Digital Heart Rate Variability Biofeedback Intervention for First Episode Psychosis
Digital Heart Rate Variability Biofeedback Intervention for First Episode Psychosis: A Randomized Controlled Trial
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Studietype
Studietype
Inschrijving (Geschat)
Inschrijving
Fase
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
Studiecontact
- Naam: Sherry Kit Wa Chan, PhD
- Telefoonnummer: +(852) 2255 3064
- E-mail: kwsherry@hku.hk
Studie Contact Back-up
- Naam: Sophia M Vann-Adibe, Bachelors of Science
- Telefoonnummer: +85253249444
- E-mail: svann@hku.hk
Studie Locaties
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SAR China
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Hong Kong, SAR China, Hongkong
- Queen Mary Hospital/University of Hong Kong
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Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Patients with first-episode-psychosis who have been in treatment for less than 5 years
- Inclusive of affective and non-affective psychosis
- Aged 18-55
- A diagnosis of schizophrenia-spectrum disorders or affective psychosis including schizoaffective disorder, bipolar affective disorders and depression with psychosis based on DSM V diagnostic criteria
- Able to provide written informed consent.
- Patients should be stable but with symptoms present
- Score a minimum of 7 on the Calgary Depression Scale.
Exclusion Criteria:
- Any organic neurological or cardiac conditions
- Prescription of cardiovascular medication
- Active severe suicidal ideation
- Diabetes as this can affect HRV
- Current substance abuse
- An ECG will be performed on each participant prior to joining the study to exclude undiagnosed cardiac conditions
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
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Experimenteel: Heart Rate Variability Biofeedback (HRV-B)
The HRV-B intervention will consist of five weeks of daily HRV-B practice, based on previous empirical studies that used 5 weeks (Tatschl et al, 2020) with 6 weekly lab visits or checkins.
Participants will practice for 10 minutes in the morning and evening for a total of 20 minutes per day, using a wearable device and mobile app.
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The HRV-B intervention will consist of five weeks of daily HRV-B practice, based on previous empirical studies that used 5 weeks (Tatschl et al, 2020) with 6 weekly lab visits or checkins.
Participants will practice for 10 minutes in the morning and evening for a total of 20 minutes per day, using a wearable device and mobile app.
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Actieve vergelijker: Music Listening
The control group will undergo a 5 week active control intervention consisting of daily music listening and 6 weekly check ins.
Control participants will listen to music through an app for 10 minutes in the morning and 10 minutes in the evening, for a total of 20 minutes daily, using a mobile app.
They will be instructed to avoid doing other tasks when listening to the music to ensure consistency between individuals.
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The control group will undergo a 5 week active control intervention consisting of daily music listening and 6 weekly check ins.
Control participants will listen to music through an app for 10 minutes in the morning and 10 minutes in the evening, for a total of 20 minutes daily, using a mobile app.
They will be instructed to avoid doing other tasks when listening to the music to ensure consistency between individuals.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Depression Symptoms
Tijdsspanne: 5 weeks, 3 data points
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The Chinese version of the Calgary Depression Scale (CDSS) will be administered to participants by a trained assessor biweekly at check-ins to assess depressive symptoms.
Minimum score: 0 (no depression) maximum score 27 (severe depression).
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5 weeks, 3 data points
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Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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State Paranoia
Tijdsspanne: 5 weeks, 6 data points
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The Chinese version of the Paranoid Ideation Checklist (Chan et al, 2011) will be completed by participants weekly during lab visits.
Minimum score: 18 (no state paranoia), maximum score 90 (severe state paranoia).
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5 weeks, 6 data points
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Psychotic Symptoms
Tijdsspanne: 5 weeks, 2 data points
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The Chinese version of the Positive and Negative Symptom Scale (PANSS) evaluation will be conducted by a trained assessor during intake and at the final visit to rate the severity of the patient's psychotic symptoms.
Minimum score: 30 (minimal psychotic symptoms) maximum score: 210 (severe psychotic symptoms).
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5 weeks, 2 data points
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Heart Rate Variability (HRV)
Tijdsspanne: 5 weeks, 70 data points
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RR Intervals (time between heart beats) are automatically stored in the Elite HRV app after every training session.
Additionally, SDNN and RMSSD as measured in the EliteHRV app will be extracted from each training session during the weekly checkins.
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5 weeks, 70 data points
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Ideas of Reference
Tijdsspanne: 5 weeks, 2 data points.
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The Chinese version of the Ideas of Reference Interview Scale (IRIS) will be administered to participants by a trained assessor on the initial and final lab visits.
Minimum score: 0 (no ideas of reference), maximum score 15 (endorsement of all 15 themes).
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5 weeks, 2 data points.
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Medewerkers en onderzoekers
Sponsor
Sponsor
Publicaties en nuttige links
Algemene publicaties
- Chan, R. C. K., Li, X., Lai, M.-k., Li, H., Wang, Y., Cui, J., Deng, Y., & Raine, A. (2011). Paranoid Ideation Checklist [Database record]. APA PsycTests. https://doi.org/10.1037/t29207-000
- Tatschl JM, Hochfellner SM, Schwerdtfeger AR. Implementing Mobile HRV Biofeedback as Adjunctive Therapy During Inpatient Psychiatric Rehabilitation Facilitates Recovery of Depressive Symptoms and Enhances Autonomic Functioning Short-Term: A 1-Year Pre-Post-intervention Follow-Up Pilot Study. Front Neurosci. 2020 Jul 21;14:738. doi: 10.3389/fnins.2020.00738. eCollection 2020.
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Studie start
Primaire voltooiing (Geschat)
Primaire voltooiing
Studie voltooiing (Geschat)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Andere studie-ID-nummers
Andere studie-ID-nummers
- IRB UW 26-043
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