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PsychosisNCT05455593

Effectiveness of the Combination of Water Aerobics and Metacognitive Training

A study testing Water aerobics, Metacognitive Training (MCT) and Combined intervention in people with Psychosis, run by Fundació Sant Joan de Déu at 1 site in Spain.

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 The sponsor has not verified this record for over two years, so it may be out of date.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 assess the efficacy of a combined intervention of water aerobics and Metacognitive Training (MCT), compared to each intervention separately, in people with psychosis. Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Psychosis
What is being tested?
Water aerobics, Metacognitive Training (MCT) and Combined intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteSpain
Study dates
2 Aug 2021to Jun 2026
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 55 years
  • All sexes
  • No healthy volunteers
  • 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.
  • Psychopatological stability
  • 18 to 55 years old
  • Interested in participating in both water aerobics and MCT groups

Who cannot join

  • Head injury or intellectual disabillity (premorbid IQ <=70)
  • Present scores on the PANSS >=5 in hostility, lack of cooperation or suspiciousness, to guarantee a good relationship in the group
  • Patients with substance dependence disorder
  • Problems related to water activities (phobia, severe mobility problems...)

Trial locations and contacts

1 site in 1 country.

Spain1 site, 1 recruiting
  • Parc Sanitari Sant Joan de Déu

    Sant Boi de Llobregat, Barcelona, 08830

    Susana Ochoa, PhD, 936406350 ext. 12538, susana.ochoa@sjd.es

    Recruiting

Other trials in Spain

About this study

Official title: Efficacy of the Combination of Water Aerobics and Metacognitive Training (MCT) on Psychological and Physical Health Variables and Their Relationship With SP1 and SP4 Biomarkers in People With Psychosis

The objective of this study is to assess the efficacy of a combined intervention of water aerobics and Metacognitive Training (MCT), compared to each intervention separately, in people with psychosis. One purpose is to analyze the improvement of clinical, cognitive, metacognitive and psychosocial variables, motor coordination and physical health condition. Another purpose is to study the changes in SP1 and SP4 biomarker transcription levels as a function of the intervention received. The hypothesis is that the combined intervention will enhance the benefits of each intervention separately, specifically in symptoms, cognition, metacognition and psychosocial variables.

Conditions
Psychosis
Being tested
Water aerobics, Metacognitive Training (MCT), Combined intervention
Medical subject headings
Psychotic Disorders

What participants receive

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

  • Water aerobicsBehavioural

    1-hour session of water aerobics per week, for 3 months. A specialized trainer will carry out water aerobics sessions and will focus on motor coordination, strength and cardiovascular workout.

  • Metacognitive Training (MCT)Behavioural

    1-hour session of MCT per week, for 3 months. A trained psychologist will carry out the MCT sessions. MCT addresses the most common cognitive biases in psychosis. Each session will focus on one topic, such as attributional style, jumping to conclusions, theory of mind, emotion recognition, memory or empathy.

  • Combined interventionBehavioural

    Patients in this arm will participate in both in water aerobics and MCT sessions, once a week for each intervention.

Study groups in NCT05455593
Study groupRoleWhat they receive
Water aerobicsActive comparatorAerobic exercises performed in a swimming pool.
Receives: Behavioral: Water aerobics
Metacognitive Training (MCT)Active comparatorTreatment program for psychosis based on Cognitive-behavioral therapy (CBT), cognitive remediation (CRT) and psychoeducation.
Receives: Behavioral: Metacognitive Training (MCT)
Combined intervention (water aerobics + MCT)ExperimentalCombination of water aerobics and MCT sessions.
Receives: Behavioral: Combined intervention

What is being measured

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

  1. Change from Baseline BCIS Beck Cognitive Insight Scale at 3 months (Beck et al., 2004; Gutierrez-Zotes et al., 2012)

    Cognitive insight self-registered measure (15 items): ability to analyze one's own beliefs and judgments. Self-reflectivness subscale: higher scores indicate a greater ability to reflect on one's own thoughts. Selfcertainty subscale: higher scores indicate a greater tendency to overestimate one's own beliefs without considering alternative explanations. Composite index: higher scores indicate a greater cognitive insight.

    Measured: Baseline and 3-month follow-up

  2. Change from Baseline Beads Task at 3 months (Brett-Jones et al., 1987)

    Measure of jumping to conclusions bias. It includes two tasks in which two jars with colored beads are presented. The first task has a 85:15 proportion and the second task has a 60:40 proportion. In the third task, the jars contain positive and negative comments, with a proportion of 60:40 in each jar. The person has to infer from which jar the beads or comments are drawn. Jumping to conclusions bias is present when the participant decides after seeing up to two beads or comments.

    Measured: Baseline and 3-month follow-up

  3. Change from Baseline CBQ Cognitive Bias Questionnaire at 3 months (Peters et al, 2013; Gutiérrez-Zotes, 2021)

    Measure of five cognitive biases (30 items): jumping to conclusions, intentionalising, catastrophising, emotional reasoning, and dichotomous thinking.

    Measured: Baseline and 3-month follow-up

  4. Change from Baseline Stress Test at 3 months

    Assessment of clinical and sports records, cardiorespiratory and locomotor system examination, electrocardiogram and ergometry.

    Measured: Baseline and 3-month follow-up

  5. Change from Baseline Molecular measures at 3 months

    Protein levels of SP1 and SP4 biomarkers transcription factor levels in peripheral blood mononuclear cells (PBMCs). mRNA expression levels of SP1 and SP4 biomarkers transcription factors in PBMCs.

    Measured: Baseline and 3-month follow-up

Secondary outcomes (25)
  1. Change from Baseline PANSS Positive and Negative Syndrome Scale at 3 months (Kay et al., 1987; Peralta y Cuesta, 1995)

    Semi-structured interview to assess positive, negative and general symptoms of psychosis. Higher scores indicate greater severity of symptoms.

    Measured: Baseline and 3-month follow-up

  2. Change from Baseline BDI-II Beck Depression Inventory-II at 3 months (Beck et al., 1996)

    Depressive symptoms

    Measured: Baseline and 3-month follow-up

  3. Change from Baseline Rosenberg self-esteem scale at 3 months (Martín Albó et al, 2007)

    Self-esteem measure with 10 items (scores 0 to 30). Higher scores indicate greater self-esteem. Scores below 15 may indicate problematic low self-esteem.

    Measured: Baseline and 3-month follow-up

  4. Change from Baseline IPSAQ Internal, Personal and Situational Attributions Questionnaire at 3 months (McArthur, 1972; Bentall et al, 1991; Diez-Alegría, 2006)

    Attributional Style, including externalizing and personalizing bias subscales.

    Measured: Baseline and 3-month follow-up

  5. Change from Baseline Hinting Task at 3 months (Corcoran, Mercer & Frith, 1995)

    Theory of mind

    Measured: Baseline and 3-month follow-up

  6. Change from Baseline Faces test at 3 months (Baron Cohen, 1997; Huerta-Ramos et al., 2021)

    Facial emotion recognition

    Measured: Baseline and 3-month follow-up

  7. Change from Baseline MATRICS Consensus Cognitive Battery at 3 months (Nuechterlein et al., 2008; Rodriguez-Jimenez et al., 2012)

    Verbal processing speed, verbal fluency, attention, working memory, verbal learning and memory, visual learning and memory, reasoning, problem solving.

    Measured: Baseline and 3-month follow-up

  8. WAIS-IV (Weschler Adults Intelligence Scale, 1955)

    Premorbid IQ assessed with the Vocabulary subscale

    Measured: Baseline

  9. Change from Baseline GAF Global Assessment of Functioning at 3 months (Endicot et al., 1976)

    General functioning in a scale of 0-100

    Measured: Baseline and 3-month follow-up

  10. Change from Baseline WHO-DAS 12, Psychiatric Disability Assessment Schedule at 3 months (WHO, 1988; Vázquez-Barquero JL, 2000)

    Self-administered 12-item disability assessment

    Measured: Baseline and 3-month follow-up

  11. Change from Baseline SSQ Self Stigma Questionnaire at 3 months (Ochoa et al., 2015)

    Self-administered 14-item scale to assess self-stigma

    Measured: Baseline and 3-month follow-up

  12. Change from Baseline EuroQoL EQ-5D at 3 months (Badia et al., 1999)

    Self-administered 5-item to assess general quality of life

    Measured: Baseline and 3-month follow-up

  13. Change from Baseline SUMD Scale to Assess Unawareness of Mental Disorder at 3 months (Amador X.F., et al.; 1993; Ruiz A., et al., 2008)

    3 items to assess awareness of having a mental illness, awareness of medication effects and awareness of social consequences of having a mental illness, in a scale of 0-15. Higher scores mean a worse outcome.

    Measured: Baseline and 3-month follow-up

  14. Change from Heart Rate at 3 months

    Beats per minute (bpm)

    Measured: Baseline and 3-month follow-up

  15. Change from Blood Pressure at 3 months

    Millimetre of mercury (mmHg)

    Measured: Baseline and 3-month follow-up

  16. Change from Weight at 3 months

    Kilogram (Kg)

    Measured: Baseline and 3-month follow-up

  17. Change from Height at 3 months

    Centimetre (cm)

    Measured: Baseline and 3-month follow-up

  18. Change from Body Mass Index (BMI) at 3 months

    Weight and height will be combined to report BMI in kg/m^2

    Measured: Baseline and 3-month follow-up

  19. Change from Body Abdominal Girth at 3 months

    Centimetre (cm)

    Measured: Baseline and 3-month follow-up

  20. Change from Glucose Levels at 3 months

    Milligrams per decilitre (mg/dL)

    Measured: Baseline and 3-month follow-up

  21. Change from Total Cholesterol at 3 months

    Milligrams per decilitre (mg/dL)

    Measured: Baseline and 3-month follow-up

  22. Change from HDL Cholesterol at 3 months

    Milligrams per decilitre (mg/dL)

    Measured: Baseline and 3-month follow-up

  23. Change from LDL Cholesterol at 3 months

    Milligrams per decilitre (mg/dL)

    Measured: Baseline and 3-month follow-up

  24. Change from International Physical Activity Questionnaire (IPAQ; Booth, 2000) at 3 months

    Intensity of physical activity and sitting time

    Measured: Baseline and 3-month follow-up

  25. Change from Oviedo Sleep Questionnaire (OSQ; Bobes et al., 2000) at 3 months

    Sleep quality

    Measured: Baseline and 3-month follow-up

Timeline

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

  1. First posted13 Jul 2022
  2. Study start2 Aug 2021
  3. Primary completionJun 2026 (estimated)
  4. Study completionJun 2026 (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
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05455593
Sponsor's protocol ID
PIC-155-21
Status last verified
Aug 2024
First submitted
13 Jun 2022
Last updated
22 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Ochoa S, Verdaguer-Rodriguez M, Batlle N, Garreta F, Garcia B, Haro JM, Vila-Andreu E, Hernandez MJ, Escandell MJ, Munoz A, Vilamala S, Marcos S, Bassolas L, Pascua M, Ramos B; Thalassa Research Group. Efficacy of the combination of water aerobics and metacognitive training on psychological and physical health variables and their relationship with SP1 and SP4 biomarkers in people with psychosis: a study protocol. Front Psychol. 2024 Jun 11;15:1360004. doi: 10.3389/fpsyg.2024.1360004. eCollection 2024.

    PubMed 38919799

Questions about this trial

What is this clinical trial studying?

A study testing Water aerobics, Metacognitive Training (MCT) and Combined intervention in people with Psychosis, run by Fundació Sant Joan de Déu at 1 site in Spain.

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 4 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 22 Aug 2024. 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 Spain. 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 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?

Change from Baseline BCIS Beck Cognitive Insight Scale at 3 months (Beck et al., 2004; Gutierrez-Zotes et al., 2012) (time frame: Baseline and 3-month follow-up). The study lists 5 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 NCT05455593, 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 22 Aug 2024.

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