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COVIDSWitChNCT04408157

A Research Study to Evaluate the Benefits of a Self-management Booklet to Promote Wellbeing During the COVID-19 Pandemic

A study testing Self-management booklet (SWitCh: Stay well during COVID-19) in people with COVID, run by King's College London at 1 site in United Kingdom.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Background The immediate psychological impact of COVID-19 is already emerging. The investigators are interested in the benefits of a self-management booklet focused on the current circumstances in response to the COVID-19 pandemic on people's physical and mental wellbeing. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
COVID
What is being tested?
Self-management booklet (SWitCh: Stay well during COVID-19)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
185 participants
Where
1 siteUnited Kingdom
Study dates
20 May 2020to 1 Oct 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Aged 18 and over who live in the UK and can read and write in English, without any current serious mental health problems (e.g. bipolar disorder, PTSD, active thoughts of self-harm, or severe anxiety/depression) and who feel that their physical and/or mental wellbeing have been affected since the COVID-19 pandemic.

Who cannot join

  • Any current serious mental health problems (e.g. bipolar disorder, PTSD, active thoughts of self-harm, or severe anxiety/depression) or who feel that their physical and/or mental wellbeing have not been affected by COVID-19

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Online recruitment through Qualtrics

    London

Other trials in United Kingdom

About this study

Official title: A Research Study to Evaluate the Efficacy of a Self-management Booklet (Stay Well During COVID-19; SWitCh) to Promote Wellbeing During the COVID-19 Pandemic

Background The immediate psychological impact of COVID-19 is already emerging. The investigators are interested in the benefits of a self-management booklet focused on the current circumstances in response to the COVID-19 pandemic on people's physical and mental wellbeing.

Who can participate? The investigators are looking for participants aged 18 and over who live in the UK and can read and write in English, without any current serious mental health problems (e.g. bipolar disorder, PTSD, active thoughts of self-harm, or severe anxiety/depression), and who feel that their physical and/or mental wellbeing have been affected since the COVID-19 pandemic.

Read more

What does the study involve? Eligible participants will complete questionnaires at baseline following which they will be randomly allocated to either receive the self-management booklet right away (via email) or after 4 months (waiting-list, in the meantime participants will be provided a link to educational materials). Participants will not be able to choose whether they will receive the self-management booklet right away or be in the waiting-list as a computer system (Qualtrics randomiser) will allocate them to one of the two groups at random. Participants in both conditions will be asked to complete online questionnaires at multiple time points, 2-months and 4-months after allocation. Participants in the waiting-list condition will also be asked to complete the same set of questionnaires at 6- and 8-months after allocation to assess how beneficial they found the self-management booklet.

Participants will also be invited to take part in an audio-recorded interview after T2 to tell us more about how they found the self-management booklet or the educational materials. The investigators will select 30 participants (15 from each condition) for the interview out of those who opt-in to capture a wide range of experiences and backgrounds.

What are the possible benefits and risks of participating? Risks to participants are small. Participants may find reflecting on the impact of COVID-19 on their lives distressing. However, these effects are anticipated to be short lived, as participants will learn psychological techniques during the intervention that can help them manage better in the current circumstances and improve their wellbeing.

Where is the study run from? The lead site is King's College London. The study is run online via Qualtrics.

When is the study starting and how long is it expected to run for? May 2020 to May 2021

Who is the main contact? Dr Federica Picariello federica.picariello@kcl.ac.uk

Read the detailed description

In the UK, over 4 in 5 Britons are worried about the effect COVID-19 is having on their life, with over half reporting that their wellbeing has been affected. Providing support for individuals to build optimal structures to maintain their physical and mental wellbeing is key to mitigate the consequences of the pandemic on day-to-day life and in the longer term. The investigators would like to conduct a randomised-controlled trial to test the efficacy of a theory-based self-management booklet to improve physical and mental wellbeing versus education alone. The trial will include a nested qualitative study to explore in a subgroup of participants their experiences of the self-management booklet or education alone. The primary objective is to examine the efficacy of the self-management booklet at improving wellbeing as compared to the waiting-list control arm 2-months post-randomisation. The investigators also want to explore the treatment effects of the self-management booklet on secondary outcomes (health status, day-to-day activities, resilience, intolerance of uncertainty, loneliness, social support, sleep quality, napping, sedentary behaviour, physical activity, and COVID-19-related behaviours, symptom complaints). Tertiary objectives include exploring changes in self-reported primary and secondary outcomes over time in a non-randomised analysis combining data from both arms and qualitatively exploring participants' perceptions of the acceptability and usefulness of the self-management booklet. These objectives will be addressed by a two-armed parallel randomised controlled trial (RCT) with a nested qualitative study. The study will be conducted through Qualitrics (including recruitment, randomisation, and data collection). Participants in both arms will be followed-up at 2 and 4 months post-randomisation. Additionally, participants in the control arm will receive the self-management booklet after the 4-months follow-up assessment and will be followed-up at 6 and 8 months post-randomisation.

Conditions
COVID
Being tested
Self-management booklet (SWitCh: Stay well during COVID-19)
Keywords
wellbeing; covid19
Medical subject headings
COVID-19

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Self-management booklet (SWitCh: Stay well during COVID-19)Behavioural

    The purpose of this booklet is to support adjustment to the current circumstances of the COVID-19 pandemic and facilitate the development and maintenance of healthy behaviours at home. The booklet covers a range of topics, including understanding bodily sensations and symptoms of COVID-19, managing the uncertainty surrounding COVID-19, physical activity, sedentary behaviour, sleep, social support and isolation, nutrition and alcohol consumption, sex and intimate relationships, and coping with children at home. The booklet will provide structured guidance on the various topics through the use of effective behaviour change techniques, in particular self-monitoring, goal setting, and problem solving and signposting to additional helpful resources, such as drinking or nutrition tracking apps.

Study groups in NCT04408157
Study groupRoleWhat they receive
Self-management bookletExperimentalSelf-management booklet: developed drawing on existing evidence and work conducted by researchers at the Health Psychology section at KCL, tailored to the current circumstances in response to the COVID-19 pandemic.
Receives: Behavioral: Self-management booklet (SWitCh: Stay well during COVID-19)
Education only (waiting-list)No interventionParticipants allocated to the waiting-list control arm will receive a link via email to educational materials related to COVID produced by King's College London for an online event and will be provided with the self-management booklet after completing the T2 assessment and qualitative interview. The topics covered in the online event are the same as the ones included in the self-management booklet, without structured guidance and behaviour change techniques to facilitate behaviour change.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS): Tennant et al., 2007

    validated self-report measure; scores range from 14 to 70 and higher scores indicate greater positive mental wellbeing.

    Measured: 2 months post-randomisation

Secondary outcomes (23)
  1. Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS): Tennant et al., 2007

    validated self-report measure; scores range from 14 to 70 and higher scores indicate greater positive mental wellbeing.

    Measured: 4 months post-randomisation

  2. Self-rated health status: Bombak, 2013

    validated self-report measure; scores range from 0 to 100 and higher scores indicate better health

    Measured: 2 months post-randomisation

  3. Self-rated health status: Bombak, 2013

    validated self-report measure; scores range from 0 to 100 and higher scores indicate better health

    Measured: 4 months post-randomisation

  4. Brief Resilience Scale (BRS): Smith et al., 2008

    validated self-report measure; items are averaged to create a total score, ranging from 1 to 7 and higher total scores indicate higher levels of resilience.

    Measured: 2 months post-randomisation

  5. Brief Resilience Scale (BRS): Smith et al., 2008

    validated self-report measure; items are averaged to create a total score, ranging from 1 to 7 and higher total scores indicate higher levels of resilience.

    Measured: 4 months post-randomisation

  6. Intolerance of Uncertainty Scale (IUS-12): Carleton et al., 2007

    validated self-report measure; total scores range from 12 to 60 and higher scores indicate higher intolerance of uncertainty

    Measured: 2 months post-randomisation

  7. Intolerance of Uncertainty Scale (IUS-12): Carleton et al., 2007

    validated self-report measure; total scores range from 12 to 60 and higher scores indicate higher intolerance of uncertainty

    Measured: 4 months post-randomisation

  8. Positive Affect subscale of the Positive and Negative Affect Scale-X (PANAS-X): Watson & Clark, 1999

    validated self-report measure; positive affect items (N=27) are rated on a five-point scale (1) very slightly or not at all, (2) a little, (3) moderately, (4) quite a bit, and (5) extremely and can be grouped into subscales according to Watson, D., \& Clark, L. A. (1999). The PANAS-X: Manual for the positive and negative affect schedule-expanded form. Higher scores indicate higher levels of positive affect states.

    Measured: 2 months post-randomisation

  9. Positive Affect subscale of the Positive and Negative Affect Scale-X (PANAS-X): Watson & Clark, 1999

    validated self-report measure; positive affect items (N=27) are rated on a five-point scale (1) very slightly or not at all, (2) a little, (3) moderately, (4) quite a bit, and (5) extremely and can be grouped into subscales according to Watson, D., \& Clark, L. A. (1999). The PANAS-X: Manual for the positive and negative affect schedule-expanded form. Higher scores indicate higher levels of positive affect states.

    Measured: 4 months post-randomisation

  10. UCLA 3 item loneliness scale: Russell, 1996

    validated self-report measure; total scores range from 3 to 9 and higher scores indicate higher levels of loneliness

    Measured: 2 months post-randomisation

  11. UCLA 3 item loneliness scale: Russell, 1996

    validated self-report measure; total scores range from 3 to 9 and higher scores indicate higher levels of loneliness

    Measured: 4 months post-randomisation

  12. Multidimensional Scale of Perceived Social Support (MSPSS): Zimet et al., 1988

    validated self-report measure; the scale consists of three subscales (family, friends, and significant other) that contain 4 items each; each subscale score can range from 4 to 28. Items are summed, and a total score is also calculated and ranges from 12 to 84. Higher subscale and total scores indicate higher levels of perceived social support.

    Measured: 2 months post-randomisation

  13. Multidimensional Scale of Perceived Social Support (MSPSS): Zimet et al., 1988

    validated self-report measure; the scale consists of three subscales (family, friends, and significant other) that contain 4 items each; each subscale score can range from 4 to 28. Items are summed, and a total score is also calculated and ranges from 12 to 84. Higher subscale and total scores indicate higher levels of perceived social support.

    Measured: 4 months post-randomisation

  14. Subjective Health Complaint Scale (SHC): Eriksen, Ihlebæk, & Ursin, 1999

    validated self-report measure; a total score will be obtained for each symptom (severity x duration) with a possible range from 0 to 90, with higher scores indicating greater severity of a symptom, total number of symptoms reported, and a total score from 0 to 84 with higher scores indicating greater severity of somatic complaints.

    Measured: 2 months post-randomisation

  15. Subjective Health Complaint Scale (SHC): Eriksen, Ihlebæk, & Ursin, 1999

    validated self-report measure; a total score will be obtained for each symptom (severity x duration) with a possible range from 0 to 90, with higher scores indicating greater severity of a symptom, total number of symptoms reported, and a total score from 0 to 84 with higher scores indicating greater severity of somatic complaints.

    Measured: 4 months post-randomisation

  16. Leeds Sleep Evaluation Questionnaire (LSEQ): Parrott & Hindmarch, 1980

    validated self-report measure; responses are measured using a 100-mm scale and are then averaged to provide a score for each domain and higher scores indicate better sleep.

    Measured: 2 months post-randomisation

  17. Leeds Sleep Evaluation Questionnaire (LSEQ): Parrott & Hindmarch, 1980

    validated self-report measure; responses are measured using a 100-mm scale and are then averaged to provide a score for each domain and higher scores indicate better sleep.

    Measured: 4 months post-randomisation

  18. Self-reported napping: Stone et al., 2018

    self-report measure used in Stone et al., 2018; self-reported napping is defined as reporting at least 1 hour of napping each time and responses will be categorised as follows: no napping=coded as 0; <1 hour=coded as 1, 1-2 hours=coded as 2, and >2 hours=coded as 3.

    Measured: 2 months post-randomisation

  19. Self-reported napping: Stone et al., 2018

    self-report measure used in Stone et al., 2018; self-reported napping is defined as reporting at least 1 hour of napping each time and responses will be categorised as follows: no napping=coded as 0; <1 hour=coded as 1, 1-2 hours=coded as 2, and >2 hours=coded as 3.

    Measured: 4 months post-randomisation

  20. Work and Social Adjustment Scale (WSAS): Mundt et al., 2002

    validated self-report measure; total scores range from 0 to 40 and higher scores indicate greater impairment

    Measured: 2 months post-randomisation

  21. Work and Social Adjustment Scale (WSAS): Mundt et al., 2002

    validated self-report measure; total scores range from 0 to 40 and higher scores indicate greater impairment

    Measured: 4 months post-randomisation

  22. International Physical Activity Questionnaire -short form (IPAQ-SF): Craig et al., 2003

    validated self-report measure; The questionnaire can be scored categorically according to developed cut-offs to classify individuals into low, moderate, or high physical activity groups; or it can be scored continuously. Responses can be converted to Metabolic Equivalent Task minutes per week (METmin/wk), according to the IPAQ scoring protocol. MET scores across the three sub-components can be summed to indicate overall physical activity

    Measured: 2 months post-randomisation

  23. International Physical Activity Questionnaire -short form (IPAQ-SF): Craig et al., 2003

    validated self-report measure; The questionnaire can be scored categorically according to developed cut-offs to classify individuals into low, moderate, or high physical activity groups; or it can be scored continuously. Responses can be converted to Metabolic Equivalent Task minutes per week (METmin/wk), according to the IPAQ scoring protocol. MET scores across the three sub-components can be summed to indicate overall physical activity

    Measured: 4 months post-randomisation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 May 2020
  2. Study start20 May 2020
  3. Primary completion1 Oct 2021
  4. Study completion1 Oct 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Two-arm parallel randomised-controlled trial with nested qualitative study
Masking
None (open label)
Enrolment
185 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04408157
Sponsor's protocol ID
v1.1 06.05.2020
Acronym
SWitCh
Status last verified
Sep 2021
First submitted
26 May 2020
Last updated
13 Oct 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Data will be confidentially and securely stored for 7 years as per University policy. Anonymised aggregated data will be made available upon request to the corresponding author.

Questions about this trial

What is this clinical trial studying?

A study testing Self-management booklet (SWitCh: Stay well during COVID-19) in people with COVID, run by King's College London at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Oct 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS): Tennant et al., 2007 (time frame: 2 months post-randomisation). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Oct 2022.

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