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PsychosisMCTfNCT05358457

Pilot Study to Evaluate the Effectiveness of Online Familiar Metacognitive Training (MCTf)

A study testing Familiar Metacognitive Training in people with Psychosis and Mother-Child Relations, run by Fundació Sant Joan de Déu.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The objective of this study is to adapt and evaluate the efficacy of Familiar Metacognitive Training (MCTf) in mothers and adolescent children in a group context with the main purpose of improving family relationships, cognitive awareness and symptoms of women with psychosis and the knowledge of the disease by the… Read more about this study

Who is it for?
Any age, women only
Conditions the study is for
Psychosis, Mother-Child Relations
What is being tested?
Familiar Metacognitive Training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
No sites listed yet
Study dates
Sep 2022to Dec 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • Women only
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Presence of one of the following diagnoses according to DSM-V criteria: schizophrenia, unspecific psychotic disorder, schizoaffective disorder, delusional disorder, brief psychotic disorder, schizophreniform disorder.
  • Mother of one o more adolescent (12-18 years old).
  • Psychopatological stability in the previous 3 months.(without medication changes).

Who cannot join

  • Head injury or intellectual disabillity (premorbid IQ <=70)
  • Present scores on the PANSS >= hostility, lack of cooperation or suspiciousness, to guarantee a good relationship in the group.
  • Patients with substance dependence disorder.
  • Inclusion/exclusion criteria of adolescents are: 1.age between 12 and 18 yerars old, 2. interested in the group. Exclusion criteria: Head injury or intellectual disabillity (premorbid IQ <=70).

Trial locations and contacts

No sites are listed yet.

Raquel Lopez, Msc contact

raquel.lopezc@sjd.es

About this study

Official title: Pilot Study to Evaluate the Effectiveness of Online Familiar Metacognitive Training (MCTf) in Mothers With Psychosis and Their Adolescent Children

The objective of this study is to adapt and evaluate the efficacy of Familiar Metacognitive Training (MCTf) in mothers and adolescent children in a group context with the main purpose of improving family relationships, cognitive awareness and symptoms of women with psychosis and the knowledge of the disease by the children. Secondary objectives: to evaluate the improvement in metacognition and social cognition, symptoms, protective factors and self-perception of stigma.

Read the detailed description

This is a randomized clinical trial will be carried out in which a group of mothers with psychosis and their adolescent children (between 12 and 18 years old) will receive the MCTf online and the other group will receive the treatment as usual. In total, 48 mothers and their children will be recruited from a total of 11 adult mental health care centers. Mothers will be evaluated with cognitive insight scales, other metacognitive and social cognition scales, symptoms, family and social functioning, protective factors (self-steem, resilience, and coping strategies) and self-perceived stigma. The adolescent children will be evaluated with symptoms, metacognition and social cognition, family and social functioning, knowledge of the mother´s illness and protective factors scales. The will be assessed at 2 times: baseline and post-therapy. The Metacognitive training is a group psychological intervention that has demonstrated its efficacy in improve symptoms, insight, metacognition and cognition in people with psychosis. Our hypothesis is that MCTf will be help the adolescents to better understand their mother´s thoughts and their understanding of metacognition and, consequently, to decrease anxiety and depressive symptoms.Furthermore, the investigators expect an increase in familiar and social functioning, as well as in protective factors such as: self-steem, resilience and coping strategies.

Being tested
Familiar Metacognitive Training
Medical subject headings
Psychotic Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Familiar Metacognitive TrainingBehavioural

    The original metacognitive training program consist of 8 therapeutic units and 2 complementary. Seven of the therapeutic units address cognitive deviations and errors that are frequently seen in problem solving in schizophrenia, involved in the formation and maintenance of delusions. The other three units work with metacognition and the aims of the progra, as a psychoeducation session, so in total the MCTf will include 11 sessions.

Study groups in NCT05358457
Study groupRoleWhat they receive
Online Familiar Metacognitive TrainingExperimentalMetacognitive training for psychosis. The MCTf consists of 11 therapeutic units developed during weekly sessions lasting 45 and 60 minutes. Each unit contains abundant therapeutic material that includes psychoeducational information, exercises and case examples.The group will be composed of 3-4 mothers with psychosis and her adolescent children and two therapists. The application of the intervention will be by a secure videoconfering method.
Receives: Behavioral: Familiar Metacognitive Training
Control groupNo interventionThe control group will be receive treatment as usual (TAU).

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. BCIS Beck Cognitive and Insight Scale (Beck et al., 2004; Gutierrez-Zotes et al., 2012)

    This scales is a self-registering measure of 15 items. It has 2 dimensions:self-reflection and self-certaintly. A compound index of cognitive insight is obtained as the substraction of self-certaintly from self-reflection.Range 0-45. Higher values represent a better outcome.

    Measured: baseline

  2. BCIS Beck Cognitive and Insight Scale (Beck et al., 2004; Gutierrez-Zotes et al., 2012)

    This scales is a self-registering measure of 15 items. It has 2 dimensions:self-reflection and self-certaintly. A compound index of cognitive insight is obtained as the substraction of self-certaintly from self-reflection.Range 0-45. Higher values represent a better outcome.

    Measured: up to 11 weeks

Secondary outcomes (37)
  1. CBQ Cognitive Biais Questionnaire (Peters et al., 2013; Guiterrez-Zotes et al.,2021

    Scale for the assessment of the most cognitive biases in psychosis.Higher values represent more biases.

    Measured: baseline

  2. CBQ Cognitive Biais Questionnaire (Peters et al., 2013; Guiterrez-Zotes et al.,2021

    Scale for the assessment of the most cognitive biases in psychosis. Higher values represent more biases.

    Measured: up to 11 weeks

  3. Jumping to conclusions (Garety et al., 1991; Dudley et al., 1997)

    Scale for the assessment to the Jumping to conclusions bias. 3 tasks will be included. JTC is considered if the decision is taken before the third ball.

    Measured: baseline

  4. Jumping to conclusions (Garety et al., 1991; Dudley et al., 1997)

    Scale for the assessment to the Jumping to conclusions bias. 3 tasks will be included. JTC is considered if the decision is taken before the third ball.

    Measured: up to 11 weeks

  5. IPSAQ, Internal, personal and situational Attributions Questionnaire.(Bentall et al., 1991; Diez-Alegria, 2006)

    The scale assess the attributional style in different situations.There are no ranges.

    Measured: baseline

  6. IPSAQ, Internal, personal and situational Attributions Questionnaire.(Bentall et al., 1991; Diez-Alegria, 2006)

    The scale assess the attributional style in different situations.There are no ranges.

    Measured: up to 11 weeks

  7. The Hinting Task (Corcoran et al., 1995; Gil et al., 2012)

    The scale asses Theory of Mind. Possible Range 0-12. Higher values represent a better outcome.

    Measured: baseline

  8. The Hinting Task (Corcoran et al., 1995; Gil et al., 2012)

    The scale asses Theory of Mind. Possible Range 0-12. Higher values represent a better outcome.

    Measured: up to 11 weeks

  9. Face Test (Baron Cohen, 1997; Huerta-Ramos et al., 2021)

    20 photographs that express ten basic and ten complex emotions. Possible range 0-20. Higher values representa better outcome.

    Measured: baseline

  10. Face Test (Baron Cohen, 1997; Huerta-Ramos et al., 2021)

    20 photographs that express ten basic and ten complex emotions. Possible range 0-20. Higher values representa better outcome.

    Measured: after the intervention

  11. SFRT-2 .Situational feature recognition test 2 (Gomez-Gastiasoro et al., 2018)

    The scales assess social perception. There are no ranges

    Measured: baseline

  12. SFRT-2 .Situational feature recognition test 2 (Gomez-Gastiasoro et al., 2018)

    The scales assess social perception. There are no ranges

    Measured: up to 11 weeks

  13. FES Family Enviromental Scale (Moos et al., 1987; Fernandez-Ballesteros., 1995)

    The scale include 3 dimensions: relationships, development and stability.

    Measured: baseline

  14. FES Family Enviromental Scale (Moos et al., 1987; Fernandez-Ballesteros., 1995)

    The scale include 3 dimensions: relationships, development and stability.

    Measured: up to 11 weeks

  15. SWLS Satisfaction with life style (Pons et al., 2002)

    The scale asses the degree of satisfaction of the person with their life in 5 items. Self-administered.

    Measured: baseline

  16. SWLS Satisfaction with life style (Pons et al., 2002)

    The scale asses the degree of satisfaction of the person with their life in 5 items. Self-administered.

    Measured: up to 11 weeks

  17. PANSS.Positive and Negative Syndrome Scale (Kay et al., 1987; Peralta and Cuesta., 1994)

    This scale measure 30 symptoms on a scale 1-7, with higher scores indicating greater psychopathology

    Measured: baseline

  18. PANSS.Positive and Negative Syndrome Scale (Kay et al., 1987; Peralta and Cuesta., 1994)

    This scale measure 30 symptoms on a scale 1-7, with higher scores indicating greater psychopathology

    Measured: up to 11 weeks

  19. CDSS. Calgary Depression Scale for Schizophrenia (Addington et al., 1990)

    The scale assess affective symptoms. Higher values indicate more symptoms.

    Measured: baseline

  20. CDSS. Calgary Depression Scale for Schizophrenia (Addington et al., 1990)

    The scale assess affective symptoms. Higher values indicate more symptoms.

    Measured: up to 11 weeks

  21. SUMD. Scale of Unaweressness of Mental Disorder (Amador., 1993; Ruiz et al., 2008)

    The scale assess awareness of illness in people with schizophrenia, according to the evaluator´s vision

    Measured: baseline

  22. SUMD. Scale of Unaweressness of Mental Disorder (Amador., 1993; Ruiz et al., 2008)

    The scale assess awareness of illness in people with schizophrenia, according to the evaluator´s vision

    Measured: up to 11 weeks

  23. EEAG-Scale of Functioning (Endicot et al., 1976)

    This scale measures the general functioning of the patient on a scale that ranges from 0 to 100.

    Measured: baseline

  24. EEAG-Scale of Functioning (Endicot et al., 1976)

    This scale measures the general functioning of the patient on a scale that ranges from 0 to 100.

    Measured: up to 11 weeks

  25. Rosenberg Self-Esteem Scale (Martín Albó et al., 2007)

    Questionnaire to explore personal self-esteem understood as feelings of personal worth and self-respect. The scale consist of 10 items.

    Measured: baseline

  26. Rosenberg Self-Esteem Scale (Martín Albó et al., 2007)

    Questionnaire to explore personal self-esteem understood as feelings of personal worth and self-respect. The scale consist of 10 items.

    Measured: up to 11 weeks

  27. CD Risk 17 (Serrano et al., 2013)

    The scale assess resilience with a total of 17 items.

    Measured: baseline

  28. Coping Strategies Inventory (Tolbin et al., 1989; Cano et al; 2007)

    The scale includes 8 scales that assess the frequency of use of primary coping strategies and the perception of coping self-efficacy.

    Measured: baseline

  29. Coping Strategies Inventory (Tolbin et al., 1989; Cano et al; 2007)

    The scale includes 8 scales that assess the frequency of use of primary coping strategies and the perception of coping self-efficacy.

    Measured: up to 11 weeks

  30. SSQ Self Stigma Questionnaire (Ochoa et al.,2015)

    The scales assess self-stigma. It consists of 14 items and is self-administered

    Measured: baseline

  31. SSQ Self Stigma Questionnaire (Ochoa et al.,2015)

    The scales assess self-stigma. It consists of 14 items and is self-administered

    Measured: up to 11 weeks

  32. PAM Psychosis Attachment Measure (Berry et al., 2006; Sheinbaum et al., 2013)

    The scale assess attachment styles

    Measured: baseline

  33. CTQ-SF Childhood Trauma Questionnaire (Bernstein et al., 1994; Hernández et al., 2012)

    The self-report includes a 28-item test that measures 5 types of maltreatment - emotional, physical, and sexual abuse, and emotional and physical neglect.

    Measured: baseline

  34. YSR Youth Self-Report (Achembach., 1991; Lemos et al., 2002)

    It is an instrument to assess symptoms in adolescents between 11 and 18 years old.

    Measured: baseline

  35. YSR Youth Self-Report (Achembach., 1991; Lemos et al., 2002)

    It is an instrument to assess symptoms in adolescents between 11 and 18 years old.

    Measured: up to 11 weeks

  36. KASI The Knowledge About Schizophrenia Interview

    Scale to asses the beliefs of the disorder

    Measured: baseline

  37. KASI The Knowledge About Schizophrenia Interview

    Scale to asses the beliefs of the disorder

    Measured: up to 11 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 May 2022
  2. Study startSep 2022 (estimated)
  3. Primary completionDec 2025 (estimated)
  4. Study completionDec 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Parrallel Assigment. This is a randomized clinical trial in which some patients receive the MCTf intervention and others treatment as usual
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
48 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05358457
Sponsor's protocol ID
PI21/00012
Acronym
MCTf
Status last verified
Apr 2022
First submitted
1 Apr 2022
Last updated
3 May 2022
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Ochoa S, Espinosa V, Lopez-Carrilero R, Martinez I, Barrera AH, Birules I, Barajas A, Pelaez T, Diaz-Cutraro L, Coromina M, Gonzalez-Rodriguez A, Verdaguer-Rodriguez M, Gutierrez-Zotes A, Palma-Sevillano C, Montes C, Gallego J, Paya B, Casanovas F, Roldan M, Noval E, Varela Casals P, Salas-Sender M, Aznar A, Ayesa-Arriola R, Pousa E, Canal-Rivero M, Garrido-Torres N, Montserrat C, Munoz-Lorenzo L, Crosas JM. Effectiveness of family metacognitive training in mothers with psychosis and their adolescent children: a multicenter study protocol. Front Psychol. 2024 Mar 22;15:1359693. doi: 10.3389/fpsyg.2024.1359693. eCollection 2024.

    PubMed 38586292

Questions about this trial

What is this clinical trial studying?

A study testing Familiar Metacognitive Training in people with Psychosis and Mother-Child Relations, run by Fundació Sant Joan de Déu.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 3 May 2022. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Susana Ochoa, Phd (936406350 ext. 12538, susana.ochoa@sjd.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

BCIS Beck Cognitive and Insight Scale (Beck et al., 2004; Gutierrez-Zotes et al., 2012) (time frame: baseline). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05358457, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 May 2022.

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