UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056608
Receipt number R000064536
Scientific Title Effectiveness of cognitive behavioral techniques for psychosis used in outpatient nursing counseling room: a randomized controlled trial
Date of disclosure of the study information 2024/12/31
Last modified on 2025/01/31 14:45:03

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Basic information

Public title

Effectiveness of cognitive behavioral techniques for psychosis used in outpatient nursing counseling room: a randomized controlled trial

Acronym

Effectiveness of cognitive behavioral techniques for psychosis used in outpatient nursing counseling room: a randomized controlled trial

Scientific Title

Effectiveness of cognitive behavioral techniques for psychosis used in outpatient nursing counseling room: a randomized controlled trial

Scientific Title:Acronym

Effectiveness of cognitive behavioral techniques for psychosis used in outpatient nursing counseling room: a randomized controlled trial

Region

Japan


Condition

Condition

schizophrenia

Classification by specialty

Nursing

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to examine whether using cognitive-behavioral techniques for psychosis in outpatient nursing counseling room care is more effective in improving psychiatric symptoms, general functioning, and illness awareness compared to regular outpatient nursing care.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Both intervention and control groups will undergo a pre-intervention evaluation.Next, a post-intervention evaluation will be conducted after a total of 10 sessions, and a follow-up evaluation will be conducted 3 months after the end of the intervention.The primary endpoint will be change in psychiatric symptoms as measured by the PANSS.

Key secondary outcomes

Global Assessment of Functioning (GAF), disease awareness (SAI-J), recovery (RAS), and hospitalization.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

[Outpatient nursing counseling room using cognitive-behavioral techniques]
A total of 10 sessions will be offered.The intervention will be based on the Cognitive Behavioral Techniques for Hallucination and Delusion Symptoms: a Guide for Mental Health Supporters (NEOMED BeST, 2019).The flow of the sessions is as follows
1-2: Build rapport and cooperation.
3rd-5th: Develop a shared understanding of the patient's symptoms and problems.
6th-9th: Aim to acquire new coping behaviors.
10: Review relapse prevention plan to maintain symptoms and prevent relapse.
Each session will include an understanding of symptoms, normalization, stress vulnerability model, and introduction to coping techniques based on the cognitive model, which will be reviewed with the patient and nurse together.Feedback is provided after each session, and homework is set to be worked on before the next meeting.The home work is recorded using an application and used in sessions and in real life.

Interventions/Control_2

[TAU: normal outpatient nursing]
The 10 sessions consist of supportive interventions that focus on listening and empathy, organizing problems, and referring to resources for support.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

1 Schizophrenia
ICD10: F2 Schizophrenia, schizotypal disorder and delusional disorder
DSM5TR:schizophrenia spectrum disorder and other psychiatric disorders
2 those with persistent positive symptoms (hallucinations and delusions)
3 those deemed necessary by a physician
4 those who have signed a consent form for participation in this study
5 18years of age or olde

Key exclusion criteria

1. Has intellectual disability.(If the patient is considered to have an IQ of about 70 or less based on the attending physician's overall judgment)
2. Has a substance-induced psychotic disorder or organic mental disorder.

Target sample size

70


Research contact person

Name of lead principal investigator

1st name Yoshifumi
Middle name
Last name Kido

Organization

Hamamatsu University School of Medicine

Division name

Department of Nursing, Faculty of Medicine

Zip code

431-3192

Address

Department of Nursing, Faculty of Medicine

TEL

0534352111

Email

ykido@hama-med.ad.jp


Public contact

Name of contact person

1st name Yoshifumi
Middle name
Last name Kido

Organization

Hamamatsu University School of Medicine

Division name

Department of Nursing, Faculty of Medicine

Zip code

431-3192

Address

Department of Nursing, Faculty of Medicine

TEL

053-435-2823

Homepage URL


Email

ykido@hama-med.ac.jp


Sponsor or person

Institute

Hamamatsu University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hamamatsu Medical University, Department of Life Sciences and Medicine, Research Ethics Committee

Address

1-20-1 Handayama, Chuo-ku, Hamamatsu City, Shizuoka Prefecture

Tel

053-435-2823

Email

rinri@hama-med.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 12 Month 31 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2024 Year 12 Month 13 Day

Date of IRB

2024 Year 12 Month 13 Day

Anticipated trial start date

2025 Year 01 Month 05 Day

Last follow-up date

2029 Year 03 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 12 Month 30 Day

Last modified on

2025 Year 01 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064536