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Trial registered on ANZCTR
Registration number
ACTRN12624001491550
Ethics application status
Approved
Date submitted
27/11/2024
Date registered
20/12/2024
Date last updated
20/12/2024
Date data sharing statement initially provided
20/12/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Restricting and then resuming certain behaviors and the effects on symptoms of anxiety and depression
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Scientific title
Things You Do (TYD) RCT #3: Randomised Controlled Trial of the Restriction/Resume Method Comparing the Effect of TYD vs. Waitlist Control (“Restriction/Resume RCT”) on Symptoms of Anxiety and Depression in Healthy Adults
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Secondary ID [1]
313473
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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:
depression
335882
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anxiety
335881
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Condition category
Condition code
Mental Health
332467
332467
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0
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Anxiety
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Mental Health
332468
332468
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The research design is a parallel group randomised controlled trial.
Applicants will be randomly allocated to one of two conditions (one intervention and one control), with randomisation stratifying for gender, age and symptom severity.
Participants will be randomly allocated to receive one of two conditions. All groups will complete symptom and activity questionnaires each week. The intervention group will follow the protocol previously approved by the MQ HREC (520221263243784):
1. TYD Group.
a. During Phase 1 (2 weeks), Baseline Phase, participants will be instructed to continue to perform their usual activities.
b. During Phase 2 (2 weeks), Restriction Phase, participants will be instructed to reduce the frequency they perform the actions listed on the TYD-15 item questionnaire (TYD-15) to 2 times each week. Example items include: "I kept a healthy daily routine"; "I went to bed and woke up at a regular time"; "I prepared and ate a healthy meal".
c. During Phase 3 (5 weeks), Recovery Phase, participants will be instructed to resume the frequency they perform the actions that they restricted in Phase 2 to 5 times each week. Behaviour will be prompted using automated daily text messages, which were approved by the MQ (HREC 5201831843909) for an earlier study. Adherence throughout the phases will be monitored via the symptom and activity questionnaires administered each week.
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Intervention code [1]
330047
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Behaviour
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Comparator / control treatment
Control Group: This condition will complete the questionnaires at the same times points as the intervention group. At the end of the trial they will receive information and advice about using the TYD to support their mental health in the long-term. At post-treatment, all participants will be informed about how they can access further treatment and care via email. This will include recommending speaking to their GP, contacting Lifeline, or contacting MindSpot for free assessment and treatment. This information will be provided by email and verbally during a final telephone call. Participants will also be invited to contact the research team if concerned about their mental health.
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Control group
Active
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Outcomes
Primary outcome [1]
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Depression at post-treatment
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Assessment method [1]
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Patient Health Questionnaire 9-item Scale (PHQ-9)
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Timepoint [1]
340006
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Depression will be assessed using the PHQ-9 at baseline (pre-intervention), and weekly during the intervention. Post-treatment at week 9 will be the primary endpoint.
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Primary outcome [2]
340005
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Anxiety at post-treatment
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Assessment method [2]
340005
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Generalised Anxiety Disorder 7-item Scale (GAD-7)
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Timepoint [2]
340005
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Anxiety will be assessed using the GAD-7 at baseline (pre-intervention), and weekly during the intervention. Post-treatment at week 9 will be the primary endpoint.
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Nil
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
(a) Australian resident;
(b) Are aged 18 years or older.
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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
People who:.
1. Have moderate or higher levels of symptoms of anxiety or depression
2. Are not living in Australia
2. Are unable to read or understand English
3. Are currently receiving psychological treatment
4. At risk of suicide or self-harm
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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)
randomisation by centralised computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
randomisation stratified for gender, age and symptom severity
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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
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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
Not yet recruiting
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Date of first participant enrolment
Anticipated
3/02/2025
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Actual
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Date of last participant enrolment
Anticipated
31/03/2025
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Actual
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Date of last data collection
Anticipated
30/06/2025
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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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]
317912
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Other Collaborative groups
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Name [1]
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WA Primary Health Alliance
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Address [1]
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Country [1]
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Australia
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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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None
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Name [1]
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Address [1]
320258
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Country [1]
320258
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Macquarie University Human Research Ethics Committee Medical Sciences
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Ethics committee address [1]
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https://www.mq.edu.au/research/ethics-integrity-and-policies/ethics/human-ethics
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Ethics committee country [1]
316599
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Australia
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Date submitted for ethics approval [1]
316599
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20/06/2024
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Approval date [1]
316599
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29/08/2024
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Ethics approval number [1]
316599
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Summary
Brief summary
The proposed project further extends our systematic efforts to understand the relationship between symptoms of anxiety and depression, and daily actions (i.e., thoughts and behaviours - "Things You Do"). The primary objective of this trial is to compare the effects of restricting and then resuming the Things You DO (TYD). The research design is a parallel group randomised controlled trial. Participants (n = 60) will be Australian adults assigned to either the intervention group (behaviour restricted and then resumed) or a control group. Based on our earlier studies, the primary hypothesis is that restricting and then increasing the frequency of TYD actions will result in significantly greater increases and then reductions in symptoms of anxiety and depression, relative to a control condition.
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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 Nickolai Titov
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Address
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MindSpot, 2 Technology Place Macquarie University. NSW 2109
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Country
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Australia
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Phone
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+61 2 98509901
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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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Lauren Staples
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Address
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MindSpot, 2 Technology Place Macquarie University. NSW 2109
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Country
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Australia
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Phone
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+61 2 98509971
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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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Lauren Staples
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Address
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MindSpot, 2 Technology Place Macquarie University. NSW 2109
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Country
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Australia
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Phone
138372
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+61 2 98509971
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Fax
138372
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Email
138372
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
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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