NCT03161249

Brief Summary

The aim of the study is to evaluate the effectiveness of an online intervention through a mobile application, specifically designed for adolescents with a First Psychotic Episode (FEP), as a complement to the pharmacological and therapeutic interventions they receive at their referral center (Treatment as usual). To do this, a longitudinal study will be carried out on patients with FEP and between the ages of 14 and 30, who come to the Child and Adolescent Psychiatry Service of the General Universitarian Hospital "Gregorio Marañón", Psychiatry Department of the Ramon y Cajal Hospital in Madrid and Psychiatry Department of San Joan de Déu in Catalonia. Adolescents and young will be randomly assigned to an experimental group, where they will receive standard treatment plus online intervention, or a control group, where they will receive standard treatment. This online intervention, the continuation of the work of this same team researcher in the "PIENSA program", aims to address little of the more traditional treatments and treatments such as community functioning, quality of life or affective symptoms. In addition, it will increase disease awareness, which will lead to greater adherence to treatment and fewer relapses and rehospitalizations.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jun 2020

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

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

First Submitted

Initial submission to the registry

May 2, 2017

Completed
17 days until next milestone

First Posted

Study publicly available on registry

May 19, 2017

Completed
3 years until next milestone

Study Start

First participant enrolled

June 1, 2020

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 13, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 13, 2025

Completed
Last Updated

May 28, 2025

Status Verified

May 1, 2025

Enrollment Period

5 years

First QC Date

May 2, 2017

Last Update Submit

May 26, 2025

Conditions

Keywords

first psychotic episodemobile app intervention

Outcome Measures

Primary Outcomes (1)

  • Change from Baseline in psychotic symptoms

    Assessment of psychotic symptoms are assessed using the Positive and Negative Syndrome Scale

    Change from Baseline psychotic symptoms at 3 months

Secondary Outcomes (7)

  • Change from Baseline in affective symptoms

    Change from baseline affective symptoms at 3 months

  • Change from Baseline in anxiety level

    Change from baseline anxiety symptoms at 3 months

  • Change From Baseline in functionality

    Change from Baseline functionality at 3 months

  • Change From Baseline in functionality II

    Change from baseline functionality at 3 months

  • Change From Baseline in functionality III

    Change from baseline functionality at 3 months

  • +2 more secondary outcomes

Other Outcomes (3)

  • Change from baseline in adherence

    Change from baseline adherence level at 3 months

  • Change from baseline in quality of life

    Change from baseline quality of life at 3 months

  • Change from baseline in quality of life II

    Change from baseline quality of life at 3 months

Study Arms (2)

Experimental group

EXPERIMENTAL

Mobile psychotherapy (5 modules) plus treatment as usual

Behavioral: Experimental group

Control group

OTHER

Control group: Treatment as usual The description of this group, the control group, corresponds to the treatment to receive the usual treatment that is received on a regular basis, we will not perform any additional intervention

Other: Control group

Interventions

The experimental group receiving mobile treatment: treatment as usual plus a psychotherapy intervention by the telephone app (a total of 5 modules of psychotherapy: psychoeducation plus mindfulness plus alerts plus social wall plus problems solving)

Also known as: Psychotherapy group (5 modules)
Experimental group

Group that does not receive any treatment added to its usual treatment

Also known as: Control group, or treatment as usual group
Control group

Eligibility Criteria

Age14 Years - 30 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Age of the patient between 14-30 years
  • The presence of at least 1 positive psychotic symptom (delusions or hallucinations) and 1 of the following diagnoses from DSM-5 (Apa., 2013): schizophrenia, schizoaffective disorder, schizophreniform disorder, bipolar disorder, major depressive disorder with psychotic features, brief psychotic disorder, or psychosis not otherwise specified.
  • Be at least two months without presenting acute psychotic symptoms (delusions or hallucination).
  • Written consent given by the patient, parents and / or legal representative.(n this case they must accept to participate both, minor and tutor, concretely, the minors since from the age of 14 also have to accept to participate. )
  • Access to a smartphone

You may not qualify if:

  • Abuse and dependence on toxicants (use is accepted).
  • Presence of organic diseases of the central nervous system, mental retardation or generalized developmental disorders

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ana Belén Calvo

Madrid, Spain

Location

Related Publications (1)

  • Barbeito S, Sanchez-Gutierrez T, Mayoral M, Moreno M, Rios-Aguilar S, Arango C, Calvo A. Mobile App-Based Intervention for Adolescents With First-Episode Psychosis: Study Protocol for a Pilot Randomized Controlled Trial. Front Psychiatry. 2019 Feb 5;10:27. doi: 10.3389/fpsyt.2019.00027. eCollection 2019.

MeSH Terms

Conditions

Psychotic Disorders

Interventions

Psychotherapy, GroupControl GroupsTherapeutics

Condition Hierarchy (Ancestors)

Schizophrenia Spectrum and Other Psychotic DisordersMental Disorders

Intervention Hierarchy (Ancestors)

Socioenvironmental TherapyPsychotherapyBehavioral Disciplines and ActivitiesEpidemiologic Research DesignEpidemiologic MethodsInvestigative TechniquesResearch DesignMethods

Study Officials

  • Ana Calvo, PI

    UNIR

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Masking Details
blind evaluators
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: This is an experimental, randomized and longitudinal study of repeated measures with independent groups (Treatment group or experimental group: EG and control group: CG) which includes pre and post treatment and 6 months follow-up. This randomized clinical trial includes blind evaluators.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 2, 2017

First Posted

May 19, 2017

Study Start

June 1, 2020

Primary Completion

May 13, 2025

Study Completion

May 13, 2025

Last Updated

May 28, 2025

Record last verified: 2025-05

Data Sharing

IPD Sharing
Will not share

Locations