- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05215392
A Smartphone Application of "Family Connections" to Relatives of People With Borderline Personality Disorder.
February 17, 2022 updated by: Universitat Jaume I
A Smartphone Application of "Family Connections" to Increase the Use of Skills and the Improving of Psychological Symptoms in Relatives of People With Borderline Personality Disorder: a Protocol Study for a Randomized Controlled Trial.
The aims of our study are the following: (a) testing the effectiveness of a combined intervention: "Family Connections" program with a smartphone app versus the same intervention supported by a paper-based manual, (b) studying the feasibility and acceptance of both conditions and (c) evaluating the perceptions and opinions of families about both interventions.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
Family members of patients with borderline personality disorder (BPD) often experience high levels of suffering, anxiety, stress, burden and helplessness.
The treatment program with the most empirical support is "Family Connections".
It is one of the first programs specifically designed to help relatives of patients with BPD.
The program is an adaptation of multiple strategies of Dialectical Behavioral Therapy.
The results of these studies and their subsequent replications showed an improvement in family attitudes and perceived burden.
Two of the technologies with very promising developments are Ecological Momentary Assessment and Ecological Momentary Intervention, that can act on each other.
A large number of smartphone apps for people with psychological problems focus on the provision of instructions, adaptive self-help strategies, alarms, electronic diaries or emotional state ratings.
The Family Connections app proposed in this article consists of a smartphone app built using EMA and EMI technologies.The aims of our study are the following: (a) testing the effectiveness of a combined intervention: "Family Connections" program with a smartphone app versus the same intervention supported by a paper-based manual, (b) studying the feasibility and acceptance of both conditions and (c) evaluating the perceptions and opinions of families about both interventions.
Study Type
Interventional
Enrollment (Anticipated)
116
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Verónica Guillén Botella, Dr
- Phone Number: 4386 963864386
- Email: vguillenbotella@gmail.com
Study Contact Backup
- Name: Azucena García Palacios, Dr
- Phone Number: 7640 964387640
- Email: azucena@uji.es
Study Locations
-
-
Castellón
-
Castellón De La Plana, Castellón, Spain, 12071
- Universitat Jaume I
-
Contact:
- Azucena García Palacios, Dr
- Phone Number: 7640 964387640
- Email: azucena@uji.es
-
Principal Investigator:
- Isabel Fernández Felipe, PhD Student
-
Contact:
- Verónica Guillén Botella, Dr
- Phone Number: 4386 964864386
- Email: fernandi@uji.es
-
Principal Investigator:
- Diana Castilla López, Dr
-
Principal Investigator:
- Mariví Navarro Haro, Dr
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Having a family member diagnosed with borderline personality disorder.
- Being 18 years of age or older.
- Knowing and understanding the Spanish language.
- Having a smartphone with Internet connection.
- Completing the informed consent.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Smartphone Application
Family members in the experimental group of this study will receive an ecological momentary intervention (EMI) derived from an ecological momentary assessment (EMA) via the Family Connections smartphone app.
|
Family members in the experimental group of this study will receive an ecological momentary intervention (EMI) derived from an ecological momentary assessment (EMA) via the Family Connections smartphone app.
Family members in this condition will receive the manual of Family Connections which contains all the information on the program sessions conducted and the skills training strategies in writing.
|
Active Comparator: Treatment As Usual
Family members in this condition will receive the manual of Family Connections which contains all the information on the program sessions conducted and the skills training strategies in writing.
|
Family members in the experimental group of this study will receive an ecological momentary intervention (EMI) derived from an ecological momentary assessment (EMA) via the Family Connections smartphone app.
Family members in this condition will receive the manual of Family Connections which contains all the information on the program sessions conducted and the skills training strategies in writing.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Burden Assessment Scale (BAS; Horwitz & Reinhard, 1992)
Time Frame: Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
Burden Assessment Scale (BAS) consists of 19 items and it assess the caregivers' objective and subjective burden within the past six months.
Items are rated on a 4-point Likert scale ranging from 1(nothing) to 4 (a lot), and higher values indicate stronger burden.
Internal reliability of the scale ranged from .89 to .91 and it shows adequated validity (Reinhard, Gubman, Horwitz & Minsky, 1994).
|
Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Depression, Anxiety and Stress (DASS-21; Lovibond & Lovibond, 1995)
Time Frame: Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
Depression, Anxiety and Stress Scale (DASS) have 42 items about negative emotional symptoms (Lovibond & Lovibond, 1995).
Lovibond & Lovinbod (1995) proposed that a part of these subscales for can become part of a short version creating a new questionnaire of 21 items.
Items are rated on a 4-point Likert scale ranging from 0 (It did not happen to me) to 3 (It happened to me a lot or most of the time), and higher scores indicate worse symptoms of depression, anxiety or stress.
DASS-21 showed fantastic factor structures.
Regarding to the internal consistency, Cronbach's alphas were excellent for the DASS-21 subscales: Depression (α = .94),
Anxiety (α = .87)
and Stress (α = .91)
(Antony, Bieling, Cox, Enns & Swinson, 1998).
|
Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
Family Empowerment (FES; Koren, DeChillo & Friesen, 1992)
Time Frame: Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
Family Empowerment Scale (FES) consists of 34 items divided in three subscales: family, service system, and involvement in community that is refered to three ways of empowerment, attitudes, knowledge, and behaviors (Koren, DeChillo & Friesen, 1992).
Items are rated on a scale of 1 (completely false) to 5 (totally true), and higher scores indicate a greater sense of empowerment.
The psychometric properties are the following: regarding to the internal consistency of FES subscores, the coefficients ranged from .87 to .88 and validity and reliability are adequated (Koren, DeChillo & Friesen, 1992).
|
Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
Resilience (CD-RISC; Connor & Davidson, 2003)
Time Frame: Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
Connor-Davidson Resilience scale is a 25-item measure of resilience.
Items are rated on a 5-point Likert scale ranging from 0 (absolutely not) to 4 (almost always) and the punctuation is based on how the participant has felt over the last month.
Higher scores means greater resilience (Connor & Davidson, 2003).
The CD-RISC authors reported acceptable test-retest reliability (r = 0.87) and strong internal consistency (α = .89)
(Connor & Davidson, 2003).
|
Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
System Usability Scale (SUS; Brooke, 2013).
Time Frame: Changes will be assessed immediately after the intervention (3 months)
|
It consists of 10 items measured with a Likert scale with five response options from Strongly agree to Strongly disagree.
It is reliable (coefficient alpha of .91)
and useful (Bangor, Kortum, & Miller, 2008).
|
Changes will be assessed immediately after the intervention (3 months)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Isabel Fernández Felipe, PhD Student, Universitat Jaume I
- Principal Investigator: Diana Castilla López, Dr, University of Valencia
- Principal Investigator: Mariví Navarro Haro, Dr, Universidad de Zaragoza
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Hoffman PD, Fruzzetti AE, Buteau E, Neiditch ER, Penney D, Bruce ML, Hellman F, Struening E. Family connections: a program for relatives of persons with borderline personality disorder. Fam Process. 2005 Jun;44(2):217-25. doi: 10.1111/j.1545-5300.2005.00055.x.
- Hoffman PD, Fruzzetti AE. Advances in interventions for families with a relative with a personality disorder diagnosis. Curr Psychiatry Rep. 2007 Feb;9(1):68-73. doi: 10.1007/s11920-007-0012-z.
- Flynn D, Kells M, Joyce M, Corcoran P, Herley S, Suarez C, Cotter P, Hurley J, Weihrauch M, Groeger J. Family Connections versus optimised treatment-as-usual for family members of individuals with borderline personality disorder: non-randomised controlled study. Borderline Personal Disord Emot Dysregul. 2017 Aug 30;4:18. doi: 10.1186/s40479-017-0069-1. eCollection 2017.
- Hoffman PD, Buteau E, Hooley JM, Fruzzetti AE, Bruce ML. Family members' knowledge about borderline personality disorder: correspondence with their levels of depression, burden, distress, and expressed emotion. Fam Process. 2003 Winter;42(4):469-78. doi: 10.1111/j.1545-5300.2003.00469.x.
- Hoffman PD, Fruzzetti AE, Swenson CR. Dialectical behavior therapy--family skills training. Fam Process. 1999 Winter;38(4):399-414. doi: 10.1111/j.1545-5300.1999.00399.x.
- Rajalin M, Wickholm-Pethrus L, Hursti T, Jokinen J. Dialectical behavior therapy-based skills training for family members of suicide attempters. Arch Suicide Res. 2009;13(3):257-63. doi: 10.1080/13811110903044401.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
September 1, 2022
Primary Completion (Anticipated)
December 31, 2022
Study Completion (Anticipated)
January 15, 2023
Study Registration Dates
First Submitted
January 17, 2022
First Submitted That Met QC Criteria
January 17, 2022
First Posted (Actual)
January 31, 2022
Study Record Updates
Last Update Posted (Actual)
March 4, 2022
Last Update Submitted That Met QC Criteria
February 17, 2022
Last Verified
February 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- UJaumeI22-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
Individual participant data will be available after deidentification.
IPD Sharing Time Frame
The data will be available immediately following publication
IPD Sharing Access Criteria
The data will be available to anyone who wishes to access them
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
Clinical Trials on Relatives
-
University of Southern DenmarkOdense University HospitalCompletedCancer | Rehabilitation | RelativesDenmark
-
University of ValenciaUniversitat Jaume IActive, not recruiting
-
University of ZurichUnknownPsychological Distress | Relatives | PolytraumaSwitzerland
-
University Hospital, BordeauxCompletedTransmission of Information to the Relatives After Genetic DiagnosisFrance
-
Holbaek SygehusRigshospitalet, Denmark; Herlev Hospital; Svendborg Hospital; Naestved Hospital; Nykøbing... and other collaboratorsCompletedRelatives | Intensive Care Unit SyndromeDenmark
-
University Hospital, LilleCompletedSuicide, Attempted | RelativesFrance
-
University Hospital, CaenUnknownPatients With Total Laryngectomy and Their Close Relatives
-
Universitat Jaume IUniversity of ValenciaUnknown
-
University of ValenciaUniversitat Jaume IRecruiting
-
Hvidovre University HospitalUniversity of Aarhus; Danish Lung AssociationRecruitingRelatives | Physical Inactivity | Nutrition Poor | COPD Exacerbation AcuteDenmark
Clinical Trials on Family Connections program
-
IRCCS Centro San Giovanni di Dio FatebenefratelliAzienda Socio Sanitaria Territoriale del Garda; Department of Clinical Neurosciences... and other collaboratorsCompleted
-
Johns Hopkins Bloomberg School of Public HealthFHI 360CompletedHIV | Adolescent Behavior | Caregivers | AfricaZambia
-
University of NebraskaNational Institute of General Medical Sciences (NIGMS); University of Nebraska...RecruitingChildhood ObesityUnited States
-
University of VirginiaVirginia Polytechnic Institute and State University; University of NebraskaUnknown
-
Universitat Jaume IHospital de la RiberaNot yet recruitingBorderline Personality Disorder (BPD)Spain
-
St. Joseph's Healthcare HamiltonHamilton Academic Health Sciences OrganizationCompleted
-
IRCCS Centro San Giovanni di Dio FatebenefratelliCompletedBorderline Personality DisorderItaly
-
Johns Hopkins Bloomberg School of Public HealthFHI 360; Arthur Davison Children's HospitalRecruitingHIV | Adolescent Behavior | Caregivers | Adolescent Development | AfricaZambia
-
WestatChildren's Bureau - Administration for Children and FamiliesCompletedIn Foster Care | At Risk for Foster
-
McMaster UniversityThe Greenwall FoundationCompletedDeath | Compassion | Patient Engagement | Bereavement | Family Members | Empathy | Empowerment | Communication, MultidisciplinaryCanada