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DepressionNCT05071768

Virtual Focused ACT Groups in Primary Care

A study testing Focused ACT in people with Depression and Anxiety, run by University of Manitoba at 3 sites in Canada.

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

Acceptance and commitment therapy (ACT) is a transdiagnostic intervention whose aim is to reduce experiential avoidance and promote psychological flexibility, which involves engaging in values-based behaviour while accepting painful internal experiences with openness and awareness. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Depression, Anxiety, Quality of Life
What is being tested?
Focused ACT
Could I receive a placebo?
No, everyone receives an active treatment
How many people
31 participants
Where
3 sitesCanada
Study dates
14 Mar 2022to 16 Feb 2023
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
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • self-reported symptoms of depression and/or anxiety
  • fluent in English
  • access to reliable internet and a device with a webcam as well as a private/quite space from which to attend sessions
  • no change in psychotropic medication for at least 6 weeks prior to the intervention
  • willingness to maintain a stable medication type and dose for psychotropic medications during the intervention phase and for one month post-intervention

Who cannot join

  • engagement in another psychological treatment during the intervention phase or one month post-intervention
  • current psychosis
  • bipolar disorder
  • current substance use disorder
  • cognitive/intellectual impairment
  • current active suicidal ideation

Trial locations and contacts

3 sites in 1 country.

Canada3 sites
  • ACCESS Downtown

    Winnipeg, Manitoba, R3B 1E2

  • ACCESS Winnipeg West

    Winnipeg, Manitoba, R3J 3R5

  • ACCESS Fort Garry

    Winnipeg, Manitoba, R3T 6E8

Other trials in Canada

About this study

Official title: Focused ACT in Primary Care: A Pilot Study of a Virtual Group-based Intervention

Acceptance and commitment therapy (ACT) is a transdiagnostic intervention whose aim is to reduce experiential avoidance and promote psychological flexibility, which involves engaging in values-based behaviour while accepting painful internal experiences with openness and awareness. A growing body of research supports the efficacy of brief ACT for a variety of issues, including depression, anxiety, chronic pain, and stress. Given that ACT is a transdiagnostic intervention that targets the core processes related to human suffering, this treatment may be particularly useful for implementation in primary care with diverse groups of individuals and presentations. The objective of this study is to develop and pilot test a brief, virtual, group-based ACT intervention for depression and anxiety delivered in primary care settings to determine if a future randomized controlled trial of this group treatment is both warranted and feasible. The investigators will examine (1) the feasibility and acceptability of the study procedures, (2) clinician adherence to the treatment protocol, and (3) a preliminary analysis of the treatment effectiveness. A total of 3 groups (N = 30-45) will be conducted via three primary care clinics in Winnipeg, Manitoba, Canada. The group treatment will be delivered over four 90-minute sessions. Participants will complete assessment measures at pretreatment, post-treatment, and at two follow-up time points (1-month post-treatment and 3-6-months post-treatment). All assessments and treatment sessions will be conducted virtually via videoconferencing platform.

Being tested
Focused ACT
Medical subject headings
Depression, Anxiety Disorders, Behavior

What participants receive

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

  • Focused ACTBehavioural

    Brief acceptance and commitment therapy

Study groups in NCT05071768
Study groupRoleWhat they receive
ACTExperimentalFocused ACT Group Treatment
Receives: Behavioral: Focused ACT

What is being measured

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

  1. Depression Anxiety and Stress Scale 21-Items

    21 items measuring depression, anxiety, and stress in the past week. Scores range from 0-42 for each of 3 scales (Depression, Anxiety, and Stress). Higher scores indicate worse outcomes (greater severity of depression, anxiety, and stress symptoms).

    Measured: Pretreatment

  2. Depression Anxiety and Stress Scale 21-Items

    21 items measuring depression, anxiety, and stress in the past week. Scores range from 0-42 for each of 3 scales (Depression, Anxiety, and Stress). Higher scores indicate worse outcomes (greater severity of depression, anxiety, and stress symptoms).

    Measured: 1 week following last treatment session

  3. Depression Anxiety and Stress Scale 21-Items

    21 items measuring depression, anxiety, and stress in the past week. Scores range from 0-42 for each of 3 scales (Depression, Anxiety, and Stress). Higher scores indicate worse outcomes (greater severity of depression, anxiety, and stress symptoms).

    Measured: 1-month follow-up

  4. Depression Anxiety and Stress Scale 21-Items

    21 items measuring depression, anxiety, and stress in the past week. Scores range from 0-42 for each of 3 scales (Depression, Anxiety, and Stress). Higher scores indicate worse outcomes (greater severity of depression, anxiety, and stress symptoms).

    Measured: 3-6-month follow-up

  5. Acceptance and Action Questionnaire-II

    7 items measuring experiential avoidance. Scores range from 7-49. Higher scores indicate worse outcomes (less psychological flexibility).

    Measured: Pretreament

  6. Acceptance and Action Questionnaire-II

    7 items measuring experiential avoidance. Scores range from 7-49. Higher scores indicate worse outcomes (less psychological flexibility).

    Measured: 1 week following last treatment session

  7. Acceptance and Action Questionnaire-II

    7 items measuring experiential avoidance. Scores range from 7-49. Higher scores indicate worse outcomes (less psychological flexibility).

    Measured: 1-month Follow-up

  8. Acceptance and Action Questionnaire-II

    7 items measuring experiential avoidance. Scores range from 7-49. Higher scores indicate worse outcomes (less psychological flexibility).

    Measured: 3-6-month Follow-up

  9. Comprehensive assessment of Acceptance and Commitment Therapy processes

    23 items measuring psychological flexibility (openness to experience, behavioural awareness, and valued action).

    Total score ranges from 0-138; higher scores indicate better outcomes (greater psychological flexibility).

    Openness to Experience subscale ranges from 0-60; higher scores indicate better outcomes (greater openness).

    Behavioural Awareness subscale ranges from 0-30; higher scores indicate better outcomes (greater behavioural awareness).

    Valued Action subscale ranges from 0-48; higher scores indicate better outcomes (greater valued action).

    Measured: Pretreatment

  10. Comprehensive assessment of Acceptance and Commitment Therapy processes

    23 items measuring psychological flexibility (openness to experience, behavioural awareness, and valued action).

    Total score ranges from 0-138; higher scores indicate better outcomes (greater psychological flexibility).

    Openness to Experience subscale ranges from 0-60; higher scores indicate better outcomes (greater openness).

    Behavioural Awareness subscale ranges from 0-30; higher scores indicate better outcomes (greater behavioural awareness).

    Valued Action subscale ranges from 0-48; higher scores indicate better outcomes (greater valued action).

    Measured: 1 week following last treatment session

  11. Comprehensive assessment of Acceptance and Commitment Therapy processes

    23 items measuring psychological flexibility (openness to experience, behavioural awareness, and valued action).

    Total score ranges from 0-138; higher scores indicate better outcomes (greater psychological flexibility).

    Openness to Experience subscale ranges from 0-60; higher scores indicate better outcomes (greater openness).

    Behavioural Awareness subscale ranges from 0-30; higher scores indicate better outcomes (greater behavioural awareness).

    Valued Action subscale ranges from 0-48; higher scores indicate better outcomes (greater valued action).

    Measured: 1-month Follow-up

  12. Comprehensive assessment of Acceptance and Commitment Therapy processes

    23 items measuring psychological flexibility (openness to experience, behavioural awareness, and valued action).

    Total score ranges from 0-138; higher scores indicate better outcomes (greater psychological flexibility).

    Openness to Experience subscale ranges from 0-60; higher scores indicate better outcomes (greater openness).

    Behavioural Awareness subscale ranges from 0-30; higher scores indicate better outcomes (greater behavioural awareness).

    Valued Action subscale ranges from 0-48; higher scores indicate better outcomes (greater valued action).

    Measured: 3-6-month Follow-up

  13. Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form

    16 items measuring level of satisfaction in different life domains (e.g., work, leisure activities, relationships).

    Scores range from 14-70. Higher scores indicate better outcomes (greater life satisfaction and enjoyment).

    Measured: Pretreatment

  14. Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form

    16 items measuring level of satisfaction in different life domains (e.g., work, leisure activities, relationships).

    Scores range from 14-70. Higher scores indicate better outcomes (greater life satisfaction and enjoyment).

    Measured: 1 week following last treatment session

  15. Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form

    16 items measuring level of satisfaction in different life domains (e.g., work, leisure activities, relationships).

    Scores range from 14-70. Higher scores indicate better outcomes (greater life satisfaction and enjoyment).

    Measured: 1-month Follow-up

  16. Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form

    16 items measuring level of satisfaction in different life domains (e.g., work, leisure activities, relationships).

    Scores range from 14-70. Higher scores indicate better outcomes (greater life satisfaction and enjoyment).

    Measured: 3-6-month Follow-up

Secondary outcomes (2)
  1. Treatment Acceptability/Adherence Scale

    10 items measuring treatment acceptability, adherence to treatment, and completion of treatment.

    Scores range from 10-70. Higher scores indicate better outcomes (greater treatment acceptability).

    Measured: Session 2 (2 weeks after start of treatment)

  2. Percentage of planned treatment components delivered during treatment

    Participant rating of whether planned treatment components were covered in each session Scores will be calculated as a percentage of agreement that planned topics were covered.

    Higher percentages indicate higher treatment integrity.

    Measured: Through treatment - 4 weeks

Timeline

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

  1. First posted8 Oct 2021
  2. Study start14 Mar 2022
  3. Primary completion16 Feb 2023
  4. Study completion16 Feb 2023

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
31 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05071768
Sponsor's protocol ID
H2021:298
Status last verified
Jun 2024
First submitted
15 Sep 2021
Last updated
27 Jun 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bond FW, Hayes SC, Baer RA, Carpenter KM, Guenole N, Orcutt HK, Waltz T, Zettle RD. Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance. Behav Ther. 2011 Dec;42(4):676-88. doi: 10.1016/j.beth.2011.03.007. Epub 2011 May 25.

    PubMed 22035996
  • Coto-Lesmes R, Fernandez-Rodriguez C, Gonzalez-Fernandez S. Acceptance and Commitment Therapy in group format for anxiety and depression. A systematic review. J Affect Disord. 2020 Feb 15;263:107-120. doi: 10.1016/j.jad.2019.11.154. Epub 2019 Dec 2.

    PubMed 31818766
  • Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x.

    PubMed 11556941
  • Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995 Mar;33(3):335-43. doi: 10.1016/0005-7967(94)00075-u.

    PubMed 7726811
  • Milosevic I, Levy HC, Alcolado GM, Radomsky AS. The Treatment Acceptability/Adherence Scale: Moving Beyond the Assessment of Treatment Effectiveness. Cogn Behav Ther. 2015;44(6):456-69. doi: 10.1080/16506073.2015.1053407. Epub 2015 Jun 19.

    PubMed 26091250
  • Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092-7. doi: 10.1001/archinte.166.10.1092.

    PubMed 16717171
  • Schechter D, Endicott J, Nee J. Quality of life of 'normal' controls: association with lifetime history of mental illness. Psychiatry Res. 2007 Jul 30;152(1):45-54. doi: 10.1016/j.psychres.2006.09.008. Epub 2007 Mar 23.

    PubMed 17363070

Questions about this trial

What is this clinical trial studying?

A study testing Focused ACT in people with Depression and Anxiety, run by University of Manitoba at 3 sites in Canada.

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 5 inclusion and 6 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 27 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Canada. 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?

Depression Anxiety and Stress Scale 21-Items (time frame: Pretreatment). The study lists 16 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05071768, which also lists 7 linked publications.

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 27 Jun 2024.

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