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Trial registered on ANZCTR

Registration number
Ethics application status
Date submitted
Date registered
Date last updated
Type of registration
Prospectively registered

Titles & IDs
Public title
The effectiveness of a guided self-help cognitive behavioural therapy programme for East-Asian students with mild levels of depression and anxiety
Scientific title
The effectiveness of a guided self-help cognitive behavioural therapy programme on adjustment to university and treatment of mild anxiety and depression in East-Asian students in New Zealand
Secondary ID [1] 282945 0
Nil known
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
low mood 289766 0
anxiety 289767 0
sleeping problems 289768 0
adjustment problems 289769 0
Condition category
Condition code
Public Health 290108 290108 0 0
Health promotion/education
Mental Health 290150 290150 0 0
Mental Health 290151 290151 0 0

Study type
Description of intervention(s) / exposure
The self-help cognitive behavioural therapy (CBT) programme called Living Life to the Full, developed by Dr. Chris Williams of Glasgow University, is used for this study. The workbooks teach key life skills to combat distress, low mood and worry. These skills include stopping vicious thought cycles, problem solving, and goal setting. All participants will go through the individual face-to-face sessions with a paraprofessional, as is the design for low intensity cognitive behavioural programmes. The guided programme will be 1-2 hour sessions per week over 8 weeks. Participants will be assigned homework to put into practice the skills that has been taught, and also the subsequent workbook to read through before the next session. Apart from weekly reminders to complete the homework and meet with the paraprofessional, there are no other strategies used to monitor adherence to the intervention.
Intervention code [1] 287649 0
Treatment: Other
Intervention code [2] 287650 0
Intervention code [3] 287651 0
Comparator / control treatment
Repeated measures of health and adjustment scores pre- and post-intervention for each participant
Control group

Primary outcome [1] 290144 0
Increased adjustment as indicated by increased score on Student Adaptation to College Questionnaire (SACQ).
Timepoint [1] 290144 0
Measured at baseline, Week 4 and Week 8
Primary outcome [2] 290145 0
Increased score on Clinical Outcomes in Routine Evaluation (CORE-10)
Timepoint [2] 290145 0
At baseline and every week of intervention
Secondary outcome [1] 304015 0
Feedback regarding suitability and modification of programme from semi-structured interview and Client Satisfaction Questionnaire (CSQ-8)
Timepoint [1] 304015 0
Exit interview post-intervention

Key inclusion criteria
Low risk, mild levels of depression and anxiety. Participants must be from an East-Asian country (i.e. China, Taiwan, Hong Kong, Japan or Korea) and have been living in New Zealand for no more than 10 years. Recruitment will be targeted at students studying in New Zealand
Minimum age
18 Years
Maximum age
No limit
Both males and females
Can healthy volunteers participate?
Key exclusion criteria
High risk participants will be referred to Health and Counselling service at the university

Study design
Purpose of the study
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All participants will receive the intervention
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Who is / are masked / blinded?

Intervention assignment
Single group
Other design features
Not Applicable
Type of endpoint(s)
Statistical methods / analysis
As this is a preliminary study at Masters level, the sample size will be limited to 12 participants. The within-subject design uses a repeated measures approach.

Recruitment status
Date of first participant enrolment
Date of last participant enrolment
Date of last data collection
Sample size
Accrual to date
Recruitment outside Australia
Country [1] 5259 0
New Zealand
State/province [1] 5259 0

Funding & Sponsors
Funding source category [1] 287721 0
Name [1] 287721 0
Massey University
Address [1] 287721 0
School of Psychology
Massey University
Private Bag 102-904
North Shore Mail Centre
Auckland 0745
Country [1] 287721 0
New Zealand
Primary sponsor type
Kai-Chi Katie Lee
3/42 Manuka Road
Auckland 0629
New Zealand
Secondary sponsor category [1] 286452 0
Name [1] 286452 0
Dr Mei Wah Williams
Address [1] 286452 0
School of Psychology
Massey University
Private Bag 102-904
Auckland 0745
Country [1] 286452 0
New Zealand

Ethics approval
Ethics application status
Ethics committee name [1] 289680 0
Health and Disability Ethics Committee
Ethics committee address [1] 289680 0
1 the Terrace
PO Box 5013
Ethics committee country [1] 289680 0
New Zealand
Date submitted for ethics approval [1] 289680 0
Approval date [1] 289680 0
Ethics approval number [1] 289680 0

Brief summary
Most psychological theories and interventions were developed in Euro-American countries, in which the values of
individualism, autonomy and independence underline its practice. However, these values are not shared by all
cultures, yet it is assumed that what works for one group of people will work for another. With increasing demand for
cost-effective interventions, Dr. Chris Williams, of Glasgow University, developed a low intensity CBT programme for
use in the community, rather than in clinical settings. The rationale for low intensity CBT is to provide rapid, cost
effective, accessible and evidence-based treatment to people with less severe problems. A low intensity intervention, such as a guided self-help approach to CBT, uses simple approaches that are less complex to undertake than formal psychotherapy; contact with people is generally briefer and the low intensity interventions can be delivered by ‘psychological well-being practitioners’ (under clinical supervision). It is yet to be examined whether this programme will be effective when used with East-Asian students as it has been with other population groups.

The study attempts to fill the gap, as research have previously been based on Asian Americans and none have
examined the effectiveness of low intensity programmes. This study will test the effectiveness of the Living Life to
the Full programme, developed by Dr. Chris Williams, in reducing perceived stress and improving life skills in
coping with university study and adapting to different culture for East Asian students. Also, feedback regarding the
relevance of the programme will be sought and modifications will be considered.
Trial website
Trial related presentations / publications
The effectiveness and cultural compatibility of a guided self-help cognitive-behaviour programme for Asian students in New Zealand, New Zealand Journal of Psychology Vol. 46, No. 2, July 2017, p. 23-34.
Public notes

Principal investigator
Name 41914 0
Miss Kai-Chi Katie Lee
Address 41914 0
School of Psychology
Massey University
Private Bag 102-904
Auckland 0745
Country 41914 0
New Zealand
Phone 41914 0
+64 212129994
Fax 41914 0
Email 41914 0
Contact person for public queries
Name 41915 0
Miss Kai-Chi Katie Lee
Address 41915 0
School of Psychology
Massey University
Private Bag 102-904
Auckland 0745
Country 41915 0
New Zealand
Phone 41915 0
+64 212129994
Fax 41915 0
Email 41915 0
Contact person for scientific queries
Name 41916 0
Miss Kai-Chi Katie Lee
Address 41916 0
School of Psychology
Massey University
Private Bag 102-904
Auckland 0745
Country 41916 0
New Zealand
Phone 41916 0
+64 212129994
Fax 41916 0
Email 41916 0

No information has been provided regarding IPD availability
Summary results
Have study results been published in a peer-reviewed journal?
Other publications
Have study results been made publicly available in another format?
Results – basic reporting
Results – plain English summary