- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05600205
Evaluation of Combined Support for the Ambulatory Lifestyle Intervention (GOAL!)
Evaluation of the Implementation and Effectiveness of a Combined Support for the Ambulatory Lifestyle Intervention (GOAL!)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study design and setting
GOAL! will be evaluated through a quasi-experimental study with a mixed-method matched design. People with severe mental illness (SMI) receiving ambulatory care within the municipalities of North Veluwe will participate in the intervention. People who participate in GOAL! will be invited to additionally participate in its evaluation on a voluntary basis. Participants will be compared with a group of people with SMI who continue to receive usual counseling and care. This comparison group will be recruited outside municipalities where GOAL! takes place to avoid contamination. The aim is to recruit 50 participants of GOAL! for the evaluation and to create an equal comparison group of 50 participants matched for gender, age, and diagnosis. To evaluate the effects of GOAL! measurements will be conducted at baseline (T0), after 3 months (T1), after 12 months (T2), and after 24 months (T3).
Intervention
GOAL! aims to provide integrated support focused on a combination of lifestyle factors for achieving a healthier lifestyle for people with SMI. The intervention consists of one year of active guidance by the lifestyle coach, after which a maintenance program for another year is available. The participant starts with an intake interview with the lifestyle coach and then starts a basic course of three months in which participants have three group meetings of one hour each week. The group meetings focus on exercise (twice a week) and nutrition (once a week), and are given by qualified professionals in this field. After the basic course of three months a follow-up course of nine months starts with two group meetings of one hour per month given by the lifestyle coach. After the guidance phase of twelve months there is a maintenance program of also twelve months. This program consists of five sessions with individual counseling and three group meetings by the lifestyle coach.
Analysis
To measure the intervention effect, linear mixed models will be used. Although intervention and control groups are matched, potential differences between the groups on participant and disease characteristics are analyzed with independent t-tests (continuous variables) and chi-square tests (categorical variables). All models will be corrected for the baseline value, baseline disease severity, and monthly income category as a potential confounder for lifestyle behaviors. Corrections are made for potential clustering at the level of treatment team, neighborhood and municipality.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Jeroen Deenik, Dr.
- Phone Number: +31622049524
- Email: j.deenik@ggzcentraal.nl
Study Contact Backup
- Name: Chermaine Noortman - van Meteren, MSc.
- Phone Number: +31651367977
- Email: c.vanmeteren@ggzcentraal.nl
Study Locations
-
-
Utrecht
-
Amersfoort, Utrecht, Netherlands, 3818 EW
- GGz Centraal
-
Contact:
- Jeroen Deenik, Dr.
- Phone Number: +31622049534
- Email: j.deenik@ggzcentraal.nl
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 18 years of age or older;
- Diagnosed with a severe mental illness (SMI; defined as within treatment of a FACT team);
- Excessive abdominal circumference (≥102 cm for men or ≥ 88 cm for women; this is one of five risk factors for metabolic syndrome);
- Presence of at least one of the other four risk factors as clustered in the criteria for metabolic syndrome (hypertension, abnormal triglycerides, fasting blood sugar and HDL cholesterol, or medication use for blood pressure or values).
Exclusion Criteria:
- If someone lacks the legal capacity to give independent consent for participation and no (legal) representative is willing to give consent;
- If the disease severity at that time does not permit participation (i.e. acute psychological state, acute psychosis, or suicidality).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: GOAL!
Combined Support for the Ambulatory Lifestyle Intervention
|
GOAL! is a integrated support focused on a combination of lifestyle factors for achieving a healthier lifestyle for people with severe mental illness.
The intervention consists of two year of guidance from a lifestyle coach and qualified professionals.
|
No Intervention: Control group
Care and counseling as usual (matched for gender, age and diagnosis)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in physical activity: SIMPAQ
Time Frame: At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Measured by the Simple Physical activity Questionnaire (SIMPAQ).
The SIMPAQ consists of five items (boxes), and participants are asked about time spent in bed (box 1), time sedentary, including naps (box 2), time spent walking (box 3), time spent exercising (box 4) and time spent in incidental activity, such as housekeeping (box 5).
The total self-reported time spent on moderate-vigorous physical activity (MVPA) can be calculated by adding box 4 and 5.
|
At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in dietary intake: MijnEetmeter
Time Frame: At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Measured by MijnEetmeter (dutch application) - a food diary.
The participant fills in the nutritional intake for a given day.
It provides insight into quantities of certain nutrients (i.e.
fat, salt and sugar) and to what extent the participant ate according to the Schijf van Vijf (guideline for a healthy diet in the Netherlands) on that given day.
|
At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Change in sleep: SCOPA-SLEEP
Time Frame: At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Measured by the Scales for Outcomes in Parkinson's Disease - Sleep (SCOPA-Sleep).
The SCOPA-Sleep is developed to evaluate night-time sleep and daytime sleepiness in a short and practical manner.
The questionnaire enquires about the use of sleep medication and if so, which medication.
It then uses 5 items to evaluate night-time sleep, 1 question inquiring overall quality of sleep followed by 6 items to evaluate daytime sleepiness on a 4 point Likert scale ranging from 0 (not at all) to 4 (a lot).
|
At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Change in substance use: ASSIST-Lite
Time Frame: At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
The Alcohol, Smoking and Substance Involvement Screening Tool - Lite (ASSIST-Lite).
Questions are about use, frequency, urges, health problems, control and concerns about various substances (including alcohol, opioids and soft drugs).
Likert scales (Never, once or twice in my lifetime, monthly, weekly or daily; 0-4), and ordinal scales (Never; Yes, but not in the last three months; or Yes, but not in the last three months; scored 0,1,2) are used.
|
At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Change in weight
Time Frame: At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Weight is measured to the nearest 0.1 kg.
|
At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Change in BMI
Time Frame: At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Weight divided by height in meters squared
|
At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Change in metabolic health: waist circumference
Time Frame: At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Waist circumference measured halfway between the iliac crest and lowest rib in standing position
|
At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Change in metabolic health: systolic and diastolic blood pressure
Time Frame: At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Measured systolic and diastolic blood pressure (mmHg)
|
At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Change in fat percentage
Time Frame: At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Measured by the intelligent weighing scale, as the amount of body fat in relation to body weight (percentage on a scale from 0 to 100).
A healthy fat percentage for men is between 7% to 25% and for women between 21% to 36%.
Fat percentage increases with age.
|
At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Change in psychopathology: BSI
Time Frame: At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Measured by the Brief Symptom Inventory (BSI).
The BSI comprises 53 items that reflect 9 symptom domains of psychopathology (somatization, obsessive compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism).
Each item is rated on a 5-point scale of distress from 0 (not at all) to 4 (extremely).
|
At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Change in Quality of life: EQ-5D
Time Frame: At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Measured by the EuroQol 5D (EQ-5D).The EQ-5D is a generic instrument that consists of 5 dimensions of health, with one item per dimension; mobility, selfcare, usual activities, pain/discomfort, and anxiety/depression.
There are three levels of severity ranging from no issues to many issues.
The index score are calculated ranging from 0 (worst quality of life) to 1 (perfect quality of life).
|
At baseline (T0), after 3 months (T1), after 12 months (T2) and after 24 months (T3)
|
Change care use and illness and work: TIC-P
Time Frame: At baseline (T0) and after 24 months (T3)
|
De Treatment Inventory of Costs in Patients with psychiatric disorders (TiC-P).
Dutch questionnaire for the evaluation of costs related to psychosocial problems, consisting of three parts.15
questions are about certain facilities in (mental) health care (part 1), 11 questions are about the extent to which psychosocial problems hindered the respondent in (paid and unpaid) work (part 2) and part three consists of some general questions.
To arrive at a total cost score, the frequency of care consumption/productivity loss is multiplied by the related costs according to national guidelines.
|
At baseline (T0) and after 24 months (T3)
|
Barriers and facilitators of the implementation of GOAL!: MIDI
Time Frame: At baseline (T0) and after 24 months (T3)
|
Measured by the Measurement Instrument for Determinants of the Innovation (MIDI).
The MIDI is comprised of 28 items, divided into 4 scales measuring determinants associated with innovations (7 items), the user (11 items) and the organization (10 items).
All items are scored on a 5-point Likert scale ranging from 1 (totally disagree) to 5 (totally agree).
Items which ≥20% responds negatively (disagree/totally disagree) are considered barriers.
Items which ≥80% respond positively (agree/totally agree) are considered facilitators.
|
At baseline (T0) and after 24 months (T3)
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Achieving lifestyle goals
Time Frame: 24 months
|
Questioned and reported by the lifestyle coach on an ongoing basis.
|
24 months
|
Adverse events
Time Frame: 24 months
|
Evaluated by the lifestyle coach on an ongoing basis.
|
24 months
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Firth J, Ward PB, Stubbs B. Editorial: Lifestyle Psychiatry. Front Psychiatry. 2019 Aug 26;10:597. doi: 10.3389/fpsyt.2019.00597. eCollection 2019.
- Hjorthoj C, Sturup AE, McGrath JJ, Nordentoft M. Years of potential life lost and life expectancy in schizophrenia: a systematic review and meta-analysis. Lancet Psychiatry. 2017 Apr;4(4):295-301. doi: 10.1016/S2215-0366(17)30078-0. Epub 2017 Feb 22. Erratum In: Lancet Psychiatry. 2017 Sep;4(9):e19.
- Correll CU, Solmi M, Veronese N, Bortolato B, Rosson S, Santonastaso P, Thapa-Chhetri N, Fornaro M, Gallicchio D, Collantoni E, Pigato G, Favaro A, Monaco F, Kohler C, Vancampfort D, Ward PB, Gaughran F, Carvalho AF, Stubbs B. Prevalence, incidence and mortality from cardiovascular disease in patients with pooled and specific severe mental illness: a large-scale meta-analysis of 3,211,768 patients and 113,383,368 controls. World Psychiatry. 2017 Jun;16(2):163-180. doi: 10.1002/wps.20420. Erratum In: World Psychiatry. 2018 Feb;17 (1):120.
- Deenik J, Czosnek L, Teasdale SB, Stubbs B, Firth J, Schuch FB, Tenback DE, van Harten PN, Tak ECPM, Lederman O, Ward PB, Hendriksen IJM, Vancampfort D, Rosenbaum S. From impact factors to real impact: translating evidence on lifestyle interventions into routine mental health care. Transl Behav Med. 2020 Oct 8;10(4):1070-1073. doi: 10.1093/tbm/ibz067.
- Deenik J, Tenback DE, Tak ECPM, Hendriksen IJM, van Harten PN. [Thinking inside the box: improving the lifestyle of inpatients with severe mental illness]. Tijdschr Psychiatr. 2020;62(7):564-574. Dutch.
- Firth J, Siddiqi N, Koyanagi A, Siskind D, Rosenbaum S, Galletly C, Allan S, Caneo C, Carney R, Carvalho AF, Chatterton ML, Correll CU, Curtis J, Gaughran F, Heald A, Hoare E, Jackson SE, Kisely S, Lovell K, Maj M, McGorry PD, Mihalopoulos C, Myles H, O'Donoghue B, Pillinger T, Sarris J, Schuch FB, Shiers D, Smith L, Solmi M, Suetani S, Taylor J, Teasdale SB, Thornicroft G, Torous J, Usherwood T, Vancampfort D, Veronese N, Ward PB, Yung AR, Killackey E, Stubbs B. The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness. Lancet Psychiatry. 2019 Aug;6(8):675-712. doi: 10.1016/S2215-0366(19)30132-4. Epub 2019 Jul 16. No abstract available.
- Firth J, Solmi M, Wootton RE, Vancampfort D, Schuch FB, Hoare E, Gilbody S, Torous J, Teasdale SB, Jackson SE, Smith L, Eaton M, Jacka FN, Veronese N, Marx W, Ashdown-Franks G, Siskind D, Sarris J, Rosenbaum S, Carvalho AF, Stubbs B. A meta-review of "lifestyle psychiatry": the role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders. World Psychiatry. 2020 Oct;19(3):360-380. doi: 10.1002/wps.20773.
- Suetani S, Rosenbaum S, Scott JG, Curtis J, Ward PB. Bridging the gap: What have we done and what more can we do to reduce the burden of avoidable death in people with psychotic illness? Epidemiol Psychiatr Sci. 2016 Jun;25(3):205-10. doi: 10.1017/S2045796015001043. Epub 2016 Jan 15.
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
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
- 220307
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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.
Clinical Trials on Lifestyle
-
Eindhoven University of TechnologyCompletedLifestyle | Lifestyle, Healthy | Lifestyle Risk Reduction | Lifestyle, SedentaryBelgium
-
The University of Tennessee, KnoxvilleCompletedActive Lifestyle Males | Inactive Lifestyle MalesUnited States
-
University of California, MercedNational Cancer Institute (NCI)CompletedNutrition | Lifestyle-related Condition | Sugar Sweetened Beverage Consumption | Lifestyle Risk ReductionUnited States
-
Commonwealth Scientific and Industrial Research...Agency for Science, Technology and ResearchUnknown
-
The Miriam HospitalNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)CompletedPhysical Activity | Exercise | Behavior | Lifestyle | Acceptance and Commitment Therapy | ACT | Lifestyle, SedentaryUnited States
-
University of British ColumbiaCanadian Institutes of Health Research (CIHR)Completed
-
Hebrew University of JerusalemBen-Gurion University of the NegevCompleted
-
Igdir UniversityAtaturk UniversityRecruiting
-
Umeå UniversityRegion VästerbottenNot yet recruiting
-
Örebro University, SwedenRecruiting
Clinical Trials on GOAL!
-
Ruijin HospitalRenJi HospitalUnknown
-
Dartmouth-Hitchcock Medical CenterMedacta USARecruitingKnee Osteoarthritis | Knee Injuries | Knee Pain Chronic | Knee Injuries and DisordersUnited States
-
Stanford UniversityNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)CompletedObesity | Overweight | Weight Loss | Health BehaviorUnited States
-
The Miriam HospitalActive, not recruitingObesityUnited States
-
Milton S. Hershey Medical CenterNational Institutes of Health (NIH); National Institute on Aging (NIA)Enrolling by invitationOverweight and Obesity | Walking | Physical Inactivity | Self-regulation | Cognitive HealthUnited States
-
University of ChicagoNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Active, not recruiting
-
Ardea OutcomesNational Research Council, CanadaNot yet recruitingGeriatric Assessment
-
Homewood Research InstituteSt. Joseph's Healthcare Hamilton; Canadian Institutes of Health Research (CIHR) and other collaboratorsRecruitingPost Traumatic Stress Disorder | Cognitive DeficitCanada
-
Baylor College of MedicineEunice Kennedy Shriver National Institute of Child Health and Human Development... and other collaboratorsCompletedObesity | CancerUnited States
-
Karolinska InstitutetActive, not recruiting