How to Cope With Anxiety and Depression. A Randomized Controlled Trial.

March 7, 2016 updated by: Søren Christensen, University of Aarhus

Self-management of Depression and Anxiety. A Randomized Controlled Trial.

The purpose of this study is to investigate whether citizens experiencing symptoms of anxiety and depression will benefit from a self-management training program with respect to: 1) Self-efficacy, and 2) Symptoms of anxiety and depression, and 3) Self reported measures of Health Related Quality of Life (HRQoL)

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

  • The intervention is a Danish adaption of The Chronic Disease Self-Management Program developed by The Stanford Patient Education Research Center, The Expert Patient Program Community Interest Company (EPPCIC), and The English National Health Service (NHS).
  • The Danish adaptation has been performed by The Danish Committee for Health Education.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
853

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Denmark
      • Aalborg, Denmark, 9000
        • Aalborg Municipality
      • Bogense, Denmark, 5400
        • Nordfyn Municipality
      • Brande, Denmark, 7330
        • Ikast-Brande Municipality
      • Charlottenlund, Denmark, 2920
        • Gentofte Municipality
      • Dragør, Denmark, 2791
        • Dragør Municipality
      • Esbjerg, Denmark, 6700
        • Esbjerg Municipality
      • Farsø, Denmark, 9640
        • Vesthimmerlands Municipality
      • Fredericia, Denmark, 7000
        • Fredericia Municipality
      • Frederikssund, Denmark, 3600
        • Frederikssund Municipality
      • Grenå, Denmark, 8500
        • Norddjurs Municipality
      • Haderslev, Denmark, 6100
        • Haderslev Municipality
      • Haslev, Denmark, 4690
        • Faxe Municipality
      • Helsingør, Denmark, 3000
        • Helsingør Municipality
      • Herning, Denmark, 7400
        • Herning Municipality
      • Holbæk, Denmark, 4300
        • Holbæk Municipality
      • Kastrup, Denmark, 2770
        • Tårnby Municipality
      • Kokkedal, Denmark, 2980
        • Fredensborg Municipality
      • Kongens Lyngby, Denmark, 2800
        • Lyngby-Taarbæk Municipality
      • Køge, Denmark, 4600
        • Køge Municipality
      • Løsning, Denmark, 8723
        • Hedensted Municipality
      • Næstved, Denmark, 4700
        • Næstved Municipality
      • Odense, Denmark, 5000
        • Odense municipality
      • Roskilde, Denmark, 4000
        • Roskilde Municipality
      • Rødekro, Denmark, 6230
        • Aabenraa Municipality
      • Rønde, Denmark, 8410
        • Syddjurs municipality
      • Silkeborg, Denmark, 8600
        • Silkeborg municipality
      • Skanderborg, Denmark, 8660
        • Skanderborg Municipality
      • Slagelse, Denmark, 4200
        • Slagelse Municipality
      • Solrød Strand, Denmark, 2680
        • Solrød Municipality
      • Sorø, Denmark, 4180
        • Sorø municipality
      • Støvring, Denmark, 9530
        • Rebild Municipality
      • Søborg, Denmark, 2860
        • Gladsaxe Municipality
      • Sønderborg, Denmark, 6400
        • Sønderborg Municipality
      • Varde, Denmark, 6800
        • Varde Municipality
      • Vejen, Denmark, 6600
        • Vejen Municipality
      • Vejle, Denmark, 7100
        • Vejle Municipality
      • Viborg, Denmark, 8800
        • Viborg Municipality

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • >= 18 years of age
  • Suffering from anxiety and/or depressive symptoms
  • Voluntary participation

Exclusion Criteria:

  • Potential suicidal behavior
  • Potential aggressive behavior
  • Significant cognitive impairment

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: NONE

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
No Intervention: Control group
Experimental: Self-management program
Seven weekly sessions of a group-based self-management programme for people with anxiety and depressive symptoms
Behavioral: Self-management programme
Seven weekly group-based sessions for people with anxiety and depressive symptoms

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Depressive Symptoms (Beck's Depression Inventory (BDI-II))
Time Frame: Change from 1) Pre-randomization, to 2) Three months post-intervention
Change from 1) Pre-randomization, to 2) Three months post-intervention
State Anxiety (Spielbergers State-Trait Anxiety Inventory (STAI))
Time Frame: Change from 1) Pre-randomization, to 2) Three months post-intervention
Only the State-anxiety subscale of the STAI is used
Change from 1) Pre-randomization, to 2) Three months post-intervention
Self-efficacy (Chronic Disease Self-efficacy Scales - SECD-32 (Stanford Patient Education Research Center))
Time Frame: Change from 1) Pre-randomization, to 2) Three months post-intervention
Only the following subscale is used: "Obtain help from Community, Family, Friends Scale"
Change from 1) Pre-randomization, to 2) Three months post-intervention
Self-efficacy ("Personal control" from "The Revised Illness Perception Questionnaire" (IPQ-R))
Time Frame: Change from 1) Pre-randomization, to 2) Three months post-intervention
Only the following subscale from the IPQ-R is used: "Personal Control"
Change from 1) Pre-randomization, to 2) Three months post-intervention

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Sleep Quality (The Pittsburgh Sleep Quality Index)
Time Frame: Change from 1) Pre-randomization, to 2) Three months post-intervention
Change from 1) Pre-randomization, to 2) Three months post-intervention
Exercise Behaviors (Stanford Patient Education Research Center)
Time Frame: Change from 1) Pre-randomization, to 2) Three months post-intervention
Change from 1) Pre-randomization, to 2) Three months post-intervention
Health related symptoms
Time Frame: Change from 1) Pre-randomization, to 2) Three months post-intervention

Self related overall health: Stanford Patient Education Research Center (1 item).

Fatigue: Visual Analogue Scale. Stanford Patient Education Research Center (1 Item).

Pain: Visual Analogue Scale. Stanford Patient Education Research Center (1 item).
Change from 1) Pre-randomization, to 2) Three months post-intervention
Social/Role Activities Limitations Scale (Stanford Patient Education Research Center)
Time Frame: Change from 1) Pre-randomization, to 2) Three months post-intervention
Change from 1) Pre-randomization, to 2) Three months post-intervention
Self-efficacy ("Control/Manage Depression Scale from: "Chronic Disease Self-efficacy Scales - SECD-32 (Stanford Patient Education Research Center))
Time Frame: Change from 1) Pre-randomization, to 2) Three months post-intervention
Change from 1) Pre-randomization, to 2) Three months post-intervention

Other Outcome Measures

Other Outcome Measures

For clinical trials, a planned measurement described in the protocol that is used to determine the effect of an intervention/treatment on participants. For observational studies, a measurement or observation that is used to describe patterns of diseases or traits, or associations with exposures, risk factors, or treatment. Types of outcome measures include primary outcome measure and secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Common Mental Disorder Questionaire (CMDQ)
Time Frame: Change from 1) Pre-randomization, to 2) Three months post-intervention
The following subscales are included: Somatization SCL-SOM; SCL-ANX4; SCL-DEP6; SCL-8
Change from 1) Pre-randomization, to 2) Three months post-intervention
Well-being (WHO-5 Well Being Index)
Time Frame: Change from 1) Pre-randomization, to 2) Three months post-intervention
Change from 1) Pre-randomization, to 2) Three months post-intervention
Coping (The Brief Cope)
Time Frame: Change from: 1) Pre-randomization, to 2) Three months post-intervention
Change from: 1) Pre-randomization, to 2) Three months post-intervention
Health Care Utilization
Time Frame: Change from 1) Pre-randomization, to 2) Three months post-intervention
First two items from "Health Care Utilization" (Stanford Patient Education Research Center). Measured within the recent two months instead of six as used in the original scale.
Change from 1) Pre-randomization, to 2) Three months post-intervention
Social Constraints (lepore)
Time Frame: Change from 1) Pre-randomization, to 2) Three months post-intervention
Only the subscale refering to an "important other" was administered
Change from 1) Pre-randomization, to 2) Three months post-intervention
Use of Health benefits
Time Frame: Change from 1) The full year prior to start of intervention, to 2) The three months period following the intervention
Data on health benefits will be obtained by a linkage with The Danish National Health Insurance Service Registry
Change from 1) The full year prior to start of intervention, to 2) The three months period following the intervention

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
University of Aarhus

Collaborators

Collaborators

An organization other than the sponsor that provides support for a clinical study. This support may include activities related to funding, design, implementation, data analysis, or reporting.
National Board of Health, Denmark
Danish Committee for Health Education

Investigators

Investigators

A researcher involved in a clinical study. Related terms include site principal investigator, site sub-investigator, study chair, study director, and study principal investigator.
  • Principal Investigator: Soren Christensen, MSc, Aarhus University Hospital
  • Study Director: Mimi Y Mehlsen, PhD, University of Aarhus

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
June 1, 2013

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
September 1, 2014

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
January 1, 2016

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
November 14, 2013

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
November 14, 2013

First Posted (Estimate)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
November 20, 2013

Study Record Updates

Last Update Posted (Estimate)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
March 8, 2016

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
March 7, 2016

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
March 1, 2016

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • 1-1010-46/1

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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