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Bipolar Disorder Type I or II (According to DSM-5)AppEduc-BDNCT04775498

Psychoeducation Programmes - Patients With Bipolar Disorder

A study testing Face-to-face psychoeducation group and SIMPLe mobile application in people with Bipolar Disorder Type I or II (According to DSM-5), run by University Hospital, Clermont-Ferrand at 10 sites in France.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

This is a controlled, randomized, prospective, open-label, non-inferiority trial lasting 12 months. The effectiveness of using a psychoeducational smartphone application (SIMPLe) will be compared to the effectiveness of face-to-face group psychoeducation. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Face-to-face psychoeducation group and SIMPLe mobile application
Could I receive a placebo?
No, everyone receives an active treatment
How many people
352 participants
Where
10 sitesFrance
Study dates
1 Feb 2021to 1 Feb 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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Suffering from bipolar disorder (type 1 or 2) according to DSM-5 criteria
  • Not presenting a mood episode according to DSM-5 criteria
  • Stable for at least 1 month with scores on YMRS < 8 and MADRS < 8
  • Owning a smartphone
  • Agreeing to attend group psychoeducation sessions
  • Having no problem understanding fluent French
  • Having given free and informed consent and signed the consent to participate in the study
  • Available for 12 onth follow-up

Who cannot join

  • Not having a smartphone compatible with the SIMPLe application
  • Cannot attend psychoeducation group sessions on a regular basis
  • Not having given their consent to participate in the study or unable to give their informed consent
  • Not affiliation with a social security scheme
  • Having a legal protection measure (safeguard of justice or guardianship)

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

France10 sites, 10 recruiting
  • CH Charles Perrens

    Bordeau, 33076

    Sebastien Gard, sgard@ch-perrens.fr

    Not yet recruiting
  • CHU - Gabriel Montpied

    Clermont-Ferrand, 63000

    Samalin Ludovic, lsamalin@chu-clermontferrand.fr

    Pierre-Michel Llorca, pmllorca@chu-clermontferrand.fr

    Recruiting
  • CHU - Hôpital Lapeyronie

    Montpellier, 34295

    Emilie Olié, e-olie@chu-montpellier.fr

    Not yet recruiting
  • CHU

    Nantes, 44000

    Anne Sauvaget, anne.oiry@univ-nantes.fr

    Not yet recruiting
  • CHU - Hôpital Universitaire Carémeau

    Nîmes, 30029

    Mocrane Abbar, mocrane.abbar@chu-nimes.fr

    Not yet recruiting
  • APHP - Hôpital Fernand-Widal

    Paris, 75010

    Sébastien Etain, bruno.etain@inserm.fr

    Not yet recruiting
  • CH Saint-Anne

    Paris, 75674

    Philip Gorwood

    Not yet recruiting
  • APHP - Centre Hospitalier Henri Mondor

    Paris, 94010

    Marion Leboyer, marion.leboyer@inserm.fr

    Not yet recruiting
  • CHI HC site rives du Doubs Pontarlier

    Pontarlier, 25304

    Andreea Marinescu

    Not yet recruiting
  • CHU - Hôpital de Psychiatrie

    Toulouse, 31059

    Antoine Yrondi, yrondi.a@chu-toulouse.fr

    Not yet recruiting

Other trials in France

About this study

Official title: Non-inferiority Study Comparing Two Psychoeducation Programmes (Mobile Application Versus Face-to-face Psychoeducation Group) in a Population of Patients With Bipolar Disorder

This is a controlled, randomized, prospective, open-label, non-inferiority trial lasting 12 months. The effectiveness of using a psychoeducational smartphone application (SIMPLe) will be compared to the effectiveness of face-to-face group psychoeducation.

Read the detailed description

Bipolar disorder (affecting 3 to 5% of French population) is characterized by the recurrence of severe symptomatic periods (depression, mania, hypomania) and interepisodic periods characterized by the persistence of residual symptoms, impaired psychosocial functioning and quality of life. The combination of psychosocial strategies with drug treatment is associated with an improvement in the prognosis of the disease. Among these complementary strategies, psychoeducation has been shown to be effective in reducing the risk of recurrence, the length of hospital stays and improving compliance. It improves an individual's understanding and knowledge of their disorder and its various treatments. Despite its effectiveness, psychoeducation for bipolar disorder remains relatively scarcely applied in France due to a limited healthcare offer (44 available programmes labeled by the Regional Health Agencies in 2017).

In recent years, a significant number of smartphone applications have been developed in the field of mental health. To date, none of these applications has proven effective in patients with bipolar disorder. In this context, the Institute of Neuroscience of Barcelona has developed a "SIMPLe" application to assess and record a subject's symptoms and deliver personalized psychoeducation. In terms of efficacy, a study has shown the interest of this application in improving biological rhythms, thereby reducing the risk of relapse and improving psychosocial functioning and the quality of life of patients suffering from bipolar disorder in remission phase. This application has been translated and adapted into French as part of a partnership with the Barcelona Institute of Neuroscience. However, the benefits of this type of application in terms of effectiveness, accessibility or reduction of health costs have never been studied in comparison to face-to-face psychoeducation programmes. This research project therefore represents a real opportunity to evaluate for the first time the effectiveness of an application allowing the delivery of personalized psychoeducation in comparison to a face-to-face group psychoeducation program (reference treatment for relapse prevention).

The SIMPLe app includes 5 daily questions (mood, energy, sleep, irritability, medication adherence) that will assess different areas associated with bipolar disorder. The user will also receive a weekly test to determine the presence and intensity of depressive or manic symptoms. Daily and personalized psychoeducation messages (adapted to the answers to the tests carried out) will be sent to the user by notifications. The app contains a bank of around 400 psychoeducational messages, based on Prof. Vieta and Dr Colom's Psychoeducation Manual for Bipolar Disorders.

Eligible patients, after obtaining their consent, will be randomized (i) either in the face-to-face psychoeducation group which will consist of the participation by the patients in all the sessions of a therapeutic education program (labeled and controlled by their Regional Health Agency) of the investigator center, (ii) or in the SIMPLe application group and will benefit from access to the application via a code that will be sent to them.

Three additional visits to the usual care are planned (assessment visit, 6 months and 12 months). At each visit, patients must complete questionnaires (CSRI, YMRS, MADRS, FAST, MARS, WHOQOL-BREF and EQ-5D).

The hypothesis formulated by the investigator is that a psychoeducational strategy using the SIMPLe smartphone application has an effect comparable to participation in a face-to-face psychoeducation group, in term of the recurrence prevention in a sample of stabilized patients with bipolar disorder (at 12 months). The recurrence rate is defined by the percentage of patients having presented a mood episode of bipolar disorder, namely a major depressive episode, manic or hypomanic episode, according to the criteria of DSM-5 and on the basis of the judgment of the clinician since the beginning of the intervention.

Being tested
Face-to-face psychoeducation group, SIMPLe mobile application
Keywords
Bipolar disorder, Psychoeducation, Mobile application, Smartphone, Recurrence prevention
Medical subject headings
Bipolar Disorder

What participants receive

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

  • Face-to-face psychoeducation groupBehavioural

    All of the investigation centers participating in this study have a psychoeducation programme on bipolar disorders labeled and monitored by their Regional Health Agency. For this, he must respect the decree of January 14, 2015 relating to the specifications of therapeutic education programs for the patient. Patients will be receive by an investigator, for inclusion and baseline evaluation and at 6 and 12 months after inclusion. During this meeting, investigator and patient will be complete 7 questionnaires (about disease, treatment observance and quality of life), investigator will collect treatment, style life and adverse event(s).

  • SIMPLe mobile applicationBehavioural

    The experimental intervention consists of 12 months use SIMPLe smartphone application who has been developed by the Barcelona Institute of neuroscience. The purpose of this application is to deliver individualized psychoeducation messages to the patient's clinical condition. The psychoeducational messages correspond to the contents of the different modules and sessions carried out in face-to-face psychoeducation groups (Colomm \& Vieta ; 2015). Patients will be receive by an investigator for inclusion and baseline evaluation, at 6 and 12 months after inclusion. During this meeting, investigator and patient will be complete 7 questionnaires (about disease, treatment observance and quality of life), investigator will collect treatment, style life and adverse event(s).

Study groups in NCT04775498
Study groupRoleWhat they receive
Face-to-face psychoeducation groupActive comparatorThe group of face-to-face psychoeducation or standard intervention will consist of the participation by the patients include in all the sessions of a therapeutic education programme of the investigator center.
Receives: Behavioral: Face-to-face psychoeducation group
SIMPLe mobile applicationExperimentalThe experimental intervention consists of the use of the SIMPLe application during 1 year: answers of 5 daily questions and to the weekly questions. Moreover, daily and personalized psychoeducation messages (adapted to the answers to the tests carried out) will be sent to user by notifications.
Receives: Behavioral: SIMPLe mobile application

What is being measured

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

  1. Recurrence rate

    Measure the difference of recurrence rate (defined by the percentage of patients having presented a mood episode of bipolar disorder, namely a major depressive episode, manic or hypomanic episode, according to the criteria of DSM-5 and on the judgment of the clinician since the beginning of the intervention) between patients who participated to face-to-face psychoeducation group and patients who use SIMPLe application

    Measured: 12 months after inclusion

Secondary outcomes (14)
  1. Hospitalization number

    Measure the difference of number and duration of hospitalization between patients who participated to face-to-face psychoeducation group and patients who use SIMPLe application

    Measured: 6 months after inclusion

  2. Hospitalization number

    Measure the difference of number and duration of hospitalization between patients who participated to face-to-face psychoeducation group and patients who use SIMPLe application

    Measured: 12 months after inclusion

  3. Maniac and depressive symptomatology intensity

    Measure the difference of maniac and depressive symptomatology intensity between patients who participated to face-to-face psychoeducation group and patients who use SIMPLe application. These measures are based on YMRS (for maniac symptomatology) questionnaire.

    Measured: 6 months after inclusion.

  4. Maniac and depressive symptomatology intensity

    Measure the difference of maniac and depressive symptomatology intensity between patients who participated to face-to-face psychoeducation group and patients who use SIMPLe application. These measures are based on YMRS (for maniac symptomatology) questionnaire.

    Measured: 12 months after inclusion.

  5. Maniac and depressive symptomatology intensity

    Measure the difference of maniac and depressive symptomatology intensity between patients who participated to face-to-face psychoeducation group and patients who use SIMPLe application. These measures are based on MADRS (for depressive symptomatology) questionnaires.

    Measured: 6 months after inclusion.

  6. Maniac and depressive symptomatology intensity

    Measure the difference of medication compliance between patients who participated to face-to-face psychoeducation group and patients who use SIMPLe application. This measure is based on MARS (Medication Adherence Report Scale) questionnaire.

    Measured: 6 months after inclusion.

  7. Medication compliance

    Measure the difference of medication compliance between patients who participated to face-to-face psychoeducation group and patients who use SIMPLe application. This measure is based on MARS (Medication Adherence Report Scale) questionnaire.

    Measured: 12 months after inclusion.

  8. Psychosocial functioning

    Measure the difference of psychosocial functioning between patients who participated to face-to-face psychoeducation group and patients who use SIMPLe application. This measure is based on FAST (Functional Analysis Screening Tool ) questionnaire.

    Measured: 6 months after inclusion.

  9. Psychosocial functioning

    Measure the difference of psychosocial functioning between patients who participated to face-to-face psychoeducation group and patients who use SIMPLe application. This measure is based on FAST (Functional Analysis Screening Tool ) questionnaire.

    Measured: 12 months after inclusion.

  10. Evaluation of Quality of life

    Measure the difference of quality of life between patients who participated to face-to-face psychoeducation group and patients who use SIMPLe application. This measure is based on WHOQOL-BREF (World Health Organization Quality of Life) questionnaire.

    Measured: 6 months ater inclusion

  11. Evaluation of Quality of life

    Measure the difference of quality of life between patients who participated to face-to-face psychoeducation group and patients who use SIMPLe application. This measure is based on WHOQOL-BREF (World Health Organization Quality of Life) questionnaire.

    Measured: 12 months ater inclusion

  12. Cost efficiency

    Cost efficiency evaluation of SIMPLe application using CSRI (Client Service Receipt Inventory) questionnaire

    Measured: 12 month after inclusion

  13. Cost / utility ratio

    Evaluation of cost / utility ratio of SIMPLe application using the EQ-5D (EuroQol 5 Dimensions) questionnaire.

    Measured: 12 month after inclusion

  14. Qualitative analysis

    Some patients of SIMPLe application group (4 womens and 4 mens < 30 years, 4 womens and 4 mens 30 to 50 years and 4 womens and 4 mens > 50 years) will participate in an individual interview. These semi-structured individual interviews will be carried out by a psychologist. During these interviews the perception and use of the SIMPLe application by patients will be gathered (both positive opinions and negative criticisms and possible obstacles to its use).

    Measured: 12 months after inclusion

Timeline

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

  1. First posted1 Mar 2021
  2. Study start1 Feb 2021
  3. Primary completion1 Feb 2025 (estimated)
  4. Study completion1 Feb 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
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
* Standard group : patients will participate at all sessions of face-to-face psychoeducation (sessions labeled and controlled by their Regional Health Agency). * Experimental group: patients will use SIMPLe application during 12 months.
Masking
None (open label)
Enrolment
352 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04775498
Sponsor's protocol ID
PREPS 2017 SAMALIN
Acronym
AppEduc-BD
Status last verified
Feb 2021
First submitted
25 Feb 2021
Last updated
1 Mar 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Face-to-face psychoeducation group and SIMPLe mobile application in people with Bipolar Disorder Type I or II (According to DSM-5), run by University Hospital, Clermont-Ferrand at 10 sites in France.

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 8 inclusion and 5 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 1 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in France. 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?

Results are not available in the source record.

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

Contact Lise Laclautre (33.4.73.754.963, promo_interne_drci@chu-clermontferrand.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Recurrence rate (time frame: 12 months after inclusion). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 1 Mar 2021.

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