- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT07607730
Regulating Together for Prader-Willi Syndrome: A Group Behavioral Therapy for Emotion Dysregulation (RT-PWS)
Adapting a Group Intervention for Emotion Dysregulation in Prader-Willi Syndrome
The goal of this study is to help teens with Prader-Willi Syndrome (PWS) and their families learn practical strategies for managing issues like irritability, meltdowns, and anxiety. The main objective of the study is:
To adapt current Regulating Together materials to create an outpatient group program for emotion dysregulation in Prader-Willi Syndrome (PWS) that will improve psychosocial outcomes for youth with PWS.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
Up to ten children with Prader-Willi Syndrome (PWS) ages 13 to 17.5 years and their caregivers will be enrolled in the study. This study is being done to develop and test a behavior therapy to help teenagers with PWS calm their emotions. Participants will complete assessments at five time points:
Screening (T1); Week 0: Baseline visit (T2); Week 5: Post Active Treatment (T3); Week 10: 5 week follow-up (T4); and Week 15: 10 week follow-up (T5). Participants will receive 5 weeks of intervention, twice per week, following the T2 visit.
Tipo de estudio
Inscripción (Estimado)
Fase
- No aplica
Contactos y Ubicaciones
Estudio Contacto
- Nombre: Grayson Manley, RN
- Número de teléfono: 816-816-6967
- Correo electrónico: gmanley@cmh.edu
Ubicaciones de estudio
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Missouri
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Kansas City, Missouri, Estados Unidos, 64108
- Reclutamiento
- Children's Mercy
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Contacto:
- Grayson Manley, RN
- Número de teléfono: 816-816-6967
- Correo electrónico: gmanley@cmh.edu
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Contacto:
- Walker McKinney, PhD
- Número de teléfono: 816-234-3656
- Correo electrónico: wsmckinney@cmh.edu
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Investigador principal:
- Walker McKinney, PhD
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Niño
Acepta Voluntarios Saludables
Descripción
Child Participant Inclusion Criteria:
- Ages 13-17.5 years
- Confirmed genetic diagnosis of Prader-Willi Syndrome
- Fluent in spoken English
- Adolescent's use of flexible phrase speech or greater
- Meeting clinically significant emotional dysregulation criteria
- Willing to participate in weekly 90-minute group sessions
- Family is willing to keep prescribed psychiatric medication and outside behavioral interventions stable
- Parent, guardian, or legally authorized representative must provide written permission on behalf of the participant
Child Participant Exclusion Criteria:
- Initiation of new psychosocial intervention within 30 days prior to first day of treatment
- Presence of physical aggression in the adolescent directed towards a peer outside the home that resulted in injury within 30 days prior to screening
- Presence of comorbid major neuropsychiatric illness warranting other treatment approaches
- Presence of any major sensory impairment that would limit participating in the material including blindness or uncorrected hearing loss
Caregiver Inclusion Criteria:
- Age ≥ 18 years
- Lives and cares for their child with PWS for > 50% of the year
- Fluent in spoken English
- Willing to participate in twice weekly 90-minute sessions, including one virtual session weekly
Caregiver Exclusion Criteria:
-Presence of any major sensory impairment that would limit participating in the material including blindness or uncorrected hearing loss
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Experimental: Teens with Prader-Willi Syndrome and their caregiver
Participants will receive Regulating Together - the emotion dysregulation intervention
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Regulating Together is the original curriculum developed for autistic youth that uses evidence-based therapeutic strategies including relaxation techniques, parent management training, and mindfulness to help regulate emotions.
This study will adapt the original Regulating Together curriculum to focus on behavioral interventions to treat emotion dysregulation in Prader-Willi Syndrome.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Emotion Dysregulation Inventory - Reactivity
Periodo de tiempo: From enrollment to the end of their follow up appointment, about 10 weeks after therapy has completed
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The Emotion Dysregulation Inventory consists of two subscales.
We will use the Reactivity subscale which captures poorly regulated negative emotional responses and a dysphoria subscale characterized by increased negative affect and lack of motivation.
Minimum raw score: 0; Maximum raw score: 96; Higher scores reflect higher emotional reactivity.
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From enrollment to the end of their follow up appointment, about 10 weeks after therapy has completed
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Caregiver and Adolescent Readiness and Satisfaction Surveys
Periodo de tiempo: From enrollment to end of follow up at 15 weeks
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We will assess acceptability as reflected in the average caregiver and adolescent satisfaction rating measured using two study-specific measures.
Caregivers will complete the Caregiver Readiness and Satisfaction Survey (CRS) and adolescents will complete the Adolescent Readiness and Satisfaction Survey (ARS).
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From enrollment to end of follow up at 15 weeks
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Clinician Global Impressions - Improvement (CGI-I)
Periodo de tiempo: From enrollment to the end of their follow up appointment, about 10 weeks after therapy has completed
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A trained, independent clinician will rate the CGI at T3 and T5.
The CGI-I provides a qualitative measure of treatment response through a rating from 1=very much improved to 7=very much worse.
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From enrollment to the end of their follow up appointment, about 10 weeks after therapy has completed
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Emotion Regulation Skills Test
Periodo de tiempo: From enrollment to the end of their follow up appointment, about 10 weeks after therapy has completed
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A child self-report measure created for Regulating Together to measure knowledge of skills taught to manage emotion dysregulation.
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From enrollment to the end of their follow up appointment, about 10 weeks after therapy has completed
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Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety and Depression Scales (Parent-Proxy)
Periodo de tiempo: From enrollment to the end of their follow up appointment, about 10 weeks after therapy has completed
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Caregiver-report measures to measure change in internalizing symptoms.
For both measures: minimum raw value: 13; maximum raw value: 65; higher scores reflect greater anxiety/depression
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From enrollment to the end of their follow up appointment, about 10 weeks after therapy has completed
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Aberrant Behavior Checklist, 2nd Edition (ABC-2)
Periodo de tiempo: From enrollment to the end of their follow up appointment, about 10 weeks after therapy has completed
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Irritability subscale; a caregiver-report measures to measure change in irritability and related challenging behaviors.
Minimum score: 0; Maximum score: 45; higher scores reflect greater irritability
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From enrollment to the end of their follow up appointment, about 10 weeks after therapy has completed
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Parenting Stress Index, 4th Edition, Short Form
Periodo de tiempo: From enrollment to the end of their follow up appointment, about 10 weeks after therapy has completed
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A caregiver-report questionnaire measuring the magnitude of stress in the parent-child system.
Minimum score: 36; Maximum score: 180; Higher scores reflect greater parental stress
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From enrollment to the end of their follow up appointment, about 10 weeks after therapy has completed
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Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Investigador principal: Walker McKinney, PhD, Children's Mercy
Publicaciones y enlaces útiles
Enlaces Útiles
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Estimado)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
- Comportamiento motor aberrante en la demencia
- Trastornos de impronta
- Manifestaciones neurológicas
- Enfermedades del Sistema Nervioso
- Desordenes mentales
- Trastornos Nutricionales
- Enfermedades Genéticas Congénitas
- Sobrenutrición
- Signos y Síntomas Digestivos
- Síntomas de comportamiento
- Manifestaciones neuroconductuales
- Anomalías congénitas
- Anomalías Múltiples
- Exceso de peso
- Discapacidad intelectual
- Obesidad
- Trastornos cromosómicos
- Enfermedades y anomalías congénitas, hereditarias y neonatales
- Condiciones Patológicas, Signos y Síntomas
- Comportamiento
- Enfermedades Nutricionales y Metabólicas
- Signos y síntomas
- Comportamiento social
- Desórdenes de ansiedad
- Depresión
- Agresión
- Síndrome de Prader-Willi
- Hiperfagia
Otros números de identificación del estudio
- STUDY00004042
- 1568503 (Otro número de subvención/financiamiento: Foundation for Prader-Willi Research)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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