriosis. Co-designed text message interventions have been demonstrated to improve health-promoting behaviours and medication adherence in individuals with chronic conditions and are a cost-efficient means of providing health education and support. Text messaging is particularly suited for young to middle-aged people (the majority of those impacted by endometriosis) because mobile phone ownership is high, little effort is required to receive the intervention, and texts can be read/re-read at times that suit users. Informed by psychological and communication theory, this study aims to develop a co-designed bank of text messages focused on providing evidence-based information about endometriosis management, psychological support and tips for self-care and a healthy lifestyle. Following co-designed development of the text message bank, piloting of the EndoSMS intervention will be undertaken with a minimum sample of 120 individuals living with endometriosis.
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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 Kerry Sherman
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Address
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School of Psychological Sciences, Balaclava Rd, Nth Ryde, Macquarie University NSW 2109
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Country
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Australia
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Phone
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+61 298506874
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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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Kerry Sherman
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Address
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Centre for Emotional Health, School of Psychological Sciences, Balaclava Rd, Nth Ryde, Macquarie University NSW 2109
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Country
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Australia
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Phone
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+61 298506874
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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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Kerry Sherman
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Address
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School of Psychological Sciences, Balaclava Rd, Nth Ryde, Macquarie University NSW 2109
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Country
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Australia
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Phone
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+61 298506874
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Fax
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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
We have not sought ethics approval for any individual data, only group data to be made publicly available. Rather, only deidentified group/combined data will be available at any stage
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
13953
Informed consent form
383069-(Uploaded-03-11-2021-16-43-18)-Study-related document.pdf
13954
Study protocol
383069-(Uploaded-03-11-2021-16-43-39)-Study-related document.docx
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
A supportive text message intervention for individuals living with endometriosis (EndoSMS): Randomized controlled pilot and feasibility trial.
2023
https://dx.doi.org/10.1016/j.conctc.2023.101093
N.B. These documents automatically identified may not have been verified by the study sponsor.
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