- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT02582528
Cognitive Remediation in Youth at Risk of Serious Mental Illness
30 mars 2017 uppdaterad av: Danijela Piskulic, University of Calgary
Pilot Study of Cognitive Remediation and Motivational Interviewing on Cognition and Functioning in Young People at Risk of Serious Mental Illness
The primary aim of the project is to test the effectiveness of a cognitive remediation treatment (CRT) program, My Brain Solutions (MBS), in addition to motivational interviewing (MI) in improving cognition and functional outcome of individuals at risk of SMI.
An active control treatment consisting of CRT alone will be used.
Hypotheses: 1.
Both study groups will have improvement in cognition at the end of treatment; 2. CRT+MI group will have increased treatment adherence and superior improvements in cognition at the end of treatment and 12 months post baseline compared to the CRT only group; Secondary Hypothesis: 3. Improved cognition will be associated with improved functional outcome.
Studieöversikt
Status
Avslutad
Betingelser
Intervention / Behandling
Detaljerad beskrivning
Individuals identified to be at clinical high risk of psychosis (CHR) of psychosis already evidence cognitive deficits, which increase around the time of conversion.
Much less is known about individuals that may be at risk of other serious mental disorders (SMI).
However, early reports are suggesting that young people at risk of SMI who are deemed to have "attenuated syndromes" according to the clinical staging model of mental health disorders already evidence cognitive deficits.
Therefore, cognition is an excellent treatment target.
Furthermore, there is clear evidence, in both established psychiatric disorders such as schizophrenia, depression and bipolar disorder, and in CHR samples, that deficits in cognition are associated to poor functional outcome.
Thus, treatments targeting cognition may consequently improve functional outcome.
This is a pilot project to determine feasibility and sample size for a large randomized controlled trial of cognitive remediation therapy (CRT) in people at risk of SMI with CIHR and AIHS funding targets.
The primary aim of the project is to test the effectiveness of a novel computerized CRT program in improving cognition in youth at risk of SMI following the addition of a counseling intervention, MI, to improve adherence to CRT.
One group will receive CRT and the other CRT plus MI.
Hypotheses: 1.
Both study groups will have improvement in cognition at the end of treatment; 2. CRT+MI group will have increased treatment adherence and superior improvements in cognition at the end of treatment and 12 months post baseline compared to the CRT only group; Secondary Hypothesis: 3. Improved cognition will be associated with improved functional outcome.
This is a longitudinal, single blind, controlled pilot trial of CRT in persons at risk of SMI.
Twenty-eight participants will be recruited from the Adolescent Mental Health: Canadian Psychiatric Risk and Outcome Study (PROCAN) study at the Calgary site led by Dr. J. Addington.
Participants in the PROCAN project who meet operationally defined criteria as being at risk of SMI by meeting attenuated syndromes criteria will be included.
Participants will be randomized to either the CRT condition consisting of a novel program called My Brain Fitness (MBS) and motivational interviewing (MI) or a control condition consisting of CRT alone, and will receive training that will be administered over a period of 10 weeks.
Assessments will occur at baseline, post treatment (3 months) and at 12 months after baseline.
Half of all participants will receive individual 1 hr MI once every 2 weeks for the duration of the cognitive remediation component of the study.
The study clinicians who are master level psychologists, will deliver MI ensuring engagement of study participants.
Time spent in therapy will be monitored and recorded.
All of the data necessary for this study will be collected as part of the PROCAN assessment at baseline and 12 months.
The one exception is that we will do an assessment of cognitive function, clinical symptoms and functional outcome at 10 weeks or immediately post treatment, which will take approximately 2.5 hours.
Studietyp
Interventionell
Inskrivning (Faktisk)
12
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
-
Alberta
-
Calgary, Alberta, Kanada, T2N 4Z6
- University of Calgary
-
-
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
14 år till 25 år (Barn, Vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Beskrivning
Inclusion Criteria:
- Male and female participants aged 14-25 years with subthreshold mood and psychotic symptoms.
Exclusion Criteria:
- (i) meet criteria for current or lifetime Axis I bipolar or psychotic disorder (other Axis I disorders will not be exclusionary as they may be precursors to mood or psychotic disorders);
- (ii) IQ < 70;
- (iii) past or current history of a significant central nervous system disorder or serious medical disorder; and
- (iv) current pharmacological treatment that would be considered as an adequate trial of treatment for a SMI.
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Experimentell: cognitive remediation treatment and MI
Cognitive remediation treatment consisting of a novel computerized training called My Brain Solutions (MBS) and motivational interviewing, a client-centered, directive method for enhancing intrinsic motivation to change.
|
Cognitive remediation treatment consisting of a novel computerized training called My Brain Solutions (MBS)
Andra namn:
A client-centered, directive method for enhancing intrinsic motivation to change.
Andra namn:
|
Aktiv komparator: cognitive remediation treatment
Cognitive remediation treatment consisting of a novel computerized training called My Brain Solutions (MBS)
|
Cognitive remediation treatment consisting of a novel computerized training called My Brain Solutions (MBS)
Andra namn:
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Cognitive function assessment pre- and post-CRT in youth at risk of SMI using WebNeuro computerized cognitive battery
Tidsram: one year
|
A web-based battery for assessing general and emotional cognition, completed at any computer using mouse and keyboard.
The assessment has been validated against traditional paper-and-pencil tests and with established reliability, cross-cultural consistency and norms.
|
one year
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Social functioning assessment pre- and post-CRT in youth at risk of SMI using Global Functioning: Social (GFS) scale.
Tidsram: one year
|
GFS consists of 10 items that are used to provide a rating of current social functioning.
Scores range between 1 and 10, with 10 indicating superior functioning and 1 representing severe dysfunction.
|
one year
|
Social functioning assessment pre- and post-CRT in youth at risk of SMI using Global Functioning: Role (GFR) scale.
Tidsram: one year
|
GFR consists of 10 items that are used to provide a rating of current role or occupational functioning.
Scores range between 1 and 10, with 10 indicating superior functioning and 1 representing severe dysfunction.
|
one year
|
Functional capacity assessment pre- and post-CRT in youth at risk of SMI using Social Skills Performance Assessment (SSPA).
Tidsram: one year
|
The SSPA is focused on both verbal and nonverbal social skills that are needed to succeed in two different social interaction tasks.
Higher scores on the SSPA indicate better social skills.
|
one year
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Utredare
- Huvudutredare: Danijela Piskulic, PhD, University of Calgary
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 februari 2016
Primärt slutförande (Faktisk)
1 mars 2017
Avslutad studie (Faktisk)
1 mars 2017
Studieregistreringsdatum
Först inskickad
16 oktober 2015
Först inskickad som uppfyllde QC-kriterierna
19 oktober 2015
Första postat (Uppskatta)
21 oktober 2015
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
4 april 2017
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
30 mars 2017
Senast verifierad
1 mars 2017
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- UCalgary-MAT
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
OBESLUTSAM
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .
Kliniska prövningar på Depression
-
ProgenaBiomeRekryteringDepression | Depression, postpartum | Depression, ångest | Depression Måttlig | Depression Svår | Klinisk depression | Depression i remission | Depression, Endogen | Depression KroniskFörenta staterna
-
Kintsugi Mindful Wellness, Inc.Sonar Strategies; Vituity PsychiatryRekryteringDepression | Depression Måttlig | Depression Svår | Depression MildFörenta staterna
-
University of California, San FranciscoRekryteringDepression Måttlig | Depression Mild | Depression, tonåringFörenta staterna
-
University GhentUniversiteit Antwerpen; Janssen-Cilag Ltd.Rekrytering
-
Washington University School of MedicineAvslutadBehandling Resistent depression | Senlivsdepression | Geriatrisk depression | Refraktär depression | Terapiresistent depressionFörenta staterna, Kanada
-
Baylor College of MedicineUniversity of TexasRekryteringDepression | Depression Måttlig | Depression Svår | Självmord och självskada | Depression i tonåren | Depression MildFörenta staterna
-
University of Cape TownNational Institute of Mental Health (NIMH)AvslutadPostpartum depression | Klinisk depression | Måttlig depressionSydafrika
-
Gerbera Therapeutics, Inc.Har inte rekryterat ännuPostpartum depression | Depression, postpartum | Postnatal depression | Post-partum depression | Post-Natal depressionFörenta staterna
-
Northern Illinois UniversityUniversity Autonoma de Santo DomingoAvslutadDepression Måttlig | Depression MildFörenta staterna, Dominikanska republiken
-
Charite University, Berlin, GermanyAvslutadBehandling Resistent depression | Depression, unipolär | Depression KroniskTyskland
Kliniska prövningar på Cognitive remediation treatment
-
Hôpital le VinatierNantes University Hospital; Centre Hospitalier Henri Laborit; University... och andra samarbetspartnersAvslutadKronisk schizofreniFrankrike
-
Hacettepe UniversityAnmälan via inbjudanMotorisk aktivitet | Exekutiv dysfunktion | Kognitiv orienteringKalkon
-
Alaa MamdouhAvslutadArtikulationsstörningar | Velofaryngeal insufficiens | Hypernasalitetssyndrom på grund av Velofaryngeal svaghetEgypten
-
Stony Brook UniversityNational Multiple Sclerosis SocietyOkändMultipel sklerosFörenta staterna
-
University Hospital, CaenAvslutadEhlers-Danlos syndrom hypermobilitetstyp (hEDS)Frankrike
-
University of Maryland, BaltimoreNational Institute of Mental Health (NIMH); VISN 5 Mental Illness Research...Avslutad
-
UConn HealthNational Institute of Mental Health (NIMH)RekryteringDepressiv sjukdom, major | Lätt kognitiv funktionsnedsättning | Depression MildFörenta staterna
-
Yale UniversityNational Institute on Drug Abuse (NIDA)AvslutadNarkotikamissbrukFörenta staterna
-
Viveve Inc.AvslutadVaginal slapphet efter förlossning | Sexuell funktion efter förlossningKanada, Italien, Japan, Spanien
-
Ospedale Generale Di Zona Moriggia-PelasciniAvslutadParkinsons sjukdom och Pisa syndromItalien