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Trial registered on ANZCTR
Registration number
ACTRN12624000672550
Ethics application status
Approved
Date submitted
13/05/2024
Date registered
27/05/2024
Date last updated
27/05/2024
Date data sharing statement initially provided
27/05/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
Feasibility of a Digital Coach for Self Esteem.
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Scientific title
Feasibility of a Digital Coach for Self Esteem in Healthy Adults Not Currently Experiencing Mental Health Problems
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Secondary ID [1]
312106
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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:
Low self-esteem
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Condition category
Condition code
Mental Health
330428
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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
Following completion of the baseline measures, participants will engage with a conversational agent (CA) called HAFSE (Helper Agent for Self Esteem). Engagement will involve the agent introducing themselves and then asking participants questions which encourage self-reflection and intention. HAFSE will interact with participants by speaking (digital voice) and text (her conversation will also appear as text). During the conversation, participants will be able to select answers from a pre-defined set of options which will allow them to direct the conversation. The expected interaction time is about 15 minutes.
There will be only one brief online interaction.
There are three conversations discussing:
1. How to change 3 common negative thinking styles (1, all-or-nothing thinking, 2 Magnifying or exaggerating negative experiences, 3. Minimising positives);
2. The value of keeping a Positive Self Diary.
3. Positive self-affirmations.
Participants will access the conversational agent via a website link accessible within the online survey.
We will capture responses during the conversation and will ask if they found the strategies helpful but we will not know if participants follow the advice. In the study, all participants will do conversation 1, but they will get to choose between doing conversation 2 and 3. We will ask them if they would like to access later the conversation they did not choose.
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Intervention code [1]
328548
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Lifestyle
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Change in Self Esteem
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Assessment method [1]
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Rosenberg Self Esteem Scale (RSES) (Rosenberg, 1965) consisting of 10 items questionnaire
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Timepoint [1]
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Baseline and after 15 minute psycho-education with HAFSE
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Primary outcome [2]
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Change in Self Esteem
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Assessment method [2]
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State Self Esteem Scale (SSES) (Heatherton & Polivy, 1991) consisting of 20 questions.
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Timepoint [2]
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Baseline and after 15 minute psycho-education with HAFSE
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Secondary outcome [1]
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Change in self-efficacy
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Assessment method [1]
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Participants will also be administered the General Self Efficacy Scale (GSES) (Schwarzer & Jerusalem, 1995) to assess their ability to deal with daily life matters.
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Timepoint [1]
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Baseline and after 15 minute psycho-education with HAFSE
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Secondary outcome [2]
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Extent of a human-agent working alliance
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Assessment method [2]
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the Session Rating Scale (SRS) (Duncan et al., 2003) to measure satisfaction with the session and the conversational agent.
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Timepoint [2]
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After 15 minute psycho-education interaction with HAFSE
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Eligibility
Key inclusion criteria
The consent form also requires that participants are:
-Not currently receiving any professional psychotherapy (from a psychologist, counsellor, psychiatrist etc).
-Not currently experiencing severe levels of anxiety, depression, stress or other mental health problems
- Currently a student
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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
DASS-8 (Depression Anxiety and Stress Scale) will be used as inclusion criteria for the participants to enter into the study. Participants with severe score in any dimension will not be given access.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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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
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
20/05/2024
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Date of last participant enrolment
Anticipated
31/01/2025
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Actual
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Date of last data collection
Anticipated
31/01/2025
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Actual
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Sample size
Target
400
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Accrual to date
2
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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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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Macquarie University
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Address [1]
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Country [1]
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Australia
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Funding source category [2]
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Government body
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Name [2]
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Higher Education Commission Pakistan
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Address [2]
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Country [2]
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Pakistan
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Primary sponsor type
University
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Name
Macquarie University
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Address
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Country
Australia
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Secondary sponsor category [1]
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Government body
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Name [1]
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Higher Education Commission Pakistan
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Address [1]
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Country [1]
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Pakistan
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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 Humanities & Social Sciences Committee
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Ethics committee address [1]
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ethics@mq.edu.au
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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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08/04/2024
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Approval date [1]
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07/05/2024
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Ethics approval number [1]
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520241697056726
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Summary
Brief summary
The aim of this research project is to investigate the feasibility, usefulness and applicability of a digitally delivered low intensity psycho-educational tool to increase the self-esteem of participants. The psycho-education will be delivered by an embodied conversational agent, known as HAFSE (Helper Agent For Self Esteem). Students often suffer from low self-esteem and are thus a suitable population. HAFSE is intended to help students improve their SE, but we also anticipate that students with even average levels of self-reports SE scores may still benefit from the conversations. As a feasibility study we also seek to assess the usability of the tool and the user's experience. Thus, we do not screen participants based on their level of self esteem and intend to examine whether baseline levels of SE influence the results. We will measure participant self-esteem and self-efficacy before and after interaction with HAFSE.
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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 Deborah Richards
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Address
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4 Research Park Drive, Macquarie University, NSW, 2109
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Country
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Australia
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Phone
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+61 02 98509567
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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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Deborah Richards
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Address
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4 Research Park Drive, Macquarie University, NSW, 2109
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Country
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Australia
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Phone
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+61 02 98509567
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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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Deborah Richards
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Address
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4 Research Park Drive, Macquarie University, NSW, 2109
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Country
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Australia
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Phone
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+61 02 98509567
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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
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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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