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Randomised control trial of ePACT (Electronic Personal Administration of Cognitive Therapy): a flexible treatment for depression and anxiety in adults living with chronic spinal cord injury

Among adults living with chronic spinal cord injury and co-morbid depression and/or anxiety and/or clinical stress, will the administration of the psychological intervention - Electronic Personal Administration of Cognitive Therapy (ePACT) - provide more relief from their symptoms of mental illness compared to business as usual

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12612000587808
Enrollment
48
Registered
2012-05-31
Start date
2012-06-21
Completion date
2013-09-21
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Previous research has shown that many people living with spinal cord injury demonstrate great resiliency and lead happy, productive lives. However, there are also many others who experience emotional difficulties such as depression or anxiety. Of particular concern is that the majority of people experiencing those difficulties do not receive any specific treatment or psychological support. To address this problem, a new flexible psychological treatment has been developed - ePACT. ePACT is delivered electronically and supplemented with personal contact by email and/or phone with a mental health clinician. The recent pilot of ePACT was well received, easily accessible and effective for participants who each found it acceptable and helpful. This current study will expand the distribution of ePACT to provide further evidence supporting the effectiveness of ePACT. This aim of this study is to build on the previous pilot study by investigating the suitability and effectiveness of ePACT on a larger body of people.

Interventions

Electronic Personal Administration of Cognitive Therapy (ePACT) is a 10 week x 10 module (1 module per week) psychological treatment based largely on cognitive behaviour principles with the addition of some positive psychology and mindfulness principles. ePACT is designed to be delivered electronically and supplemented with either or both telephone and email clinician contact should they require some additional support. Each module should take around 45mins to complete. Additional activity/h

Electronic Personal Administration of Cognitive Therapy (ePACT) is a 10 week x 10 module (1 module per week) psychological treatment based largely on cognitive behaviour principles with the addition of some positive psychology and mindfulness principles. ePACT is designed to be delivered electronically and supplemented with either or both telephone and email clinician contact should they require some additional support. Each module should take around 45mins to complete. Additional activity/homework tasks designed to personalise the focus of each module will be also be undertaken each week. The delivery of ePACT will be via autorun CD-ROM on computers that are also connected to the internet.

Sponsors

Dr. Christine Migliorini
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

adults (18yrs+); living with chronic spinal cord injury (6mths+ post-injury); DASS21 scores at or above clinical threshold indicating presence of mental illness; proficient in written and spoken English; computer and internet access

Exclusion criteria

breach of the key inclusion criteria

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026