NCT05899257

Brief Summary

Metacognitive abilities and self-knowledge are necessary for psychological maturation and good mental functioning of individuals. It is generally agreed that an adequate representation of oneself and others is essential to establish functional interpersonal relationships. These metacognitive abilities are not adequately developed in patients with various mental health problems, such as personality disorders, eating disorders, psychosis, and depression, and are associated with the severity of the pathology. Self-awareness is a central element that begins to consolidate during adolescence. For that reason, the investigators aim to evaluate the effects of immersive training on the metacognitive abilities and self-knowledge of young people. Based on the repertory grid technique (RGT), our research team has developed a brief immersive training to enhance metacognitive abilities. This intervention facilitates the exploration of personal identity in a safe environment. Specifically, it is an immersion in the person's own world of meanings using Virtual Reality (VR), with the Explore Your Meanings (EYME) tool, a technological platform created to help mental health professionals to enhance the personal development and therapeutic change of their clients. Expected results include an increase in participants' self-concept clarity, metacognition, and reflective function as well as a deeper knowledge about their relationship with various aspects of self-knowledge and self-esteem.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
55

participants targeted

Target at P25-P50 for not_applicable

Timeline
7mo left

Started May 2023

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress84%
May 2023Dec 2026

Study Start

First participant enrolled

May 1, 2023

Completed
13 days until next milestone

First Submitted

Initial submission to the registry

May 14, 2023

Completed
29 days until next milestone

First Posted

Study publicly available on registry

June 12, 2023

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2026

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2026

Expected
Last Updated

February 3, 2026

Status Verified

January 1, 2026

Enrollment Period

3 years

First QC Date

May 14, 2023

Last Update Submit

January 30, 2026

Conditions

Keywords

mentalizationself-knowledgereflective functionvirtual realityself-identitymental mapsense of identity

Outcome Measures

Primary Outcomes (3)

  • Change from baseline Self Concept Clarity after two weeks, and at one-month follow-up

    Self-concept clarity is assessed with the Self-Concept Clarity Scale (SCCS) created by Campbell et al. (1996) and adapted to Spanish by Feixas, et al (2023).

    SCCS will be administered at baseline, after two weeks, and at one-month follow-up.

  • Change from baseline Metacognition after two weeks, and at one-month follow-up

    Metacognition will be assessed with the Metacognition Self-Assessment Scale (MSAS) created by Semerari et al. (2003) and adapted to Spanish by Feixas, et al. (2023).

    MSAS will be administered at baseline, after two weeks, and at one-month follow-up.

  • Change from baseline Reflective Functioning after two weeks, and at one-month follow-up

    Reflective Functioning or mentalization will be assessed using the Reflective Functioning Questionnaire (RFQ-8) created by Fonagy et al. (2016) and adapted to Spanish by Ruiz-Parra et al (2023).

    Frame: RF will be administered at baseline, after two weeks, and at one-month follow-up.

Secondary Outcomes (5)

  • Change from baseline Self-esteem after two weeks, and at one-month follow-up

    RSE will be administered at baseline, after two weeks, and at one-month follow-up.

  • Change from baseline Psychological distress, after one and two weeks, and at one-month follow-up

    CORE-OM will be administered at baseline, after one and two weeks (using short forms version CORE-SFB), and at one-month follow-up.

  • Change from baseline Depression, Anxiety and Stress, after two weeks and at one-month follow-up

    DASS-21 will be administered at baseline, after two weeks, and at one-month follow-up.

  • Change from Life Satisfaction after two weeks, and at one-month follow-up

    LSS will be administered at baseline, after two weeks, and at one-month follow-up.

  • Satisfaction with intervention

    CRES-4 will be administered at the one-month follow-up.

Other Outcomes (1)

  • Self-knowledge

    Self-knowledge assessment will be conducted after one week.

Study Arms (1)

Immersive Training using EYME-Explore Your Meanings

EXPERIMENTAL

Immersive training based on the RGT and EYME to improve the metacognitive abilities and self-knowledge of young people.

Behavioral: Immersive Training using EYME

Interventions

Psychological assessment based on the RGT with EYME-Explore Your Meanings, a digital platform to explore the structure and content of personal identity with Virtual Reality.

Immersive Training using EYME-Explore Your Meanings

Eligibility Criteria

Age18 Years - 29 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Volunteers between 18 and 29 years of age

You may not qualify if:

  • Diagnosis of a mental disorder (current or in the last year)
  • Current psychological or psychiatric treatment
  • Suicidal ideation
  • Insufficient level of competence to communicate in Spanish or English

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Barcelona

Barcelona, Catalonia, 08035, Spain

RECRUITING

Related Publications (24)

  • Bados, A., Solanas, A. y Andrés, R. (2005). Psychometric properties of the Spanish version of Depression, Anxiety and Stress Scales. Psicothema, 17, 679-683.

    BACKGROUND
  • Campbell, J. D., Trapnell, P. D., Heine, S. J., Katz, I. M., Lavellee, L. F., y Lehman, D. R. (1996). Self-concept clarity: Measurement, personality correlates, and cultural boundaries. Journal of Personality and Social Psychology, 70, 141-156

    BACKGROUND
  • Carapeto MJ, Feixas G. The Organization of Self-Knowledge in Adolescence: Some Contributions Using the Repertory Grid Technique. Eur J Investig Health Psychol Educ. 2020 Feb 5;10(1):408-423. doi: 10.3390/ejihpe10010031.

    PMID: 34542494BACKGROUND
  • Evans C, Connell J, Barkham M, Margison F, McGrath G, Mellor-Clark J, Audin K. Towards a standardised brief outcome measure: psychometric properties and utility of the CORE-OM. Br J Psychiatry. 2002 Jan;180:51-60. doi: 10.1192/bjp.180.1.51.

    PMID: 11772852BACKGROUND
  • Feixas, G., Alabèrnia-Segura, M. & García-Gutiérrez, A. (July, 2022). Using Virtual Reality to investigate self-identity: A case illustration of EYME-Explore Your Meanings. Paper presented in the panel Applied Personality Psychology (Chair: M. Cordero). 20th European Conference of Personality. Madrid

    BACKGROUND
  • Feixas, G., Carulla-Flix, A. et al (2023). Adaptación al español y propiedades psicométricas de la Escala de Autoevaluación de la Metacognición. Manuscript in preparation.

    BACKGROUND
  • Feixas, G. y Cornejo, J. M. (1996). Manual de la técnica de rejilla mediante el programa RECORD ver. 2.0. Barcelona: Paidós.

    BACKGROUND
  • Feixas, G., Fernández-Espejo, M., et al (2023). Adaptación al español y propiedades psicométricas de la Escala de Claridad de Autoconcepto. Manuscript in preparation..

    BACKGROUND
  • Feixas, G., Geldschläger, H., Carmona, M. y Garzón, B. (2002). Sistema de categorías de contenido para codificar constructos personales. Revista de Psicología General y Aplicada, 55, 337-348.

    BACKGROUND
  • Feixas, G., Pucurull, O., Roca, C., Paz, C., García-Grau, E., Bados, A. (2012). Escala de Satisfacción con el tratamiento recibido (CRES-4): La versión en español. Revista de Psicoterapia, 89(23), 51-58.

    BACKGROUND
  • Fonagy P, Luyten P, Moulton-Perkins A, Lee YW, Warren F, Howard S, Ghinai R, Fearon P, Lowyck B. Development and Validation of a Self-Report Measure of Mentalizing: The Reflective Functioning Questionnaire. PLoS One. 2016 Jul 8;11(7):e0158678. doi: 10.1371/journal.pone.0158678. eCollection 2016.

    PMID: 27392018BACKGROUND
  • Fransella, F., Bell, R. y Bannister, D. (2004). A Manual for Repertory Grid Technique (2nd. ed.). Wiley.

    BACKGROUND
  • Garcia-Gutierrez, A. y Feixas, G. (2018). GRIDCOR: A Repertory Grid Analysis Tool (Version 6.0) [Web application]. Retrieved from http://www.repertorygrid.net/en

    BACKGROUND
  • Katznelson H. Reflective functioning: a review. Clin Psychol Rev. 2014 Mar;34(2):107-17. doi: 10.1016/j.cpr.2013.12.003. Epub 2013 Dec 29.

    PMID: 24486522BACKGROUND
  • Kelly, G. A. (1955). The Psychology of Personal Constructs (2 vols). Norton.

    BACKGROUND
  • Lang TA, Altman DG. Basic statistical reporting for articles published in biomedical journals: the "Statistical Analyses and Methods in the Published Literature" or the SAMPL Guidelines. Int J Nurs Stud. 2015 Jan;52(1):5-9. doi: 10.1016/j.ijnurstu.2014.09.006. Epub 2014 Sep 28. No abstract available.

    PMID: 25441757BACKGROUND
  • Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995 Mar;33(3):335-43. doi: 10.1016/0005-7967(94)00075-u.

    PMID: 7726811BACKGROUND
  • Martin-Albo J, Nuniez JL, Navarro JG, Grijalvo F. The Rosenberg Self-Esteem Scale: translation and validation in university students. Span J Psychol. 2007 Nov;10(2):458-67. doi: 10.1017/s1138741600006727.

    PMID: 17992972BACKGROUND
  • Morejón, A. J. V., García-Bóveda, R. J., y Jiménez, R. V. (2004). Escala de autoestima de Rosenberg: fiabilidad y validez en población clínica española. Apuntes de Psicología, 22(2), 247-255.

    BACKGROUND
  • Pedone, R., Semerari, A., Riccardi, I., Procacci, M., Nicolò, G., & Carcione, A. (2017). Development of a self-report measure of metacognition: The metacognition self-assessment scale (MSAS). Instrument description and factor structure. Clinical Neuropsychiatry, 14(3), 185-194.

    BACKGROUND
  • Rosenberg, M. (1965). Society and the adolescent self-image. Princeton University Press.

    BACKGROUND
  • Ruiz-Parra E, Manzano-Garcia G, Mediavilla R, Rodriguez-Vega B, Lahera G, Moreno-Perez AI, Torres-Cantero AM, Rodado-Martinez J, Bilbao A, Gonzalez-Torres MA. The Spanish version of the reflective functioning questionnaire: Validity data in the general population and individuals with personality disorders. PLoS One. 2023 Apr 6;18(4):e0274378. doi: 10.1371/journal.pone.0274378. eCollection 2023.

    PMID: 37023214BACKGROUND
  • Trujillo A, Feixas G, Bados A, Garcia-Grau E, Salla M, Medina JC, Montesano A, Soriano J, Medeiros-Ferreira L, Canete J, Corbella S, Grau A, Lana F, Evans C. Psychometric properties of the Spanish version of the Clinical Outcomes in Routine Evaluation - Outcome Measure. Neuropsychiatr Dis Treat. 2016 Jun 21;12:1457-66. doi: 10.2147/NDT.S103079. eCollection 2016.

    PMID: 27382288BACKGROUND
  • Neimeyer, R. A. (1993). Constructivist approaches to the measurement of meaning (pp. 58-103). In G. J. Neimeyer (Ed) Constructivist Assessment: A Casebook. Sage.

    BACKGROUND

Study Officials

  • Guillem Feixas, PhD

    University of Barcelona

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Guillem Feixas, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Model Details: Single-group pre-post design with a one-month follow-up
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Full Professor

Study Record Dates

First Submitted

May 14, 2023

First Posted

June 12, 2023

Study Start

May 1, 2023

Primary Completion

May 1, 2026

Study Completion (Estimated)

December 1, 2026

Last Updated

February 3, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will share

Individual participant data for all primary and secondary outcomes, after deidentification

Shared Documents
STUDY PROTOCOL
Time Frame
Data will be available after six months of study completion
Access Criteria
Researchers who provide a methodologically sound proposal whose proposed use of the data has been approved by an independent review committee

Locations