Medication Adherence in Schizophrenia: Development of a CBT-Based Intervention
3 other identifiers
interventional
34
1 country
1
Brief Summary
This is a randomized pilot study of an intervention based on principles of Cognitive Behavioral Therapy (CBT). This intervention is the Health Dialogue Intervention (HDI) and will be compared to a traditional medical model of psychoeducation known as Team Solutions (TS) for first-episode schizophrenia patients. Outcomes include the acceptance of HDI and TS, compare adherence attitudes at the end of the treatment intervention, and to compare the time until the first episode of nonadherence.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable schizophrenia
Started Nov 2009
Typical duration for not_applicable schizophrenia
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 18, 2009
CompletedFirst Posted
Study publicly available on registry
September 21, 2009
CompletedStudy Start
First participant enrolled
November 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2013
CompletedJune 16, 2014
June 1, 2014
3.1 years
September 18, 2009
June 13, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
1. Acceptance of therapeutic intervention as measured by number of sessions attended. 2. Difference in adherence behavior as measured by duration of antipsychotic treatment during follow up (ASV). 3. Differences in adherence attitudes (ROMI).
Completion of Study
Secondary Outcomes (1)
1. Compare the course of symptoms and relapse of patients in HDI to those in the TS.
Completion of Study
Study Arms (1)
CBT
EXPERIMENTALUK-based intervention
Interventions
Brief intervention of Cognitive Behavioral Therapy sessions compared to Team Solutions
Eligibility Criteria
You may not qualify if:
- Between 16-45 years of age
- A provisional clinical diagnosis of schizophreniform disorder, schizophrenia, or schizoaffective disorder in last 6 months
- Discharge from inpatient unit for treatment of psychotic symptoms must have occurred in the last 6 months, or, if never hospitalized, initial treatment started in the last 6 months
- Able to fully participate in the informed consent process
- The patient is judged to be an appropriate candidate for ongoing outpatient follow-up at the First-episode Treatment Program at the Psychotic Disorders Program at UIC
- Unable to understand informed consent process
- A history of nonresponse to prior antipsychotic trials such that long-term inpatient treatment or clozapine will be recommended
- Prior treatment with clozapine
- Discharge from inpatient treatment for psychotic symptoms, initial treatment, or provisional diagnosis of schizophrenia, schizoaffective disorder, or schizophreniform occurred more than 6 months from enrollment into the evaluation phase
- Pregnancy or stated goal to become pregnant
- Will not be living close enough to the medical center to return for follow-up visits or assessments
- History of geographic instability such that it is judged unlikely that patient will reside in the area
- Currently under arrest for a felony, or an arrest is deemed likely in the near future
- Currently receiving medication over objection by court order
- Currently receiving treatment in another research protocol
- +17 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Illinois at Chicago
Chicago, Illinois, 60612, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Peter J. Weiden, M.D.
University of Illinois at Chicago
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
September 18, 2009
First Posted
September 21, 2009
Study Start
November 1, 2009
Primary Completion
December 1, 2012
Study Completion
March 1, 2013
Last Updated
June 16, 2014
Record last verified: 2014-06