NCT06616350

Brief Summary

The goal of this clinical trial is to test the acceptability, feasibility, and effectiveness of esTOCma in families and relatives of individuals with obsessive-compulsive disorder (OCD). Specifically, a randomized controlled trial with two conditions (experimental and control) has been carried out in a sample of families and relatives of individuals with obsessive-compulsive disorder to assess pre-post-intervention changes. Researchers will compare experimental and control group to see if after using the app there is: lower stigma, higher knowledge and understanding about OCD, higher intention to seek help, and higher self-esteem and lower obsessive-compulsive symptoms. and there are no changes in the control group. The experimental group received the intervention through the esTOCma app.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
211

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Apr 2022

Shorter than P25 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

Study Start

First participant enrolled

April 4, 2022

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2022

Completed
2 years until next milestone

First Submitted

Initial submission to the registry

September 19, 2024

Completed
8 days until next milestone

First Posted

Study publicly available on registry

September 27, 2024

Completed
Last Updated

September 27, 2024

Status Verified

September 1, 2024

Enrollment Period

6 months

First QC Date

September 19, 2024

Last Update Submit

September 23, 2024

Conditions

Keywords

stigmaobsessive-compulsive disorderfamilymental health literacyesTOCmaapp

Outcome Measures

Primary Outcomes (4)

  • Change on mental health literacy about OCD

    Score change on mental health literacy about OCD from baseline to after app completion in the experimental group, and no changes after 10 days in the control group. It will be assessed with the Mental Health Literacy Questionnaire (MHL) that was designed to assess level of knowledge about OCD, specifically the understanding of OCD and its treatment. Higher scores indicate higher knowledge.

    through study completion, an average of 10 days

  • Change in social distance

    Score change in social distance from baseline to after app completion (experimental group), or no changes on the control group after 10 days. It will be assessed with the Social Distance Scale (SDS) that employs a four-point Likert scale, ranging from 0 to 3, to assess an individual's willingness to interact with a person who has a mental disorder as depicted in the assigned OC vignette across seven different settings. Higher scores indicate a stronger desire for social distance.

    through study completion, an average of 10 days

  • Change in stigma associated with OCD

    Score change in stigma from baseline to app completion (estimation of 10 days) in the experimental group, and after 10 days in the control group. Stigma will be assessed by the Spanish version of the Attribution Questionnaire (AQ-27) that assesses public stigma related to a vignette. Respondents rate 27 items on a Likert-type scale from 1 to 9. Elevated scores indicate greater public stigma.

    through study completion, an average of 10 days

  • Change in help-seeking intention

    Score change in help-seeking intention General after the intervention in the experimental group, and after 10 days in the control group. It will be assessed with the Help-Seeking Questionnaire (GHSQ) that comprises 10 items assessing the intention to seek help from various sources in the event of experiencing symptoms similar to those described in the assigned OC vignette. Higher scores indicate a greater tendency to seek help.

    through study completion, an average of 10 days

Secondary Outcomes (2)

  • Change in obsessive-compulsive symptoms

    through study completion, an average of 10 days

  • Change on self-esteem

    through study completion, an average of 10 days

Other Outcomes (2)

  • Level of acceptability

    through study completion, an average of 10 days

  • System usability level

    through study completion, an average of 10 days

Study Arms (2)

Experimental group

EXPERIMENTAL

Participants used the app esTOCma

Device: esTOCma: an app to fight stigma associated with OCD

Control group

NO INTERVENTION

Participants did nothing

Interventions

The intervention consists of playing a serious game, called esTOCma, on a mobile phone. In the game, players must use their knowledge to battle the stigma monster of OCD, complete 10 missions, and release 10 individuals who have been afflicted by the esTOCma monster, a creature that feeds on false beliefs and misinformation in society.

Experimental group

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • having signed the informed consent
  • being over 18 years of age;
  • having an Android or iOS mobile device with Internet access
  • being a family member of a person diagnosed with OCD.

You may not qualify if:

  • not completing one or more of the evaluation time points (pre- or post-intervention)
  • not finishing the intervention (experimental group only)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Universitat de València

Valencia, 46010, Spain

Location

Related Publications (1)

  • Garcia-Soriano G, Arnaez S, Chaves A, Del Valle G, Roncero M, Moritz S. Can an app increase health literacy and reduce the stigma associated with obsessive-compulsive disorder? A crossover randomized controlled trial. J Affect Disord. 2024 Apr 1;350:636-647. doi: 10.1016/j.jad.2024.01.168. Epub 2024 Jan 20.

    PMID: 38253133BACKGROUND

Related Links

MeSH Terms

Conditions

Obsessive-Compulsive DisorderSocial StigmaAlzheimer Disease

Condition Hierarchy (Ancestors)

Anxiety DisordersMental DisordersSocial BehaviorBehaviorDementiaBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesTauopathiesNeurodegenerative DiseasesNeurocognitive Disorders

Study Officials

  • Gemma García-Soriano, PhD

    Universitat de València

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: This study is a two-arm randomized controlled trial with measurements taken at two time points: pre-intervention and post-intervention. Participants who met the inclusion criteria were automatically randomized within the app into either the experimental or control group using a 1:1 allocation ratio. The experimental group received the intervention through the esTOCma app, and completed the assessment questionnaires before and after the intervention. Participants in the control group did not receive the intervention and completed the assessment questionnaires again 10 days after the pre-assessment (post-intervention).
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Psychology

Study Record Dates

First Submitted

September 19, 2024

First Posted

September 27, 2024

Study Start

April 4, 2022

Primary Completion

September 30, 2022

Study Completion

September 30, 2022

Last Updated

September 27, 2024

Record last verified: 2024-09

Data Sharing

IPD Sharing
Will share

All IPD that underlie results in a publication

Time Frame
It will be available for 3 months after the publication of the study.
Access Criteria
Data will be available in the repository ZENODO
More information

Locations