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Trial registered on ANZCTR
Registration number
ACTRN12608000114347
Ethics application status
Approved
Date submitted
27/02/2008
Date registered
29/02/2008
Date last updated
3/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
The effectiveness of a mindfulness-based group intervention in reducing distress in radiation therapy patients.
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Scientific title
The effectiveness of a mindfulness-based group intervention in reducing distress in radiation therapy patients.
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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:
distress
2885
0
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cancer
2886
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Condition category
Condition code
Mental Health
3023
3023
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0
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Other mental health disorders
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Cancer
3024
3024
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0
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Other cancer types
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Mindfulness meditation groups.
Mindfulness meditation involves skills for regulating attention with the aim of being in the present moment with a non-judgemental and curious attitude. The intervention consists of a pre-group orientation session for participants (90-min) followed by 7-weekly classes (2 hours duration). Groups will be open i.e. not of fixed membership where participants start and finish at different times. The group program is modified and adapted from Jon Kabat-Zinn’s Mindfulness Based Stress Reduction (MBSR) work.
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Intervention code [1]
2615
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Treatment: Other
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Comparator / control treatment
wait-list control to receive intervention at later time point
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Control group
Active
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Outcomes
Primary outcome [1]
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Impact of Events Scale - Revised (IES).
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Assessment method [1]
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Timepoint [1]
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One week before intervention (initial interview)
Week three after starting radiation therapy
Week 12 after the initial interview
Week 26 after the initial interview
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Primary outcome [2]
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Depression Anxiety Stress Scale (DASS).
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Assessment method [2]
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Timepoint [2]
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One week before intervention (initial interview)
Week three after starting radiation therapy
Week 12 after the initial interview
Week 26 after the initial interview
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Primary outcome [3]
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State-Trait Anxiety Inventory (STAI).
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Assessment method [3]
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Timepoint [3]
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One week before intervention (initial interview)
Week three after starting radiation therapy
Week 12 after the initial interview
Week 26 after the initial interview
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Secondary outcome [1]
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Mindful Attention Awareness Scale (MAAS)
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Assessment method [1]
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Timepoint [1]
6581
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One week before intervention (initial interview).
Week three after starting radiation therapy.
Week 12 after the initial interview.
Week 26 after the initial interview
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Eligibility
Key inclusion criteria
Adult cancer patients with heterogeneous cancers who are about to commence radiation therapy for the first time.
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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
Previous radiation therapy treatment.
Language difficulties.
Brain neoplasms.
Medically unfit to attend 8 weeks of outpatient group therapy.
Current mental illness with no treatment in place.
Current substance abuse.
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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)
Recruitment will take place at the Cancer Care Centre at St George Hospital. Consent will be sought from the radiation oncologists to contact their patients. They will also be given a list of the eligibility criteria for the study as well as a script if they wish to describe it to their patients. The usual treatment flow for RT patients is that newly referred patients to the Cancer Care Centre are seen by a radiation oncologist and are offered a simulation (planning) appointment usually 2 to 3 weeks before their RT commences and soon after seeing their radiation oncologist. At this appointment, Radiation Oncologists complete a Radiotherapy Booking Form for their patient. The form has a drop-down check box listing all the current clinical trials. The heading “psychology study” will be listed here with a “yes” or “no” option. The principal researcher will check the Radiotherapy Booking Forms on a weekly basis for all new radiation oncology patients. If the box is checked “yes” she will contact these patients the week after their appointment to discuss the trial. If they are interested a participant information statement and consent form will be mailed to them and an intake appointment arranged. Once eligibility is determined allocation to groups occurs. Allocation is concealed i.e. by central randomisation by phone/fax/computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Once eligibility is determined in the intake interview the participant will be randomised (this is done by the clinical trials unit at St. George Hospital). The participants will be randomisation and stratified according to tumour stream. This will be achieved by using blocked randomisation. The method of sequence generation will be a computerised random-number generator.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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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
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
19/03/2008
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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
150
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
595
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2217
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Cancer Institute NSW
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Address [1]
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Cancer Institute NSW
PO Box 41
Alexandria
NSW 1435
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
St. George Hospital
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Address
Cancer Care Centre
St. George Hospital
Gray St., Kogarah
NSW 2217
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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Psycho-oncology Co-operative Research Group (University of Sydney).
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Address [1]
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Medical Psychology Research Unit
School of Psychology
Brennan MacCallum Building (A18)
University of Sydney
NSW, 2006
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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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St. George Hospital Human Research Ethics Committee
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Ethics committee address [1]
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Human Research Ethics Committee - Central Network St. George Hospital Gray St., Kogarah NSW 2217
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
5108
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Approval date [1]
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05/12/2007
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Ethics approval number [1]
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07/STG/17
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Summary
Brief summary
This research aims to investigate the effects on distress of a modified mindfulness based stress reduction (MBSR) program for patients about to undergo radiation therapy (RT) for the first time. Research questions: 1. Do mindfulness groups significantly reduce the distress (anxiety, depressive symptoms) of cancer patients undergoing radiotherapy? 2. What is the feasibility of routine delivery of an adjunctive psycho-oncology intervention (like the mindfulness groups) in the radiation oncology setting? 3. Are open groups (i.e. groups where members can start and finish at different times) an appropriate way for delivering mindfulness groups to this population? 4. If the mindfulness groups intervention is shown to be effective how can it be generalised to benefit a wider population e.g. significant others and carers of the patient, and patients who are receiving other treatments like chemotherapy.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Maree Thomas
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Address
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Cancer Care Centre
St. George Hospital
Gray St., Kogarah
NSW 2217
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Country
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Australia
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Phone
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0410466311
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Fax
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(02) 9113 3958
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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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Maree Thomas
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Address
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Cancer Care Centre
St. George Hospital
Gray St., Kogarah
NSW 2217
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Country
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Australia
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Phone
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0410466311
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Fax
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(02) 9113 3958
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Email
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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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