AzTrials
AzTrials

Chronic DiseaseNCT05468788

Theatre in Adolescents With Chronic Medical Conditions (CMCs)

A study testing Intervention: Integrative Community Therapy-based Psychodrama in people with Chronic Disease, run by Geisinger Clinic at 1 site in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
Search all trials

Trial summary

Investigators are building a program that uses improvisation to teach kids and teens with medical issues healthy ways to cope. Medical issues have been linked to anxiety and depression. Doing theatre can prevent these complications. Read more about this study

Who is it for?
Ages 5 to 19 years
Conditions the study is for
Chronic Disease
What is being tested?
Intervention: Integrative Community Therapy-based Psychodrama
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
0 participants
Where
1 siteUnited States
Study dates
24 May 2022to 31 Aug 2024
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 5 to 19 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Identify as having a CMC
  • In grades kindergarten to 12th grade during the year recruited for the study
  • 5 years of age and ≤ 19 years of age at the start of the intervention
  • Able and willing to participate in improvisational theatre in spoken English
  • Able to understand and answer standard questionnaires used for evaluation in English (with or without accommodation)

Who cannot join

  • None

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Geisinger Primary Care South Wilkes-Barre

    Wilkes-Barre, Pennsylvania, 18702

Other trials in United States

About this study

Official title: Evaluating the Use of Theatre to Decrease Depression and Anxiety Among Adolescents With Chronic Medical Conditions (CMCs)

Investigators are building a program that uses improvisation to teach kids and teens with medical issues healthy ways to cope. Medical issues have been linked to anxiety and depression. Doing theatre can prevent these complications. Participants will meet in groups of about ten for ten weeks to do improvisation that is fun and supportive. Participants will meet with a study team member before the program starts, after the program ends, six months after the program ends, and twelve months after the program ends. At these visits, participants will be screened for anxiety, depression, quality of life, and will be given a short interview.

Read the detailed description

Adolescents with chronic medical conditions are at increased risk for anxiety and depression compared to other people their age. Therapies that use role-play prevent anxiety and depression. However, often these studies do not have an underlying psychological framework, or there is not enough information to replicate the program. Investigators designed an intervention using role-play based on Integrative Community Therapy, developed in the 1980s by Dr. Adalberto Barreto. This program will help adolescents with chronic medical conditions explore their feelings about issues related to having a chronic condition, learn new coping strategies, and help one another find support among peers.

This treatment will take place once a week for 10 weeks and investigators will compare the effects to those derived from improvisational theatre alone. To evaluate this new treatment, the study team will screen participants for anxiety, depression, quality of life, and will give a short qualitative interview. This will occur before and after the intervention, 6 months after the intervention, and 1 year after the intervention.

Conditions
Chronic Disease
Being tested
Intervention: Integrative Community Therapy-based Psychodrama, Control: Improvisational Theatre
Medical subject headings
Chronic Disease

What participants receive

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

  • Intervention: Integrative Community Therapy-based PsychodramaBehavioural

    Also called Intervention: ICT-based Psychodrama

    Participants produce theatre scenes depicting issues that they have experienced. Group leaders then use a guide to facilitate a discussion of participants' feelings, coping strategies, and sharing of local knowledge.

  • Control: Improvisational TheatreBehavioural

    Participants play improvisational theatre games.

Study groups in NCT05468788
Study groupRoleWhat they receive
Integrative Community Therapy (ICT) Intervention ArmExperimentalParticipants will perform scenes related to having a chronic medical condition and they will be guided through conversations about their feelings and coping methods.
Receives: Behavioral: Intervention: Integrative Community Therapy-based Psychodrama
Improvisational Theatre ArmSham comparatorParticipants will perform generic improvisational theatre with no instruction on feelings or coping methods.
Receives: Behavioral: Control: Improvisational Theatre

What is being measured

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

  1. Anxiety and Depression

    Anxiety and Depression as evaluated by the Revised Children's Anxiety and Depression Scale; Scored 0-30; higher score indicates worse outcome

    Measured: Baseline to 10 weeks

  2. Anxiety and Depression

    Anxiety and Depression as evaluated by the Revised Children's Anxiety and Depression Scale; Scored 0-30; higher score indicates worse outcome

    Measured: Baseline to 6 months

  3. Anxiety and Depression

    Anxiety and Depression as evaluated by the Revised Children's Anxiety and Depression Scale; Scored 0-30; higher score indicates worse outcome

    Measured: Baseline to 12 months

  4. Disease-Related Quality of Life

    Disease-Related Quality of Life as evaluated by Qualitative Interview

    Measured: Baseline to 10 weeks

  5. Disease-Related Quality of Life

    Disease-Related Quality of Life as evaluated by Qualitative Interview

    Measured: Baseline to 6 months

  6. Disease-Related Quality of Life

    Disease-Related Quality of Life as evaluated by Qualitative Interview

    Measured: Baseline to 12 months

  7. Disease-Related Quality of Life

    Disease-Related Quality of Life as evaluated by Pediatric Quality of Life Inventory; Scored 0-100; higher score indicates better outcome

    Measured: Baseline to 10 weeks

  8. Disease-Related Quality of Life

    Disease-Related Quality of Life as evaluated by Pediatric Quality of Life Inventory; Scored 0-100; higher score indicates better outcome

    Measured: Baseline to 6 months

  9. Disease-Related Quality of Life

    Disease-Related Quality of Life as evaluated by Pediatric Quality of Life Inventory; Scored 0-100; higher score indicates better outcome

    Measured: Baseline to 12 months

  10. Knowledge and Utilization of Coping Strategies

    Knowledge and Utilization of Coping Strategies as evaluated by Qualitative Interview

    Measured: Baseline to 10 weeks

  11. Knowledge and Utilization of Coping Strategies

    Knowledge and Utilization of Coping Strategies as evaluated by Qualitative Interview

    Measured: Baseline to 6 months

  12. Knowledge and Utilization of Coping Strategies

    Knowledge and Utilization of Coping Strategies as evaluated by Qualitative Interview

    Measured: Baseline to 12 months

  13. Knowledge and Utilization of Coping Strategies

    Knowledge and Utilization of Coping Strategies as evaluated by KidCope Checklist; Scored 0-120; higher score indicates better outcome

    Measured: Baseline to 10 weeks

  14. Knowledge and Utilization of Coping Strategies

    Knowledge and Utilization of Coping Strategies as evaluated by KidCope Checklist; Scored 0-120; higher score indicates better outcome

    Measured: Baseline to 6 months

  15. Knowledge and Utilization of Coping Strategies

    Knowledge and Utilization of Coping Strategies as evaluated by KidCope Checklist; Scored 0-120; higher score indicates better outcome

    Measured: Baseline to 12 months

  16. Empathy

    Empathy as evaluated by Qualitative Interview

    Measured: Baseline to 10 weeks

  17. Empathy

    Empathy as evaluated by Qualitative Interview

    Measured: Baseline to 6 months

  18. Empathy

    Empathy as evaluated by Qualitative Interview

    Measured: Baseline to 12 months

Timeline

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

  1. First posted21 Jul 2022
  2. Study start24 May 2022
  3. Primary completion31 Aug 2024 (estimated)
  4. Study completion31 Aug 2024 (estimated)

Why it stopped: Not enough participants were recruited to conduct a randomized controlled trial.

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
Prevention
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
One group will receive a new behavioral intervention; the other group will receive improvisational theatre alone
Masking
Single blind
Who is masked
Participant
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05468788
Sponsor's protocol ID
2022-0322
Status last verified
Aug 2024
First submitted
12 Jul 2022
Last updated
12 Aug 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Young KS, Sandman CF, Craske MG. Positive and Negative Emotion Regulation in Adolescence: Links to Anxiety and Depression. Brain Sci. 2019 Mar 29;9(4):76. doi: 10.3390/brainsci9040076.

    PubMed 30934877
  • Jones LC, Mrug S, Elliott MN, Toomey SL, Tortolero S, Schuster MA. Chronic Physical Health Conditions and Emotional Problems From Early Adolescence Through Midadolescence. Acad Pediatr. 2017 Aug;17(6):649-655. doi: 10.1016/j.acap.2017.02.002. Epub 2017 Feb 12.

    PubMed 28215656
  • Cobham VE, Hickling A, Kimball H, Thomas HJ, Scott JG, Middeldorp CM. Systematic Review: Anxiety in Children and Adolescents With Chronic Medical Conditions. J Am Acad Child Adolesc Psychiatry. 2020 May;59(5):595-618. doi: 10.1016/j.jaac.2019.10.010. Epub 2019 Oct 30.

    PubMed 31676391
  • Compas BE, Jaser SS, Dunn MJ, Rodriguez EM. Coping with chronic illness in childhood and adolescence. Annu Rev Clin Psychol. 2012;8:455-80. doi: 10.1146/annurev-clinpsy-032511-143108. Epub 2011 Dec 20.

    PubMed 22224836
  • Greenberg MT, Weissberg RP, O'Brien MU, Zins JE, Fredericks L, Resnik H, Elias MJ. Enhancing school-based prevention and youth development through coordinated social, emotional, and academic learning. Am Psychol. 2003 Jun-Jul;58(6-7):466-74. doi: 10.1037/0003-066x.58.6-7.466.

    PubMed 12971193
  • Hersov L. Psychotherapy for Children and Adolescents. Evidence-based Treatments and Case Examples. Child Adolesc Ment Health. 2006 May;11(2):124-125. doi: 10.1111/j.1475-3588.2006.00399_5.x. No abstract available.

    PubMed 32811094
  • Feniger-Schaal R, Koren-Karie N. Using Drama Therapy to Enhance Maternal Insightfulness and Reduce Children's Behavior Problems. Front Psychol. 2021 Jan 20;11:586630. doi: 10.3389/fpsyg.2020.586630. eCollection 2020.

    PubMed 33551907
  • Blacker J, Watson A, Beech AR. A combined drama-based and CBT approach to working with self-reported anger aggression. Crim Behav Ment Health. 2008;18(2):129-37. doi: 10.1002/cbm.686.

    PubMed 18383198
  • Joronen K, Hakamies A, Astedt-Kurki P. Children's experiences of a drama programme in social and emotional learning. Scand J Caring Sci. 2011 Dec;25(4):671-8. doi: 10.1111/j.1471-6712.2011.00877.x. Epub 2011 Mar 1.

    PubMed 21362006
  • Daykin N, Orme J, Evans D, Salmon D, McEachran M, Brain S. The impact of participation in performing arts on adolescent health and behaviour: a systematic review of the literature. J Health Psychol. 2008 Mar;13(2):251-64. doi: 10.1177/1359105307086699.

    PubMed 18375630
  • Joronen K, Rankin SH, Astedt-Kurki P. School-based drama interventions in health promotion for children and adolescents: systematic review. J Adv Nurs. 2008 Jul;63(2):116-31. doi: 10.1111/j.1365-2648.2008.04634.x.

    PubMed 18537845
  • Miranda NA, Berardinelli LM, Saboia VM, Brito ID, Santos RD. Interdisciplinary care praxis in groups of people living with fibromyalgia. Rev Bras Enferm. 2016 Nov-Dec;69(6):1115-1123. doi: 10.1590/0034-7167-2016-0279. English, Portuguese.

    PubMed 27925088
  • Weigensberg MJ, Vigen C, Sequeira P, Spruijt-Metz D, Juarez M, Florindez D, Provisor J, Peters A, Pyatak EA. Diabetes Empowerment Council: Integrative Pilot Intervention for Transitioning Young Adults With Type 1 Diabetes. Glob Adv Health Med. 2018 Mar 8;7:2164956118761808. doi: 10.1177/2164956118761808. eCollection 2018.

    PubMed 29552422
  • Chorpita BF, Yim L, Moffitt C, Umemoto LA, Francis SE. Assessment of symptoms of DSM-IV anxiety and depression in children: a revised child anxiety and depression scale. Behav Res Ther. 2000 Aug;38(8):835-55. doi: 10.1016/s0005-7967(99)00130-8.

    PubMed 10937431
  • Varni JW, Seid M, Kurtin PS. PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care. 2001 Aug;39(8):800-12. doi: 10.1097/00005650-200108000-00006.

    PubMed 11468499

Questions about this trial

What is this clinical trial studying?

A study testing Intervention: Integrative Community Therapy-based Psychodrama in people with Chronic Disease, run by Geisinger Clinic at 1 site in United States.

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 5 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: withdrawn, as of the sponsor's last update on 12 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 United States. 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. Some participants in this study may receive a placebo. 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 was withdrawn before enrolling participants, so there are no results.

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?

Anxiety and Depression (time frame: Baseline to 10 weeks). The study lists 18 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 NCT05468788, which also lists 16 linked publications.

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 12 Aug 2024.

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