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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02474524
Registration number
NCT02474524
Ethics application status
Date submitted
24/05/2015
Date registered
17/06/2015
Date last updated
15/09/2017
Titles & IDs
Public title
Self-Management and Recovery Technology Psychosocial Intervention Trial
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Scientific title
Psychosocial Intervention Using Online Resources to Promote Personal Recovery in Users of Specialist Mental Health Services
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Secondary ID [1]
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MIRF33
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Secondary ID [2]
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2014/119
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Universal Trial Number (UTN)
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Trial acronym
SMARTTherapy
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Schizophrenia
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Affective Disorders, Psychotic
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Psychotic Disorders
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Condition category
Condition code
Mental Health
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Schizophrenia
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Mental Health
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Psychosis and personality disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
BEHAVIORAL - Health intervention
BEHAVIORAL - Social intervention
Experimental: Health intervention - + treatment as usual
Active comparator: Social intervention - + treatment as usual
BEHAVIORAL: Health intervention
Participants will receive 8 50-minute sessions during a 3 month window with a mental health worker, in addition to their routine care. Sessions will be structured by the worker and participant using a tablet computer to view materials on mental health self-management and personal recovery on a dedicated website for the trial. These will include information, videos, audio and exercises. Online materials make particular use of videos featuring people with lived experience of psychosis discussing how they have dealt with issues in their recovery, and will allow users to post comments on videos and in a forum. Participants may access online materials both during intervention sessions and outside sessions using any Internet-enabled device.
BEHAVIORAL: Social intervention
Participants will receive 8 50-minute sessions during a 3 month window with a mental health worker in addition to routine care (treatment as usual). The social intervention will utilise a computer tablet (i.e., iPad) servicing online resources to extend a manualised befriending intervention, based upon social interaction, designed to control for therapist contact and computer use. Each session will involve interaction about non-health related topics of interest to the participants, which will be facilitated by use of viewing online material related to these interests on a tablet computer as a prompt to conversation.
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Intervention code [1]
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BEHAVIORAL
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change in Process of Recovery Questionnaire (QPR)
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Assessment method [1]
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Assesses personal recovery
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Timepoint [1]
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Baseline, 3, 6 and 9 months
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Secondary outcome [1]
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Change in Positive and Negative Syndrome Scales (PANSS)
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Assessment method [1]
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Assesses psychotic symptomatology
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Timepoint [1]
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Baseline, 3, 6 and 9 months
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Secondary outcome [2]
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Change in Subjective Experience of Psychosis Scale (SEPS)
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Assessment method [2]
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Assesses subjective impact of psychotic symptoms
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Timepoint [2]
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Baseline, 3, 6 and 9 months
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Secondary outcome [3]
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Change in Depression Anxiety Stress Scale (DASS-21)
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Assessment method [3]
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Assesses emotional symptoms
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Timepoint [3]
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Baseline, 3, 6 and 9 months
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Secondary outcome [4]
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Change in Assessment of Quality of Life 8dimension (AQol8d)
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Assessment method [4]
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Assesses quality of life
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Timepoint [4]
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Baseline, 3, 6 and 9 months
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Secondary outcome [5]
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Change in Resource Use Questionnaire
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Assessment method [5]
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Measure of health service use
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Timepoint [5]
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Baseline, 3, 6 and 9 months
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Eligibility
Key inclusion criteria
1. diagnosis of a functional psychotic disorder (schizophrenia-related disorder OR bipolar disorder or major depressive disorder with the presence of a severe episode with psychotic features within the past 2 years);
2. sufficient fluency in English to make use of the resources;
3. overall intellectual functioning within normal limits (WTAR estimated IQ>70);
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Minimum age
18
Years
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Maximum age
65
Years
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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
Exclusion criteria (e) change in medication or in-patient admission in the previous 2 months;
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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)
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Methods used to generate the sequence in which subjects will be randomised (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
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/01/2015
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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
1/07/2017
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Sample size
Target
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Accrual to date
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Final
148
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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EACH - Eastern Melbourne
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Recruitment hospital [2]
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Eastern Health - Eastern Melbourne
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Recruitment hospital [3]
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Mental Illness Fellowship of Victoria - Fairfield
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Recruitment hospital [4]
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St Vincent's Health mental health services - Fitzroy
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Recruitment hospital [5]
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Peninsula Health - Frankston
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Recruitment hospital [6]
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Austin Health - Heidelberg
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Recruitment hospital [7]
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Mind Australia - Heidelberg
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Recruitment hospital [8]
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Alfred Health mental health services - Melbourne
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Recruitment hospital [9]
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Neami National - Melbourne
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Recruitment hospital [10]
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North Western Mental Health - Melbourne
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Recruitment postcode(s) [1]
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- Eastern Melbourne
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Recruitment postcode(s) [2]
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3078 - Fairfield
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Recruitment postcode(s) [3]
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3065 - Fitzroy
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Recruitment postcode(s) [4]
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- Frankston
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Recruitment postcode(s) [5]
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3084 - Heidelberg
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Recruitment postcode(s) [6]
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3004 - Melbourne
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Recruitment postcode(s) [7]
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- Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Swinburne University of Technology
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Address
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Other collaborator category [1]
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Other
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Name [1]
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The Alfred
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Address [1]
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Other collaborator category [2]
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Other
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Name [2]
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St Vincent's Hospital Melbourne
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Address [2]
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Other collaborator category [3]
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Other
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Name [3]
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Melbourne Health
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Address [3]
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Other collaborator category [4]
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Other
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Name [4]
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Mental Illness Fellowship of Victoria
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Address [4]
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Other collaborator category [5]
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Other
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Name [5]
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Mind Australia
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Address [5]
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Country [5]
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Other collaborator category [6]
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Other
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Name [6]
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La Trobe University
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Address [6]
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Other collaborator category [7]
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Other
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Name [7]
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Deakin University
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Address [7]
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Other collaborator category [8]
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Government body
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Name [8]
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Austin Health
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Address [8]
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Other collaborator category [9]
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Other
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Name [9]
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Neami National
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Address [9]
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Other collaborator category [10]
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Government body
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Peninsula Health
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Address [10]
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Other collaborator category [11]
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Other
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Name [11]
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Eastern Health
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Address [11]
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Other collaborator category [12]
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Other
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Name [12]
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EACH
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Address [12]
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Country [12]
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Ethics approval
Ethics application status
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Summary
Brief summary
This project is a component of a broader research program referred to as "Self-Management and Recovery Technology (SMART): Use of online technology to promote self-management and recovery in people with psychosis", which has been funded by the Victorian Department of Health Mental Illness Research Fund (MIRF33). The overall research program is examining the therapeutic potential of using online (Internet-based) educational and multimedia resources in mental health services. It involves the development of a website which can be accessed via an internet browser on a desktop computer, tablet computer, or smartphone. It consists of a series of educational modules containing textual information, exercises, audio, and video clips designed to promote self-management and recovery in people with a history of persisting mental illness. This particular project (SMART-Therapy) involves a randomised controlled trial examining the use of a discrete 8-session psychosocial intervention delivered in addition to routine care which utilises these online materials. The intervention will involve a mental health worker meeting with the participant with a tablet computer (e.g. iPad) on which online materials can be viewed, and used to guide an interaction with the participant. The randomised controlled trial will include 148 participants, who will be randomised to receive one of two interventions: (a) meeting with a support worker using the SMART website to guide interaction (health intervention), or (b) meeting with a support worker delivering a social interaction-based control condition (social intervention). In each condition, there will be 8 x 50min face-to-face sessions over 3 months. Assessments will be completed pre-randomisation, and at 3, 6 and 9 months. The primary hypothesis is that participants randomised to the health intervention will show greater improvement in personal recovery than participants randomised to the social intervention, and that these improvements will be maintained at follow-up (6 and 9 months following intake).
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Trial website
https://clinicaltrials.gov/study/NCT02474524
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Trial related presentations / publications
Thomas N, Farhall J, Foley F, Rossell SL, Castle D, Ladd E, Meyer D, Mihalopoulos C, Leitan N, Nunan C, Frankish R, Smark T, Farnan S, McLeod B, Sterling L, Murray G, Fossey E, Brophy L, Kyrios M. Randomised controlled trial of a digitally assisted low intensity intervention to promote personal recovery in persisting psychosis: SMART-Therapy study protocol. BMC Psychiatry. 2016 Sep 7;16(1):312. doi: 10.1186/s12888-016-1024-1.
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Public notes
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Contacts
Principal investigator
Name
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Neil Thomas
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Address
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Swinburne University of Technology/Alfred Health
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02474524
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