NCT01783457

Brief Summary

Treatment delay in psychosis usually lead to slower recovery, an increase in associated comorbidity and greater deterioration in social and family life of patients. Previous studies indicate that an early intervention with guidelines for increasing adherence to treatment, disease awareness and condition management leads to better progression of the disorder and is therefore related to a better prognosis. Several studies have found that the rate of relapse is higher in patients with pharmacological treatment alone compared to those also receiving psychoeducation, who tend to improve their adherence to treatment and reduce toxic drugs dosage. Hypotheses:

  • Individual psychoeducation will be effective as complementary therapy to pharmacological treatment in patients with a first psychotic episode, improving disease evolution.
  • BDNF levels will increase more in the patients receiving individual therapy compared to those without it.
  • Psychoeducation can be performed similarly in all participating centers if the therapists receive the same training and use the same psychoeducation material.
  • The use of telemedicine for the follow-up of the patients will help improve the welfare work and therefore the disease evolution.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
177

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2011

Longer than P75 for not_applicable

Geographic Reach
1 country

6 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2011

Completed
2.1 years until next milestone

First Submitted

Initial submission to the registry

January 23, 2013

Completed
13 days until next milestone

First Posted

Study publicly available on registry

February 5, 2013

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2015

Completed
Last Updated

January 26, 2016

Status Verified

January 1, 2016

Enrollment Period

4.4 years

First QC Date

January 23, 2013

Last Update Submit

January 25, 2016

Conditions

Keywords

First psychotic episodeIndividual psychoeducationTelemedicineBDNFOxidative stress

Outcome Measures

Primary Outcomes (1)

  • Prognosis of patients.

    To assess the prognosis of patients by registering the number of relapses and the number of psychiatric hospital admissions.

    6 months

Secondary Outcomes (4)

  • Score on clinical scales assessing functionality.

    6 months

  • Score of participating psychotherapists on a specific test after online training.

    6 months

  • Biological Parameters: blood levels of BDNF.

    6 months

  • Biological Parameters: levels oxidative stress indicators in blood.

    6 months

Study Arms (2)

Individual psychoeducation

EXPERIMENTAL

Usual treatment + individual psychoeducational intervention (14 sessions). The psychoeducational programme consists of 14 sessions of 60 minutes every other week for six months, focused on improving patient awareness of their condition, adherence to treatment, identification of prodromes, early intervention in potential relapses, anxiety management techniques, social skills, healthy lifestyle habits and problem solving.

Other: Individual psychoeducation

Control

ACTIVE COMPARATOR

Usual treatment

Other: Control

Interventions

ControlOTHER

Usual treatment: pharmacological treatment + regular sessions with their psychiatrist.

Also known as: Usual treatment
Control

Usual treatment + individual psychoeducational programme, consisting of 14 sessions of 60 minutes every other week for six months, focused on improving patient awareness of their condition, adherence to treatment, identification of prodromes, early intervention in potential relapses, anxiety management techniques, social skills, healthy lifestyle habits and problem solving. Programme of sessions available upon request.

Individual psychoeducation

Eligibility Criteria

Age18 Years - 45 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • patients who have suffered a first psychotic episode (diagnosis IV-TR) in the last five years,
  • age between 18 and 45 years,
  • patients who have given written informed consent to participate.

You may not qualify if:

  • patients with a comorbid disorder that interferes with their ability to communicate,

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Hospital Clinic de Barcelona

Barcelona, Barcelona, 08036, Spain

Location

Hospital Universitario de Bellvitge

Hospitalet Llobregat, Barcelona, 08907, Spain

Location

Fundación Clínico Valencia INCLIVA

Valencia, Valencia, 46010, Spain

Location

Universidad de Valencia

Valencia, Valencia, 46010, Spain

Location

Universidad del País Vasco

Bilbao, Vizcaya, 48940, Spain

Location

Araba University Hospital-Santiago

Vitoria-Gasteiz, Álava, 01004, Spain

Location

Related Publications (1)

  • Barbeito S, Vega P, Ruiz de Azua S, Balanza-Martinez V, Colom F, Lorente E, Luengo A, Cerrillo E, Crespo JM, Gonzalez Pinto A. Integrated treatment of first episode psychosis with online training (e-learning): study protocol for a randomised controlled trial. Trials. 2014 Oct 27;15:416. doi: 10.1186/1745-6215-15-416.

MeSH Terms

Conditions

Psychotic Disorders

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic DisordersMental Disorders

Study Officials

  • Patricia Vega, Psychologist

    Santiago Hospital - Basque Health Service

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Ph.D. in Medicine, Psychiatrist, Lecturer at University of the Basque Country, Chief of Psychiatry Department at Araba University Hospital

Study Record Dates

First Submitted

January 23, 2013

First Posted

February 5, 2013

Study Start

January 1, 2011

Primary Completion

June 1, 2015

Study Completion

June 1, 2015

Last Updated

January 26, 2016

Record last verified: 2016-01

Locations