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Neurodevelopmental DisordersNCT03654248

"Let's Get Organized" in Adult Psychiatric/habilitation Care

A study testing Let's Get Organized group intervention and Individual Occupational Therapy in people with Neurodevelopmental Disorders and Mental Disorder, run by Örebro University, Sweden at 8 sites in Sweden.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This project aims to evaluate and establish evidence for a novel, group-based intervention that can help people with cognitive limitations due to mental or neurodevelopmental disorders to improve their ability to manage time and organize activities. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Neurodevelopmental Disorders, Mental Disorder
What is being tested?
Let's Get Organized group intervention and Individual Occupational Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
94 participants
Where
8 sitesSweden
Study dates
9 Nov 2018to 31 Aug 2022
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 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • confirmed or suspected diagnosis of a mental disorder, such as affective disorder or schizophrenia, or neurodevelopment disorder, such as autism spectrum disorder or attention deficit hyperactivity disorder/attention deficit disorder
  • self-reported difficulties in time management in daily life to an extent that affects functioning in daily life negatively

Who cannot join

  • intellectual disability

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

Sweden8 sites
  • Öppenvårdspsykiatrisk mottagning

    Falun, Dalarna County, 79131

  • Hallsberg psykiatrisk öppenvård

    Hallsberg, Örebro County, 69436

  • Karlskoga psykiatrisk öppenvård

    Karlskoga, Örebro County, 69181

  • Lindesberg psykiatrisk öppenvård

    Lindesberg, Örebro County, 71182

  • USÖ psykiatrisk öppenvård och affektiva enhet

    Örebro, Örebro County, 70116

  • Vuxenhabiliteringen - Autismteamet

    Örebro, Örebro County, 70116

  • Habiliteringscenter Brommaplan vuxna, Habilitering och Hälsa, Region Stockholm

    Stockholm

  • Neuropsykiatriska mottagningen, Akademiska sjukhuset

    Uppsala

Other trials in Sweden

About this study

Official title: Randomized Controlled Trial of "Let's Get Organized"; an Intervention Program for Improving Time Management Skills in Adults with Cognitive Limitations

This project aims to evaluate and establish evidence for a novel, group-based intervention that can help people with cognitive limitations due to mental or neurodevelopmental disorders to improve their ability to manage time and organize activities. This might provide an important step towards establishing healthy life habits, getting or maintaining employment, and managing family life. Time management is a necessary skill for maintaining healthy life habits and daily occupations in modern society. People with limited cognitive function due to, for example, mental or neurodevelopmental disorders, have documented difficulties in time management, which is also related to issues with self-efficacy. Common interventions for persons with poor time management are time-assistive devices and products, but studies show that these devices alone are not enough to cover these people's needs. Structured training is needed, but there is a lack of structured interventions to enhance time management skills. The intervention program "Let's get organized" (LGO) is a manual-based group intervention aiming to enhance time management, targeted to persons with mental or neurodevelopmental disorders. In a recent feasibility study the LGO showed promising results.

This project aims to evaluate to what extent the LGO intervention is effective in improving time management, and satisfaction with daily occupations. The proposed project is a randomized-controlled trial carried out in ten psychiatric units in Sweden. Participants (n=104) will be randomly assigned to either LGO group intervention or individual Occupational Therapy intervention for ten weeks .The primary outcome of the study is self-reported time management measured by the Assessment of Time Management Skills. Secondary outcomes are occupational balance, self-efficacy, parental competence and cost-effectiveness.

Being tested
Let's Get Organized group intervention, Individual Occupational Therapy
Keywords
Time management, Group intervention, Executive function
Medical subject headings
Neurodevelopmental Disorders, Mental Disorders

What participants receive

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

  • Let's Get Organized group interventionBehavioural

    Also called LGO

    Group intervention aiming to enhance time management, targeted to persons with mental or neurodevelopment disorders. Each group has 6-8 participants and is lead by two trained group leaders. Goal-directed and other learning strategies are used to train effective time management habits such as maintaining a calendar and wearing a watch. Group sessions are structured with PowerPoint presentation and a course manual, an information from the group leaders is intermixed with discussion among the participants and tasks to complete.

  • Individual Occupational TherapyDevice

    Individual meetings with Occupational Therapist (standard therapy) during a 10-week period. Number of meetings and exact nature of intervention depends on the client's needs and is decided by the treating occupational therapist. Interventions will include prescription or instruction regarding time assistive devices and instructions regarding structure and planning of everyday life.

Study groups in NCT03654248
Study groupRoleWhat they receive
Let's Get Organized group interventionExperimentalGroup intervention with 10 weekly sessions, each lasting 1,5 hours
Receives: Behavioral: Let's Get Organized group intervention
Individual Occupational TherapyActive comparatorIndividual intervention lasting 10 weeks
Receives: Device: Individual Occupational Therapy

What is being measured

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

  1. Change in Assessment of Time Management Skills-Swedish, Time management sub scale at 10 weeks after intervention start and at 24 weeks after intervention start

    11 items, reported as 0-100 ATMS units

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

Secondary outcomes (30)
  1. Change in Weekly Calendar Planning Activity-Swedish version No of correct appointments at 10 weeks after intervention start and at 24 weeks after intervention start

    Performance test of executive functioning. No of correctly entered appointments (range 0-17)

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  2. Change in Weekly Calendar Planning Activity Swedish version total time at 10 weeks after intervention start and at 24 weeks after intervention start

    Performance test of executive functioning. Total time

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  3. Change in Weekly Calendar Planning Activity Swedish version no of strategies at 10 weeks after intervention start and at 24 weeks after intervention start

    Performance test of executive functioning. No of strategies used more strategies are better

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  4. Change in Weekly Calendar Planning Activity Swedish version rules followed at 10 weeks after intervention start and at 24 weeks after intervention start

    Performance test of executive functioning. No of rules followed (range 0-5) More rules followed are better

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  5. Change in Weekly Calendar Planning Activity Swedish version efficacy score at 10 weeks after intervention start and at 24 weeks after intervention start

    Performance test of executive functioning. Efficacy score (high score is better)

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  6. Change in Satisfaction with daily occupations and occupational balance (SDO-OB) activity score at 10 weeks after intervention start and at 24 weeks after intervention start

    No of activities (range 0-17, higher scores are better)

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  7. Change in Satisfaction with daily occupations and occupational balance (SDO-OB) satisfaction score at 10 weeks after intervention start and at 24 weeks after intervention start

    Satisfaction score (range 13-91, higher scores are better)

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  8. Change in Global satisfaction score at 10 weeks after intervention start and at 24 weeks after intervention start

    Global satisfaction score (range 1-5, lower scores are better)

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  9. Change in Satisfaction with daily occupations and occupational balance (SDO-OB) occupational balance at 10 weeks after intervention start and at 24 weeks after intervention start

    Occupational balance (nominal data)

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  10. Change in General Self-Efficacy Scale at 10 weeks after intervention start and at 24 weeks after intervention start

    Self-efficacy (range 0-40, higher score is better)

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  11. Change in Parental Sense of Competence at 10 weeks after intervention start and at 24 weeks after intervention start

    Sense of competence (range 15-90, higher score is better)

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  12. Change in EuroQuality of Life - 5 dimensions - 5 levels (EQ-5D-5L) item scores at 10 weeks after intervention start and at 24 weeks after intervention start

    Individual item scores on 5 items scored 1-5

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  13. Change in EuroQuality of Life - 5 dimensions - 5 levels (EQ-5D-5L) global score at 10 weeks after intervention start and at 24 weeks after intervention start

    One visual-analogue-scale answer (range 0-100)

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  14. Change in Assessment of Time Management Skills-Swedish (ATMS-S), Organization and planning sub scale at 10 weeks after intervention start and at 24 weeks after intervention start

    11 items, reported as 0-100 ATMS units

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  15. Change in Assessment of Time Management Skills-Swedish (ATMS-S), Regulation of emotions sub scale at 10 weeks after intervention start and at 24 weeks after intervention start

    5 items, reported as 0-100 ATMS units

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  16. Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: depression domain

    2 items, reported as 0-8 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  17. Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: anger domain

    1 item, reported as 0-4 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  18. Change in DSM-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: mania domain

    2 items, reported as 0-8 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  19. Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: anxiety domain

    3 items, reported as 0-12 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  20. Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: somatic symptoms domain

    2 items, reported as 0-8 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  21. Change in DSM-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: suicidal ideation domain

    1 items, reported as 0-4 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  22. Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: psychosis domain

    2 items, reported as 0-8 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  23. Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: sleep problems domain

    1 items, reported as 0-4 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  24. Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: memory domain

    1 items, reported as 0-4 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  25. Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: repetitive thoughts and behaviors domain

    2 items, reported as 0-8 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  26. Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: dissociation domain

    1 items, reported as 0-4 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  27. Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: personality functioning domain

    2 items, reported as 0-8 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  28. Change in Diagnostic and Statistical Manual of Mental Disorders Manual-5 Self-rated level 1 Cross-Cutting Symptom Measure Adult: substance use domain

    3 items, reported as 0-12 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  29. Autism Quotient Short

    28 items, 28-112 points

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

  30. Adult Attention Deficit Hyperactivity disorder Self-report Scale

    18 items, score 1-90

    Measured: baseline (pre-intervention), 10 weeks, 24 weeks

Timeline

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

  1. First posted31 Aug 2018
  2. Study start9 Nov 2018
  3. Primary completion31 Aug 2022
  4. Study completion31 Aug 2022

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
Masking
None (open label)
Enrolment
94 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03654248
Sponsor's protocol ID
ORU 2018/191
Status last verified
Mar 2023
First submitted
20 Aug 2018
Last updated
18 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Holmefur M, Roshanay A, White S, Janeslatt G, Vimefall E, Lidstrom-Holmqvist K. Evaluation of the "Let's Get Organized" group intervention to improve time management: protocol for a multi-centre randomised controlled trial. Trials. 2021 Sep 19;22(1):640. doi: 10.1186/s13063-021-05578-x.

    PubMed 34538253

Questions about this trial

What is this clinical trial studying?

A study testing Let's Get Organized group intervention and Individual Occupational Therapy in people with Neurodevelopmental Disorders and Mental Disorder, run by Örebro University, Sweden at 8 sites in Sweden.

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 2 inclusion and 1 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: finished, as of the sponsor's last update on 18 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Assessment of Time Management Skills-Swedish, Time management sub scale at 10 weeks after intervention start and at 24 weeks after intervention start (time frame: baseline (pre-intervention), 10 weeks, 24 weeks). 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 NCT03654248, 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 18 Nov 2024.

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