AzTrials
AzTrials

SchizophreniaNCT03891186

Efficacy of Metacognitive Training for Schizophrenia - a Study Protocol

A study testing Metacognitive Training in Schizophrenia (MCT) and Treatment As Usual (TAU) in people with Schizophrenia, run by University Rovira i Virgili at 1 site in Portugal.

Completed

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

Official record
Search all trials

Trial summary

Metacognitive training (MCT) for schizophrenia has been used in several countries, but its efficacy remains unclear. MCT is a program group that consists of changing the cognitive infrastructure of delusions. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Schizophrenia
What is being tested?
Metacognitive Training in Schizophrenia (MCT) and Treatment As Usual (TAU)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 sitePortugal
Study dates
15 Apr 2019to 4 Apr 2020
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

  • age between 18 and 65 years;
  • diagnosis of schizophrenia evaluated by Psychiatrist Assistant;
  • that didn't have any changes in neuroleptics medication four months before program.

Who cannot join

  • substance dependence;
  • very severe psychotic symptoms that impedes understanding the objectives of the sessions;
  • had changes in neuroleptics medication four months before program.

Trial locations and contacts

1 site in 1 country.

Portugal1 site
  • Lara Manuela Guedes de Pinho

    Portalegre, 7300-004

Other trials in Portugal

About this study

Official title: A Randomized Controlled Trial to Evaluate the Efficacy of Metacognitive Training for Schizophrenia Applied by Mental Health Nurses: Study Protocol

Metacognitive training (MCT) for schizophrenia has been used in several countries, but its efficacy remains unclear. MCT is a program group that consists of changing the cognitive infrastructure of delusions.

This study aims to evaluate the efficacy of the Portuguese version of the metacognitive training programme and its effects on psychotic symptoms, insight to the disorder and functionality

Read the detailed description

A randomized controlled trial that will be realized in six psychiatric institutions of Portugal. Pilot study will be carried out initially. The sample will be constituted by individuals diagnosed with schizophrenia (experimental group (n=30) and control group (n=30). The evaluation instruments will be utilized are PSYRATS, BCIS, PSP and WHODAS 2.0 applied to both groups in three different moments. In experimental group the eight MCT modules will be applied over four weeks.

The objective is to compare the outcomes associated with "treatment-as-usual" and the benefits of implementing the Metacognitive Training for Schizophrenia.

The hypothesis to be validated in this trial are:

  • the schizophrenic patients who integrate the experimental group and participate in the MCT program will reduce the severity of psychotic symptoms and will present a better insight to disease and a better functioning on the final of the program than the control group;
  • in participants that participating in the MCT program, the psychotic symptoms decrease at the end of the program and in the follow up (three months later) and the awareness for the disease and functioning improves.
Conditions
Schizophrenia
Being tested
Metacognitive Training in Schizophrenia (MCT), Treatment As Usual (TAU)
Keywords
schizophrenia, metacognitive training, insight, positive symptoms, functioning
Medical subject headings
Schizophrenia

What participants receive

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

  • Metacognitive Training in Schizophrenia (MCT)Behavioural

    MCT is a group program with eight modules referring to common cognitive and biases in solving problems in schizophrenia. The following topics of MCT are: attribution blaming and taking credit (module 1), jumping to conclusions (modules 2 and 7), changing beliefs (module 3), deficits in theory of mind and social cognition (modules 4 and 6), overconfidence in (memory) errors (module 5) and depression and low self-esteem (module 8). Each session lasts 45 to 60 minutes and follows a protocol defined in the manual "Metacognitive Training for Psychosis (MCT)" that is currently available in 35 languages (available in www.uke.de/mkt).

  • Treatment As Usual (TAU)Other

    In both groups will be maintained the TAU.

Study groups in NCT03891186
Study groupRoleWhat they receive
Experimental GroupExperimentalParticipants will be randomly allocated to either Metacognitive Training (MCT) (experimental group). In both groups will be maintained the "treatment as usual" (TAU).
Receives: Behavioral: Metacognitive Training in Schizophrenia (MCT); Other: Treatment As Usual (TAU)
Control GroupActive comparatorThe control group will not participate in the MCT program. In both groups will be maintained the TAU.
Receives: Other: Treatment As Usual (TAU)

What is being measured

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

  1. Psychotic Symptom Rating Scales (PSYRATS) - moment 1

    This instrument is a structured interview that assesses the detailed measurement of delusions and hallucinations. The PSYRATS have 17 items and two subscales: one subscale assesses delusions (6 items) and the other subscale assess hallucinations (11 items). Each item has a classification of five points (0-4). The total score is the sum of all points. It is was developed by Haddock, McCarron, Tarrier and Faragher in 1999 (validated for the Portuguese population by Telles-Correia et al in 2017).

    Measured: PSYRATS will be applied a week before the first session of Metacognitive Training.

  2. Psychotic Symptom Rating Scales (PSYRATS) - moment 2

    This instrument is a structured interview that assesses the detailed measurement of delusions and hallucinations. The PSYRATS have 17 items and two subscales: one subscale assesses delusions (6 items) and the other subscale assess hallucinations (11 items). Each item has a classification of five points (0-4). The total score is the sum of all points. It is was developed by Haddock, McCarron, Tarrier and Faragher in 1999 (validated for the Portuguese population by Telles-Correia et al in 2017).

    Measured: PSYRATS will be applied up to 1 week after eight session, to both groups.

  3. Psychotic Symptom Rating Scales (PSYRATS) - moment 3

    This instrument is a structured interview that assesses the detailed measurement of delusions and hallucinations. The PSYRATS have 17 items and two subscales: one subscale assesses delusions (6 items) and the other subscale assess hallucinations (11 items). Each item has a classification of five points (0-4). The total score is the sum of all points. It is was developed by Haddock, McCarron, Tarrier and Faragher in 1999 (validated for the Portuguese population by Telles-Correia et al in 2017).

    Measured: This instrument will be reapplied to follow up evaluation, up to 3 months after the final program, in both groups.

  4. Beck Cognitive Insight Scale (BCIS) - moment 1

    This scale has 15 items and it is a self-response questionnaire that was developed by Beck, Baruch, Balter, Steer, \& Warman in 2004 and evaluated the consciousness of the illness. The BCIS is comprised of two subscales: self-reflectiveness and self-certainty. The total score for each scale is the sum of the item scores that comprise it (see below). The BCIS composite index is calculated as self-reflectiveness minus self-certainty. Poorer cognitive insight is indexed by lower scores on the self-reflectiveness subscale, higher self-certainty scores, and lower BCIS composite index scores.

    Step 1. Score every item on the BCIS from "0" to "3" according to the following rule:

    • "Do Not Agree at All" = 0
    • "Agree Slightly" = 1
    • "Agree a Lot" = 2
    • "Agree Completely" = 3 (in process of validation to Portuguese population by investigators of this study)

    Measured: BCIS will be applied a week before the first session of Metacognitive Training

  5. Beck Cognitive Insight Scale (BCIS) - moment 2

    This scale has 15 items and it is a self-response questionnaire that was developed by Beck, Baruch, Balter, Steer, \& Warman in 2004 and evaluated the consciousness of the illness. The BCIS is comprised of two subscales: self-reflectiveness and self-certainty. The total score for each scale is the sum of the item scores that comprise it (see below). The BCIS composite index is calculated as self-reflectiveness minus self-certainty. Poorer cognitive insight is indexed by lower scores on the self-reflectiveness subscale, higher self-certainty scores, and lower BCIS composite index scores.

    Step 1. Score every item on the BCIS from "0" to "3" according to the following rule:

    • "Do Not Agree at All" = 0
    • "Agree Slightly" = 1
    • "Agree a Lot" = 2
    • "Agree Completely" = 3 (in process of validation to Portuguese population by investigators of this study)

    Measured: BCIS will be applied up to 1 week after eight session of the MCT, to both groups

  6. Beck Cognitive Insight Scale (BCIS) - moment 3

    This scale has 15 items and it is a self-response questionnaire that was developed by Beck, Baruch, Balter, Steer, \& Warman in 2004 and evaluated the consciousness of the illness. The BCIS is comprised of two subscales: self-reflectiveness and self-certainty. The total score for each scale is the sum of the item scores that comprise it (see below). The BCIS composite index is calculated as self-reflectiveness minus self-certainty. Poorer cognitive insight is indexed by lower scores on the self-reflectiveness subscale, higher self-certainty scores, and lower BCIS composite index scores.

    Step 1. Score every item on the BCIS from "0" to "3" according to the following rule:

    • "Do Not Agree at All" = 0
    • "Agree Slightly" = 1
    • "Agree a Lot" = 2
    • "Agree Completely" = 3 (in process of validation to Portuguese population by investigators of this study)

    Measured: This instrument will be reapplied to follow up evaluation, up to 3 months after the final program in both groups.

  7. World Health Disability Assessment Schedule (WHODAS 2.0) - moment 1

    This instrument evaluated the functionality levels and was developed by WHO. It has 12 items and it is a self-response questionnaire (validated for the Portuguese population by Moreira, Alvarelhão, Silva, Costa and Queirós in 2015).

    Measured: WHODAS 2.0 will be applied a week before the first session of Metacognitive Training

  8. World Health Disability Assessment Schedule (WHODAS 2.0) - moment 2

    This instrument evaluated the functionality levels and was developed by WHO. It has 12 items and it is a self-response questionnaire (validated for the Portuguese population by Moreira, Alvarelhão, Silva, Costa and Queirós in 2015).

    Measured: WHODAS 2.0 will be applied up to 1 week after eight session of the MCT, to both groups

  9. World Health Disability Assessment Schedule (WHODAS 2.0) - moment 3

    This instrument evaluated the functionality levels and was developed by WHO. It has 12 items and it is a self-response questionnaire (validated for the Portuguese population by Moreira, Alvarelhão, Silva, Costa and Queirós in 2015).

    Measured: This instrument will be reapplied to follow up evaluation, up to 3 months after the final program in both groups.

  10. Personal and Social Performance Scale (PSP) - moment 1

    this scale was developed by Morosini, Magliano, Brambilla, Ugolini and Pioli in 2000 and it assesses patients' social functioning with four main areas: socially useful activities, personal and social relationships, self-care and disturbing and aggressive behaviours (validated for the Portuguese population by Brissos et al., 2012).

    Measured: PSP will be applied a week before the first session of Metacognitive Training

  11. Personal and Social Performance Scale (PSP) - moment 2

    this scale was developed by Morosini, Magliano, Brambilla, Ugolini and Pioli in 2000 and it assesses patients' social functioning with four main areas: socially useful activities, personal and social relationships, self-care and disturbing and aggressive behaviours (validated for the Portuguese population by Brissos et al., 2012).

    Measured: PSP will be applied up to 1 week after eight session of the MCT, to both groups

  12. Personal and Social Performance Scale (PSP) - moment 3

    this scale was developed by Morosini, Magliano, Brambilla, Ugolini and Pioli in 2000 and it assesses patients' social functioning with four main areas: socially useful activities, personal and social relationships, self-care and disturbing and aggressive behaviours (validated for the Portuguese population by Brissos et al., 2012).

    Measured: This instrument will be reapplied to follow up evaluation, up to 3 months after the final program in both groups.

Timeline

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

  1. First posted26 Mar 2019
  2. Study start15 Apr 2019
  3. Primary completion4 Apr 2020
  4. Study completion4 Apr 2020

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Metacognitive Training For Schizophrenia
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03891186
Sponsor's protocol ID
2019MCT.PT
Status last verified
Apr 2020
First submitted
5 Feb 2019
Last updated
7 Apr 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • de Pinho LMG, Sequeira CADC, Sampaio FMC, Rocha NB, Ozaslan Z, Ferre-Grau C. Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: A randomized controlled trial. J Adv Nurs. 2021 Feb;77(2):999-1012. doi: 10.1111/jan.14627. Epub 2020 Nov 22.

    PubMed 33222210

Questions about this trial

What is this clinical trial studying?

A study testing Metacognitive Training in Schizophrenia (MCT) and Treatment As Usual (TAU) in people with Schizophrenia, run by University Rovira i Virgili at 1 site in Portugal.

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 3 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 7 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Portugal. 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?

Psychotic Symptom Rating Scales (PSYRATS) - moment 1 (time frame: PSYRATS will be applied a week before the first session of Metacognitive Training.). The study lists 12 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 NCT03891186, 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 7 Apr 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in