- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04013932
Family Psychoeducation for Adults With Psychotic Disorders in Tanzania
Family Psychoeducation for Adults With Psychotic Disorders in Tanzania (Pilot Clinical Trial of KUPAA)
Study Overview
Status
Intervention / Treatment
Detailed Description
Family psychoeducation (FPE) is an evidence-based practice used in high-income countries to help individuals with psychotic disorders and their relatives to cope more effectively with the illness. FPE has never been tested in a low-resource country nor have the mechanisms of action for this psychosocial intervention been fully identified in any context. The goal of this study is to pilot test a culturally tailored Family Psychoeducation model (called KUPAA) for adults with psychotic disorders and their relatives that is appropriate for cultural settings inclusive of both traditional and biomedical ideas about mental illness and that incorporates relatives as co-facilitators of the intervention. Formative research has already been conducted to culturally tailor the model for the Tanzanian context. This pilot study is a small randomized controlled trial (RCT) with 72 patient/relative dyads that will test the KUPAA intervention to a) assess the feasibility and acceptability of the adapted family psychoeducation intervention for 12 weeks, and b) explore its impact on patient relapse, quality of life and disability.
Primary study objectives
To pilot test the KUPAA intervention to explore its impact on patient relapse, quality of life and disability
Secondary study objectives
- To elucidate the mechanisms of action for KUPAA (e.g. hopefulness, self-efficacy) and refine the mediation and study outcome measures for a future R01/fully powered clinical trial
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Dar Es Salaam, Tanzania
- Muhimbili University of Health and Allied Sciences (MUHAS)
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Mbeya, Tanzania
- Mbeya Zonal Referral Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Patient Inclusion Criteria:
- Attending outpatient psychiatric services at Muhimbili National Hospital (MNH) or Mbeya Zonal Referral Hospital (MZRH).
- ICD-10 Diagnosis of a non-organic psychotic disorder:
- F20 Schizophrenia
- F21 Schizotypal disorder
- F22 Delusional disorders
- F25 Schizoaffective disorders
- Age 18-50 at the time of informed consent
- Hospitalization or relapse (confirmed by attending psychiatrist or medical officer) within the past 12 months.
Patient Exclusion Criteria:
- F23 Brief psychotic disorder
- F28 Other psychotic disorder not due to a substance or known physiological condition
- F29 Unspecified psychosis not due to a substance or known physiological condition
- Epileptic psychoses
- Bipolar disorder and mania
- Co-morbid developmental disorder, dementia, or other severe cognitive deficit that renders the individual unable to provided informed consent.
Caregiver Inclusion Criteria:
- Age 18 or older at time of consenting process
- Patient agrees that this person can be their paired partner for KUPAA if the pair is randomized to the intervention group
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: KUPAA Intervention + Standard of Care
Patients will be assigned to a KUPAA group composed of approximately 6 patients (joined by their 6 matched caregivers).
Patients will first participate in 1-2 joining sessions with a provider, followed by a 1-day group educational workshop.
Participants will then attend weekly family psychoeducation group sessions (~1.5-2 hours) for 12 weeks.
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KUPAA is composed of 3 key components: 1-2 Joining sessions [~30 to 45 minutes each] give the facilitator and participants a chance to get to know each other before KUPAA groups begin and allows time for questions. Educational Workshop is an interactive, one day workshop offering information about biological, psychological and social aspects of mental illness; the nature, effects and side effects of psychiatric treatments; what families can do to help recovery and prevent relapse; and guidelines for managing mental illnesses. 12 Family psychoeducation group sessions [~1.5 hours each session] occur weekly in multi-family groups. These sessions follow an empirically tested format and focus on solving problems that interfere with treatment, illness, and symptoms management and that support coping skills and personal care. Case management may also be provided.
Other Names:
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No Intervention: Control - Standard of Care
Patients will receive the standard of care.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of Patient Participants Who Experience Illness Relapse
Time Frame: Relapse is measured from immediate post-intervention to endline (~6-7 months post-intervention)
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Patient relapse measured by hospitalization or non-hospitalized relapse, defined as a new illness episode with recurrence of symptoms after one month of controlled symptoms.
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Relapse is measured from immediate post-intervention to endline (~6-7 months post-intervention)
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Change From Baseline to Endline in Disability, as Measured by the World Health Organization Disability Assessment Schedule Version 2.0 (WHODAS 2.0)
Time Frame: Baseline (pre-intervention) and Endline (~6-7 months post-intervention)
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Scores are measured from the 36-item WHODAS 2.0, the World Health Organization Disability Assessment Schedule, which measures health and disability.
WHODAS 2.0 This self-report assessment measures difficulties performing daily activities over the past 30 days.
It consists of 36 Likert-formatted questions across six domains: understanding and communicating, getting around, self-care, getting along with others, life activities, and participation in society.
WHO's guidelines for the complex scoring method were used to create the total score, ranging from 0 (no disability) to 100 (full disability).
Higher scores indicate worse outcomes.
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Baseline (pre-intervention) and Endline (~6-7 months post-intervention)
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Change From Baseline to Endline in Quality of Life, as Measured by the World Health Organization Quality of Life- Abbreviated Version (WHOQOL-BREF)
Time Frame: Baseline (pre-intervention) and Endline (~6-7 months post-intervention)
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Raw total scores are measured from the 26-item WHOQOL-BREF (the abbreviated version of the World Health Organization Quality of Life 100 scale).
This self-report assessment has 26 questions across four domains; physical health, psychological, social relationships, and environment.
Each item is rated on a five-point Likert scale (1-5) ranging from 1 (not at all, very dissatisfied, very poor) to 5 (an extreme amount, very satisfied, very good); three items needed reverse scoring.
The range is 26 (min) to 130 (max) for the total raw score.
Higher scores indicate a better outcome.
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Baseline (pre-intervention) and Endline (~6-7 months post-intervention)
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Joy Noel Baumgartner, PhD, Duke University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Pro00094163
- 5R34MH106663 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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