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Trial registered on ANZCTR
Registration number
ACTRN12608000368336
Ethics application status
Approved
Date submitted
20/06/2008
Date registered
30/07/2008
Date last updated
13/02/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Health and coping in type 1 diabetes: The effects of a psycho-educational program to improve metabolic control in adolescents with type 1 diabetes
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Scientific title
Health and coping in type 1 diabetes: The effects of a psycho-educational program to improve metabolic control in adolescents with type 1 diabetes
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Secondary ID [1]
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Nil
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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:
Type 1 diabetes
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Condition category
Condition code
Metabolic and Endocrine
3451
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention is based on The Best of Coping (Frydenberg & Brandon, 2007), a coping skills training program developed for adolescents. The current intervention will be an adapted 'diabetes-specific' version of The Best of Coping (BOC). The BOC program teaches productive coping skills using a cognitive-behavioural framework. The modules in the BOC program cover aspects such as learning about productive and non-productive coping, problem-solving, thinking optimistically, goal-setting, time-management, and effective communication.The program employs an interactive approach to learning using role-play, modelling and constructive feedback. The current intervention will involve five weekly sessions lasting for two hours.
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Intervention code [1]
3026
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Behaviour
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Comparator / control treatment
The control group will continue to receive standard care at the Diabetes Clinic which includes support from a diabetes team including doctors, a dietician, a diabetes nurse and a social worker.
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Control group
Active
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Outcomes
Primary outcome [1]
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Improved metabolic control (lower glycosylated hemoglobin / HbA1c levels assessed at the Royal Children's Hospital as part of standard care)
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Assessment method [1]
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Timepoint [1]
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Baseline, and 3 and 12-months post-intervention
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Secondary outcome [1]
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1. Increase in productive coping: assessed by the Adolescent Coping Scale (Long Form, Specific) (Frydenberg & Lewis, 1993)
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Assessment method [1]
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Timepoint [1]
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Baseline, and 3 and 12-months post-intervention
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Secondary outcome [2]
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2. Improvement in diabetes regimen adherence: assessed by the Diabetes Behaviour Rating Scale (Adolescent Version) (Iannotti et al., 2006)
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Assessment method [2]
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Timepoint [2]
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Baseline, and 3 and 12-months post-intervention
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Secondary outcome [3]
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3. Improved self-efficacy: assessed by the Self-Efficacy for Diabetes Scale (Grossman, Brink, & Hauser, 1987)
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Assessment method [3]
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Timepoint [3]
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Baseline, and 3 and 12-months post-intervention
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Secondary outcome [4]
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4. Improved quality of life: assessed by the Diabetes Quality of Life for Youth scale (Ingersoll & Marrero, 1991)
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Assessment method [4]
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Timepoint [4]
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Baseline, and 3 and 12-months post-intervention
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Eligibility
Key inclusion criteria
(1) aged 13-16 years, (2) diagnosed with type 1 diabetes more than one year ago, (3) currently attending secondary school
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Minimum age
13
Years
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Maximum age
16
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
(1) non-English speaking adolescents, (2) adolescents who have thyroid disease or any other significant health conditions in addition to diabetes, (3) children with developmental disorders (e.g. Autism Spectrum Disorder) and children currently attending at a Special Education School or who qualify for Integration Aide Assistance. These children represent a special population for which individually tailored programs are required.
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Study design
Purpose of the study
Educational / counselling / training
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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)
Participants will be informed about the study by the principal investigator, who will make it clear that their treating physician will not be informed of whether they decide to participate or not. The principal investigator will give the participants the Plain Language Statement and Consent Forms (with a pre-paid envelope). In order to ensure that allocation to the two treatment groups is random and concealed during participant recruitment, this study will use the sealed envelope protocol. The Clinical Epidemiology and Biostatistics Unit (CEBU) at the Royal Children's Hospital (RCH) will provide an appropriate number of sealed envelopes with randomly appointed treatment allocations. Once the principal investigator receives a participant’s Consent Form she will open one envelope and that participant will be allocated to that specific treatment group. This protocol will be repeated for all the participants.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer-based random number generation
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Masking / blinding
Blinded (masking 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
Phase 1
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/11/2008
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Actual
7/07/2009
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Date of last participant enrolment
Anticipated
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Actual
31/08/2010
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Date of last data collection
Anticipated
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Actual
1/02/2012
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Sample size
Target
156
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Accrual to date
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Final
156
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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The Royal Children's Hospital
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Address [1]
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Flemington Road, Parkville, VIC, 3052
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Country [1]
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Australia
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Primary sponsor type
University
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Name
The University of Melbourne
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Address
The University of Melbourne, Carlton Victoria 3010
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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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Royal Children's Hospital Human Research Ethics Committee
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Ethics committee address [1]
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Royal Children's Hospital Ethics and Research Flemington Road, Parkville Victoria, 3052
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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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20/06/2008
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Approval date [1]
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27/10/2008
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Ethics approval number [1]
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HREC 28080 A
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Summary
Brief summary
Successful management of type 1 diabetes includes adhering to a complex and often intrusive treatment regimen, which can be especially challenging and stressful for young people. This study aims to adapt and trial a coping skills training program The Best of Coping (Frydenberg & Brandon, 2007) and to assess the program’s efficacy in improving glycaemic control, coping skills, diabetes-specific self-efficacy (confidence in one’s own ability to manage with diabetes), diabetes regimen adherence, and quality of life in adolescents aged 13-16 years with type 1 diabetes. Hypothesis: It is predicted that the BOC program will improve glycaemic control at the 3 and 12 month follow-up compared to the control group. Hypothesis 2: It is predicted that the BOC program will improve productive coping skills, self-efficacy, adherence to the diabetes treatment regimen, stress levels and quality of life compared to the control group at 3 and 12 months after baseline.
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Trial website
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Trial related presentations / publications
Serlachius, A., Scratch, S., Northam, E., Frydenberg, E., Lee, K., Cameron, F. (2014). A randomized controlled trial of cognitive behaviour therapy to improve glycaemic control and psychosocial wellbeing in adolescents with type 1 diabetes. Journal of Health Psychology, 1359105314547940. [Epub ahead of print]
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Lis Northam
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Address
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Royal Children's Hospital
Flemington Road
Victoria
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Country
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Australia
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Phone
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+61 03 9345 7057
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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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Ms Anna Serlachius
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Address
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Royal Children's Hospital
Flemington Road, Parkville, VIC, 3052
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Country
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Australia
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Phone
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(03) 9345 6773
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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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A/Prof Elisabeth Northam
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Address
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Royal Children's Hospital
Flemington Road, Parkville, VIC, 3052
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Country
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Australia
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Phone
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(03) 9345 6523
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Fax
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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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