- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT07852936
Group-based Emotional Awareness and Expression Therapy to Support Recovery After Acquired Brain Injury: A Clinical Development and Evaluation Study
Difficulties in understanding and managing emotions may hinder recovery, rehabilitation, and participation in everyday life after acquired brain injury (ABI). Yet interventions targeting emotional adjustment after ABI remain limited.
The aim of the study is to investigate whether emotion-focused group therapy, based on Emotional Awareness and Expression Therapy (EAET), can support recovery after ABI. The intervention helps participants identify, process, and express emotions and needs related to their illness and changed life circumstances. Effects on emotional functioning, quality of life, activity, and participation will be assessed over time, alongside interviews exploring participants' experiences.
Przegląd badań
Status
Warunki
Interwencja / Leczenie
Szczegółowy opis
Surviving an acquired brain injury (ABI) often means having to learn to live with changes in abilities, roles, and relationships. For some, this adaptation itself becomes a barrier to continued recovery. Difficulties in understanding and managing emotions such as grief, fear and anger may affect how a person relates to their altered functional capacity, engages in rehabilitation, and resumes everyday activities and roles. Despite this, rehabilitation after ABI is primarily focused on physical and cognitive consequences, while targeted treatment options addressing emotional adjustment remain limited.
The aim of the study is to investigate whether emotion-focused group therapy can improve this aspect of recovery after ABI. The intervention is based on Emotional Awareness and Expression Therapy (EAET) and helps participants identify, process, and express emotions and needs that have emerged in response to the illness and changes in their life circumstances. The effects of the treatment on emotional functioning, quality of life, activity, and participation will be assessed over time and complemented by interviews exploring participants' experiences of the treatment and of life after stroke.
Typ studiów
Zapisy (Szacowany)
Faza
- Nie dotyczy
Kontakty i lokalizacje
Kontakt w sprawie studiów
- Nazwa: Jakob Nissen, Licensed Clinical Psychologist
- Numer telefonu: 0046 18 611 24 85
- E-mail: jakob.nissen@akademiska.se
Lokalizacje studiów
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Uppsala, Szwecja
- Rekrutacyjny
- Uppsala University Hospital
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Kontakt:
- Jakob Nissen, Licensed Clinical Psychologist
- Numer telefonu: 0046 18 611 24 85
- E-mail: jakob.nissen@akademiska.se
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Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- Person of working age, primarily 18-65 years.
- Acquired brain injury.
- At least three months since the time of injury.
- Signs of significant psychological distress, such as mental health difficulties, vulnerability to mental health problems, or dysfunctional coping.
- Sufficient cognitive functioning and proficiency in Swedish to participate in group-based talk therapy.
Exclusion Criteria:
- Current severe mental illness (e.g., psychosis or severe personality disorder).
- Active substance use disorder.
- Severe cognitive impairment that precludes participation in group-based talk therapy.
- Other medical conditions that, based on clinical assessment, may make participation inappropriate.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Brak (otwarta etykieta)
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
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Aktywny komparator: Arm 1
Treatment as Usual |
Individually tailored multidisciplinary rehabilitation based on an assessment of each participant's rehabilitation needs. An individual rehabilitation plan is developed, and interventions are provided by relevant members of the rehabilitation team according to the participant's identified needs. Rehabilitation may include medical management, occupational therapy, physiotherapy, psychological treatment, and psychosocial support. |
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Eksperymentalny: Arm 2
Treatment as Usual + Group Therapy (EAET) |
Behavioral: Treatment as usual • Individually tailored multidisciplinary rehabilitation based on an assessment of each participant's rehabilitation needs. An individual rehabilitation plan is developed, and interventions are provided by relevant members of the rehabilitation team according to the participant's identified needs. Rehabilitation may include medical management, occupational therapy, physiotherapy, psychological treatment, and psychosocial support. Behavioral: Group-based Emotional and Expression Therapy (EAET) • 10-session manualized group-based Emotional Awareness and Expression Therapy (EAET) designed to help participants identify, process, and express emotions and needs. Weekly group sessions are complemented by structured homework assignments. A follow-up session is provided three months after completion of the intervention. The intervention is delivered by a clinical psychologist. |
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Brief Mentalized Affectivity Scale (B-MAS)
Ramy czasowe: Baseline (pre-intervention), post-treatment (10 weeks after baseline), 3-month follow-up (approximately 22 weeks after baseline), 12-month follow-up (approximately 62 weeks after baseline).
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Evalutates three core components of emotion regulation: "Identifying emotions"; "Processing emotions", "Expressing emotions". |
Baseline (pre-intervention), post-treatment (10 weeks after baseline), 3-month follow-up (approximately 22 weeks after baseline), 12-month follow-up (approximately 62 weeks after baseline).
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Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Quality of Life after Brain Injury (QOLIBRI)
Ramy czasowe: Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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QOLIBRI consists of 37 items in six scales. Health-related quality of life is assessed in the areas of "Cognition," "Self," "Daily Life and Autonomy," and "Social Relationships," and feeling bothered by "Emotions," and "Physical Problems." |
Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
|
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Quality of Life after Brain Injury Overall Scale (QOLIBRI-OS)
Ramy czasowe: Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Six item scale that ask about health related quality of life in six dimensions: "Physical condition, "Cognition", "Emotions", "Ability to carry out daily activities", "Personal and social life" and "Current situation and future prospects" |
Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Short Form 36 (SF-36)
Ramy czasowe: Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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The SF-36 measures eight scales: physical functioning (PF), role physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role emotional (RE), and mental health (MH). |
Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
Ramy czasowe: Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Score of 0-64, with a higher score indicates worse symptoms. |
Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Insomnia Severity Index (ISI)
Ramy czasowe: Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Score of 0-28, where higher scores indicate severity of insomnia. |
Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Generalized Anxiety Disorder 7-Item Scale (GAD-7)
Ramy czasowe: Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Score of 0-15, where higher scores indicate severity of anxiety experienced. |
Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Patient Health Questionnaire-9 (PHQ-9)
Ramy czasowe: Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Score of 0-27, where higher scores indicate severity of depression experienced. |
Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Patient Health Questionnaire-15 (PHQ-15)
Ramy czasowe: Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Score of 0-30, where higher scores indicate severity and burden of common physical symptoms. |
Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Fear Avoidance Behavior after Traumatic Brain Injury Questionnaire (FAB-TBI)
Ramy czasowe: Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Score of 0-48, where higher score indicates higher avoidance. |
Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Behavioral Responses to Illness Questionnaire (BRIQ)
Ramy czasowe: Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Evalutates behavioral response to illness on a four factor subscale: "All-or-Nothing Behavior", "Limiting Behavior", "Emotional Support Seeking" and "Practical Support Seeking". |
Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Alcohol Use Disorders Identification Test (AUDIT)
Ramy czasowe: Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Score of 0-40, where higher score indicates greater risk of problematic alcohol use. |
Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Drug Use Disorders Identification Test (DUDIT)
Ramy czasowe: Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Score of 0-44, where higher score indicates greater risk of problematic drug use. |
Pre-intervention, after 10 weeks (following completion of the intervention), after 22 weeks, and after 62 weeks.
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Współpracownicy i badacze
Sponsor
Współpracownicy
Śledczy
- Krzesło do nauki: Anna Nordström, M.D., Uppsala University
- Krzesło do nauki: Peter Nordström, Professor, Uppsala University
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Urazy mózgu, traumatyczne
- Choroby neurozapalne
- Zaburzenia naczyniowo-mózgowe
- Choroby mózgu
- Choroby ośrodkowego układu nerwowego
- Choroby Układu Nerwowego
- Choroby naczyniowe
- Choroby układu krążenia
- Rany i urazy
- Niedokrwienie mózgu
- Oznaki i objawy, układ oddechowy
- Uraz czaszkowo-mózgowy
- Uraz, układ nerwowy
- Urazy głowy, zamknięte
- Rany, Niepenetrujące
- Urazy mózgu
- Niedotlenienie, mózg
- Niedotlenienie
- Stany patologiczne, oznaki i objawy
- Objawy i symptomy
- Uderzenie
- Wstrząs mózgu
- Zapalenie opon mózgowych
- Zapalenie mózgu
- Niedotlenienie-niedokrwienie, mózg
- Psychoterapia
- Dyscypliny i działania behawioralne
- Terapia społeczno -środowiskowa
- Lecznictwo
- Psychoterapia, grupa
Inne numery identyfikacyjne badania
- EAET after ABI
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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