Computer-Aided Learning for Managing Stress (CALMS)
22. februar 2018 oppdatert av: Kristen Woodberry, Beth Israel Deaconess Medical Center
A Pilot Study of Computerized Biofeedback Games With Young People Experiencing Psychotic-Spectrum Symptoms
The purpose of this study is to learn whether a new family therapy using computer games with biofeedback might help people at clinical high risk for psychosis and their family members learn to experience less stress and have fewer mental health challenges.
Studieoversikt
Detaljert beskrivelse
CALMS revolves around the use of Emotional Manipulatives (EM) developed at Boston Children's Hospital (BCH). EM are single and multi-user biofeedback games designed to enhance executive control of emotion. The intervention and EM in CALMS were adapted from those used in Anger Control Training (ACT) with Regulate and Gain Emotional Control (RAGE-Control). In a randomized controlled trial at BCH, ACT and RAGE-Control relative to "sham" video-game play without biofeedback led to significantly greater reductions of aggression in adolescents and greater improvement in family functioning.
In this feasibility study, family dyads will participate in 12 sessions aimed at
- enhancing engagement through the use of video and other games,
- enhancing stress resilience through biofeedback, education, and individualized stress-reduction practice, and
- harnessing the power of the family to enhance contextual learning and the generality and duration of effects.
Clinical, self-report, and heart rate measures will be assessed at baseline, 4, 8, and 12 week assessments.
Studietype
Intervensjonell
Registrering (Faktiske)
25
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
-
-
Massachusetts
-
Boston, Massachusetts, Forente stater, 02115
- Beth Israel Deaconess Medical Center
-
-
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
12 år til 30 år (Barn, Voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- Currently Meet or Have Met Criteria of Prodromal Syndromes (COPS) according to the SIPS within the past 2 years
- Estimated IQ > 70
- Speak fluent English
- Have at least one parent or adult family member who also speaks fluent English and is willing to participate
Exclusion Criteria:
- Physical limitations precluding effective use of biofeedback videogames
- Co-morbid psychiatric disorders, including substance disorders, but only if they better explain COPS symptoms or make participation counter-indicated.
- Active suicidal ideation or attempts within the past 2 months unless being actively monitored and treated for this by a clinician
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: CALMS
12 session family therapy using multi-user biofeedback games
|
Family Therapy; Multi-user Biofeedback Videogames
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Feasibility: Percent of referred who consent and meet study criteria
Tidsramme: Up to six months
|
Enrollment
|
Up to six months
|
|
Feasibility: Percent of 12 sessions completed
Tidsramme: Up to six months
|
Engagement: Percent of sessions completed by consented and eligible participants
|
Up to six months
|
|
Feasibility: Counts of premature termination of intervention
Tidsramme: Up to six months
|
Up to six months
|
|
|
Feasibility: Self-report of Credibility/Satisfaction
Tidsramme: 12 week assessment or last assessment completed
|
Individual and family member self-report
|
12 week assessment or last assessment completed
|
|
Feasibility: Self-report of User Experience
Tidsramme: 12 week assessment or last assessment completed
|
Self-report of ability to learn/use technology to lower stress reactivity
|
12 week assessment or last assessment completed
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change in Perceived Stress relative to Baseline
Tidsramme: Weeks 4, 8, and 12 Assessments
|
Self-report via Perceived Stress Scale
|
Weeks 4, 8, and 12 Assessments
|
|
Change relative to Baseline in Youth Perceptions of Relationship with Family Member
Tidsramme: Weeks 4, 8, 12 Assessments
|
Self-report of conflict, criticism, and warmth in relationship with participating family member
|
Weeks 4, 8, 12 Assessments
|
|
Change relative to Baseline in Parent Perceptions of Relationship with Adolescent or Young Adult
Tidsramme: Weeks 4, 8, 12 Assessments
|
Self-report of conflict, criticism, and warmth in relationship with youth
|
Weeks 4, 8, 12 Assessments
|
|
Positive Symptom Score Change relative to Baseline
Tidsramme: Weeks 4,8, and 12 Assessments
|
Total positive symptom score according to the Structured Interview of Psychosis-risk Syndromes (SIPS)
|
Weeks 4,8, and 12 Assessments
|
|
Change in Social and Role Functioning relative to Baseline
Tidsramme: Weeks 4, 8, and 12 Assessments
|
Global Functioning: Social & Role Scales;
|
Weeks 4, 8, and 12 Assessments
|
|
Change in Global Functioning relative to Baseline
Tidsramme: Weeks 4, 8, and 12 Assessments
|
SIPS Global Assessment of Functioning
|
Weeks 4, 8, and 12 Assessments
|
|
Safety: Change in Hostility/Aggression relative to Baseline
Tidsramme: Weeks 4, 8, and 12
|
Self-report
|
Weeks 4, 8, and 12
|
|
Safety: Change in Video-game Addiction relative to Baseline
Tidsramme: Weeks 4, 8, and 12
|
Self-report
|
Weeks 4, 8, and 12
|
|
Difference in reaction times for emotional and calm faces on an Emotional Go/NoGo Task
Tidsramme: Baseline, Weeks 4,8, and 12
|
Executive Control of Emotion
|
Baseline, Weeks 4,8, and 12
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Etterforskere
- Hovedetterforsker: Kristen Woodberry, MSW, Ph.D., Beth Israel Deaconess Medical Center
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. september 2015
Primær fullføring (Faktiske)
5. januar 2018
Studiet fullført (Faktiske)
5. januar 2018
Datoer for studieregistrering
Først innsendt
13. juli 2015
Først innsendt som oppfylte QC-kriteriene
21. august 2015
Først lagt ut (Anslag)
24. august 2015
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
23. februar 2018
Siste oppdatering sendt inn som oppfylte QC-kriteriene
22. februar 2018
Sist bekreftet
1. februar 2018
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 2012P000377
- K23MH102358 (U.S. NIH-stipend/kontrakt)
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
NEI
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .