A Smartphone Application of "Family Connections" to Relatives of People With Borderline Personality Disorder.
17 de fevereiro de 2022 atualizado por: Universitat Jaume I
A Smartphone Application of "Family Connections" to Increase the Use of Skills and the Improving of Psychological Symptoms in Relatives of People With Borderline Personality Disorder: a Protocol Study for a Randomized Controlled Trial.
The aims of our study are the following: (a) testing the effectiveness of a combined intervention: "Family Connections" program with a smartphone app versus the same intervention supported by a paper-based manual, (b) studying the feasibility and acceptance of both conditions and (c) evaluating the perceptions and opinions of families about both interventions.
Visão geral do estudo
Status
Ainda não está recrutando
Condições
Intervenção / Tratamento
Descrição detalhada
Family members of patients with borderline personality disorder (BPD) often experience high levels of suffering, anxiety, stress, burden and helplessness.
The treatment program with the most empirical support is "Family Connections".
It is one of the first programs specifically designed to help relatives of patients with BPD.
The program is an adaptation of multiple strategies of Dialectical Behavioral Therapy.
The results of these studies and their subsequent replications showed an improvement in family attitudes and perceived burden.
Two of the technologies with very promising developments are Ecological Momentary Assessment and Ecological Momentary Intervention, that can act on each other.
A large number of smartphone apps for people with psychological problems focus on the provision of instructions, adaptive self-help strategies, alarms, electronic diaries or emotional state ratings.
The Family Connections app proposed in this article consists of a smartphone app built using EMA and EMI technologies.The aims of our study are the following: (a) testing the effectiveness of a combined intervention: "Family Connections" program with a smartphone app versus the same intervention supported by a paper-based manual, (b) studying the feasibility and acceptance of both conditions and (c) evaluating the perceptions and opinions of families about both interventions.
Tipo de estudo
Intervencional
Inscrição (Antecipado)
116
Estágio
- Não aplicável
Contactos e Locais
Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.
Contato de estudo
- Nome: Verónica Guillén Botella, Dr
- Número de telefone: 4386 963864386
- E-mail: vguillenbotella@gmail.com
Estude backup de contato
- Nome: Azucena García Palacios, Dr
- Número de telefone: 7640 964387640
- E-mail: azucena@uji.es
Locais de estudo
-
-
Castellón
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Castellón De La Plana, Castellón, Espanha, 12071
- Universitat Jaume I
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Contato:
- Azucena García Palacios, Dr
- Número de telefone: 7640 964387640
- E-mail: azucena@uji.es
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Investigador principal:
- Isabel Fernández Felipe, PhD Student
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Contato:
- Verónica Guillén Botella, Dr
- Número de telefone: 4386 964864386
- E-mail: fernandi@uji.es
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Investigador principal:
- Diana Castilla López, Dr
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Investigador principal:
- Mariví Navarro Haro, Dr
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Critérios de participação
Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.
Critérios de elegibilidade
Idades elegíveis para estudo
18 anos e mais velhos (Adulto, Adulto mais velho)
Aceita Voluntários Saudáveis
Sim
Gêneros Elegíveis para o Estudo
Tudo
Descrição
Inclusion Criteria:
- Having a family member diagnosed with borderline personality disorder.
- Being 18 years of age or older.
- Knowing and understanding the Spanish language.
- Having a smartphone with Internet connection.
- Completing the informed consent.
Plano de estudo
Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Dobro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Experimental: Smartphone Application
Family members in the experimental group of this study will receive an ecological momentary intervention (EMI) derived from an ecological momentary assessment (EMA) via the Family Connections smartphone app.
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Family members in the experimental group of this study will receive an ecological momentary intervention (EMI) derived from an ecological momentary assessment (EMA) via the Family Connections smartphone app.
Family members in this condition will receive the manual of Family Connections which contains all the information on the program sessions conducted and the skills training strategies in writing.
|
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Comparador Ativo: Treatment As Usual
Family members in this condition will receive the manual of Family Connections which contains all the information on the program sessions conducted and the skills training strategies in writing.
|
Family members in the experimental group of this study will receive an ecological momentary intervention (EMI) derived from an ecological momentary assessment (EMA) via the Family Connections smartphone app.
Family members in this condition will receive the manual of Family Connections which contains all the information on the program sessions conducted and the skills training strategies in writing.
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Burden Assessment Scale (BAS; Horwitz & Reinhard, 1992)
Prazo: Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
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Burden Assessment Scale (BAS) consists of 19 items and it assess the caregivers' objective and subjective burden within the past six months.
Items are rated on a 4-point Likert scale ranging from 1(nothing) to 4 (a lot), and higher values indicate stronger burden.
Internal reliability of the scale ranged from .89 to .91 and it shows adequated validity (Reinhard, Gubman, Horwitz & Minsky, 1994).
|
Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Depression, Anxiety and Stress (DASS-21; Lovibond & Lovibond, 1995)
Prazo: Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
Depression, Anxiety and Stress Scale (DASS) have 42 items about negative emotional symptoms (Lovibond & Lovibond, 1995).
Lovibond & Lovinbod (1995) proposed that a part of these subscales for can become part of a short version creating a new questionnaire of 21 items.
Items are rated on a 4-point Likert scale ranging from 0 (It did not happen to me) to 3 (It happened to me a lot or most of the time), and higher scores indicate worse symptoms of depression, anxiety or stress.
DASS-21 showed fantastic factor structures.
Regarding to the internal consistency, Cronbach's alphas were excellent for the DASS-21 subscales: Depression (α = .94),
Anxiety (α = .87)
and Stress (α = .91)
(Antony, Bieling, Cox, Enns & Swinson, 1998).
|
Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
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Family Empowerment (FES; Koren, DeChillo & Friesen, 1992)
Prazo: Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
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Family Empowerment Scale (FES) consists of 34 items divided in three subscales: family, service system, and involvement in community that is refered to three ways of empowerment, attitudes, knowledge, and behaviors (Koren, DeChillo & Friesen, 1992).
Items are rated on a scale of 1 (completely false) to 5 (totally true), and higher scores indicate a greater sense of empowerment.
The psychometric properties are the following: regarding to the internal consistency of FES subscores, the coefficients ranged from .87 to .88 and validity and reliability are adequated (Koren, DeChillo & Friesen, 1992).
|
Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
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Resilience (CD-RISC; Connor & Davidson, 2003)
Prazo: Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
Connor-Davidson Resilience scale is a 25-item measure of resilience.
Items are rated on a 5-point Likert scale ranging from 0 (absolutely not) to 4 (almost always) and the punctuation is based on how the participant has felt over the last month.
Higher scores means greater resilience (Connor & Davidson, 2003).
The CD-RISC authors reported acceptable test-retest reliability (r = 0.87) and strong internal consistency (α = .89)
(Connor & Davidson, 2003).
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Changes will be assessed from pre-treatment to immediately after the intervention (3 months)
|
Outras medidas de resultado
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
System Usability Scale (SUS; Brooke, 2013).
Prazo: Changes will be assessed immediately after the intervention (3 months)
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It consists of 10 items measured with a Likert scale with five response options from Strongly agree to Strongly disagree.
It is reliable (coefficient alpha of .91)
and useful (Bangor, Kortum, & Miller, 2008).
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Changes will be assessed immediately after the intervention (3 months)
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Colaboradores e Investigadores
É aqui que você encontrará pessoas e organizações envolvidas com este estudo.
Patrocinador
Colaboradores
Investigadores
- Investigador principal: Isabel Fernández Felipe, PhD Student, Universitat Jaume I
- Investigador principal: Diana Castilla López, Dr, University of Valencia
- Investigador principal: Mariví Navarro Haro, Dr, Universidad de Zaragoza
Publicações e links úteis
A pessoa responsável por inserir informações sobre o estudo fornece voluntariamente essas publicações. Estes podem ser sobre qualquer coisa relacionada ao estudo.
Publicações Gerais
- Hoffman PD, Fruzzetti AE, Buteau E, Neiditch ER, Penney D, Bruce ML, Hellman F, Struening E. Family connections: a program for relatives of persons with borderline personality disorder. Fam Process. 2005 Jun;44(2):217-25. doi: 10.1111/j.1545-5300.2005.00055.x.
- Hoffman PD, Fruzzetti AE. Advances in interventions for families with a relative with a personality disorder diagnosis. Curr Psychiatry Rep. 2007 Feb;9(1):68-73. doi: 10.1007/s11920-007-0012-z.
- Flynn D, Kells M, Joyce M, Corcoran P, Herley S, Suarez C, Cotter P, Hurley J, Weihrauch M, Groeger J. Family Connections versus optimised treatment-as-usual for family members of individuals with borderline personality disorder: non-randomised controlled study. Borderline Personal Disord Emot Dysregul. 2017 Aug 30;4:18. doi: 10.1186/s40479-017-0069-1. eCollection 2017.
- Hoffman PD, Buteau E, Hooley JM, Fruzzetti AE, Bruce ML. Family members' knowledge about borderline personality disorder: correspondence with their levels of depression, burden, distress, and expressed emotion. Fam Process. 2003 Winter;42(4):469-78. doi: 10.1111/j.1545-5300.2003.00469.x.
- Hoffman PD, Fruzzetti AE, Swenson CR. Dialectical behavior therapy--family skills training. Fam Process. 1999 Winter;38(4):399-414. doi: 10.1111/j.1545-5300.1999.00399.x.
- Rajalin M, Wickholm-Pethrus L, Hursti T, Jokinen J. Dialectical behavior therapy-based skills training for family members of suicide attempters. Arch Suicide Res. 2009;13(3):257-63. doi: 10.1080/13811110903044401.
Datas de registro do estudo
Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.
Datas Principais do Estudo
Início do estudo (Antecipado)
1 de setembro de 2022
Conclusão Primária (Antecipado)
31 de dezembro de 2022
Conclusão do estudo (Antecipado)
15 de janeiro de 2023
Datas de inscrição no estudo
Enviado pela primeira vez
17 de janeiro de 2022
Enviado pela primeira vez que atendeu aos critérios de CQ
17 de janeiro de 2022
Primeira postagem (Real)
31 de janeiro de 2022
Atualizações de registro de estudo
Última Atualização Postada (Real)
4 de março de 2022
Última atualização enviada que atendeu aos critérios de controle de qualidade
17 de fevereiro de 2022
Última verificação
1 de fevereiro de 2022
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- UJaumeI22-1
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
SIM
Descrição do plano IPD
Individual participant data will be available after deidentification.
Prazo de Compartilhamento de IPD
The data will be available immediately following publication
Critérios de acesso de compartilhamento IPD
The data will be available to anyone who wishes to access them
Tipo de informação de suporte de compartilhamento de IPD
- PROTOCOLO DE ESTUDO
- SEIVA
- CSR
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Não
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