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StrokeT-ScEmo4ALLNCT06330298

Improving Social Cognition and Social Behaviour in Various Brain Disorders

A study testing Treatment social cognition and emotion regulation (T-ScEmo) in people with Stroke and Multiple Sclerosis, run by University Medical Center Groningen at 2 sites in Netherlands.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

Impairments in aspects of social cognition are disorder-transcending: these have been demonstrated in various neurological disorders, such as traumatic brain injury (TBI), stroke, brain tumours (both low grade glioma's and meningioma's) and multiple sclerosis (MS). Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Stroke, Multiple Sclerosis, Brain Tumor
What is being tested?
Treatment social cognition and emotion regulation (T-ScEmo)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
84 participants
Where
2 sitesNetherlands
Study dates
31 May 2021to 31 Jan 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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients should have social cognitive disorders that show by means of problems in emotion recognition, perspective taking, ToM, showing empathy, or behaviour.
  • Patients should have a neurological disorder; stroke (including patients with subarachnoid haemorrhage), Multiple sclerosis (MS), both relapsing remitting, primary and secondary progressive variants, Brain tumours (meningioma's, low grade gliomas) and other categories of neurological disorders including brain damage: (i.e. infections (meningitis, encephalitis), post anoxic encephalopathy, adult survivors of childhood brain tumours).
  • Patients should be aged between 18 and 75
  • Patients should be in the chronic stage (> 6 months post-acute injuries) or their medical condition should be relatively stable (for patients with a slow progressive conditions), to be judged by the treating medical or psychological specialist, in order to be able to profit from treatment for a reasonable time period.

Who cannot join

  • Serious neurodegenerative or psychiatric conditions (including addiction) interfering with treatment
  • Incapacity to act, to be judged by the neuropsychologist and/or neurologist
  • Serious cognitive problems (aphasia, neglect, amnesia, dementia) and/or serious behavioural problems (aggression, apathy) interfering with treatment, to be judged by neuropsychologist.
  • Serious (other) medical conditions or physical inability hindering patients to come to the hospital/rehabilitation centre
  • Not being available of a close other (life partner, family member, close friend) who can fill out the proxy questionnaires
  • Not willing to give permission to send important/unexpected findings to the general practitioner.
  • Unexpected progression of disease during the study can be a reason to exclude the patient
  • Not sufficient command of the Dutch Language.

Trial locations and contacts

2 sites in 1 country.

A Heegers, MSc. contact

+31503614666

a.heegers@umcg.nl

Netherlands2 sites, 2 recruiting
  • Deventer Hospital

    Deventer, Overijssel, 7416SE

    M.J.J. Gerritssen, dr.

    Recruiting
  • University Medical Center Groningen

    Groningen, 9700VB

    Amber Heegers, MSc., +3150 361 4666, a.heegers@umcg.nl

    Recruiting

Other trials in Netherlands

About this study

Official title: Improving Social Cognition and Social Behaviour in Various Brain Disorders.

Impairments in aspects of social cognition are disorder-transcending: these have been demonstrated in various neurological disorders, such as traumatic brain injury (TBI), stroke, brain tumours (both low grade glioma's and meningioma's) and multiple sclerosis (MS). Social cognition involves processing of social information, in particular the abilities to perceive social signals, understand others and respond appropriately (Adolphs 2001). Crucial aspects of social cognition are the recognition of facial expressions of emotions, perspective taking (also referred to as mentalizing or Theory of Mind), and empathy. Impairments in social cognition can have a large negative impact on self-care, communication, social and professional functioning, and thus on quality of life of patients.

Recently, a first multi-faceted treatment for social cognitive impairments in TBI was developed and evaluated; T-ScEmo (Training Social Cognition and Emotion). T-ScEmo turned out to be effective in reducing social cognitive symptoms and improving daily life social functioning in this particular group, with effects lasting over time (Westerhof-Evers et al, 2017, 2019).

Read more

Unfortunately, up till now there are no evidence based, transdiagnostic treatment possibilities available for these impeding social cognition impairments in neurological patient groups, other than TBI. Therefore the aim of the present study is to investigate whether T-ScEmo is effective for social cognition disorders in patients with different neurological impairments, such as stroke (including subarachnoidal haemorrhage (SAH)), brain tumours, MS, infection (meningitis, encephalitis) and other. The secondary objective is to determine which patient related factors are of influence on treatment effectiveness. In short, hopefully this study can contribute to a treatment possibility for social cognition disorders for all patients with various neurological disorders.

It is expected that T-ScEmo will be effective for various neurological disorders, based on previous research of Westerhof-Evers et al. (2017, 2019). Since social cognition disorders within patients with traumatic brain injury do all have the same ethiology it is expected that the treatment will show the same effects for patients with various neurological disorders. Therefore it is expected that patients will improve on social cognition, social participation and quality of life and social behaviour, that these results will last over time.

Being tested
Treatment social cognition and emotion regulation (T-ScEmo)
Keywords
Neuropsychology, Treatment, Social cognitive disorders, Emotion recognition, Theory of Mind, Social behaviour, Neurological disorders, Stroke, Brain tumour, Mulitple Sclerosis
Medical subject headings
Stroke, Multiple Sclerosis, Brain Neoplasms, Social Behavior, Nervous System Diseases

What participants receive

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

  • Treatment social cognition and emotion regulation (T-ScEmo)Behavioural

    T-ScEmo is a multifaceted treatment protocol that has the overall aim to improve social cognition, regulation of social behaviour and social participation in everyday life (Westerhof et al., 2017; 2019). The treatment includes, in addition to practicing social cognitive skills throughout the treatment, close involvement of a significant other, and homework assignments. The treatment consists of three modules that address 1) perception of social information including facial expressions of emotions, 2) perspective taking and understanding of social information and 3) regulation of social behaviour. The treatment contains 15-one hour live treatment sessions with a neuropsychologist and 5 online practice sessions, once or twice a week. In the online sessions, the patient can practice the information at home as a neuropsychologist is available for questions. When patients find it too difficult to practice individually at home, there is a opportunity to offer these sessions as live sessions

Study groups in NCT06330298
Study groupRoleWhat they receive
Experimental condition: Receives T-ScEmo TreatmentExperimentalExperimental group. Receives T-ScEmo Treatment during the study between T0 and T1
Receives: Behavioral: Treatment social cognition and emotion regulation (T-ScEmo)
Waiting list group: Will be on waiting list instead of treatmentNo interventionWaiting list group: Will be on waiting list for instead of the treatment for the duration of the treatment between T0 and T1.

What is being measured

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

  1. Change in social behaviour examined by proxy

    The main study parameter will be the difference between baseline (T0) and follow-up (T2) on Dysexecutive Questionnaire Social scales proxy version (DEX-Socproxy; Spikman et al., 2013; Westerhof-Evers, 2017). This scale is scored by the involved proxy of the patient (life partner, family member, friend) and measures the social aspects in daily life: 1) social convention, 2) behavioural-emotional selfregulation 3) metacognition. A higher outcome means more behavioural complaints.

    Measured: Through study completion, an average of 8 to 10 months

Secondary outcomes (18)
  1. Social cognition: Emotion recognition as assessed using the Eckman-60 faces test

    Performance on neuropsychological test measuring emotion recognition; Eckman-60 faces test (EFT). This test has a range between 0 and 60. A higher outcome means a better performance.

    Measured: Through study completion, an average of 8 to 10 months

  2. Social cognition: Theory of Mind as assessed using the Happé cartoons test

    Performance on neuropsychological test measuring Theory of Mind; Happé cartoons test. This test has a range between 0 and 36. A higher outcome means a better performance.

    Measured: Through study completion, an average of 8 to 10 months

  3. Social cognition: Theory of Mind as assessed using the Faux Pas test

    Performance on neuropsychological test measuring Theory of Mind: Faux Pas test. This test has a range between 0 and 10. A higher outcome means a better performance.

    Measured: Through study completion, an average of 8 to 10 months

  4. Social cognition: assessed using the Hailing Sentence Completion Test

    Performance on neuropsychological test measuring inhibition; Hailing Sentence Completion Test. This test has a range between 1 and 10. A higher outcome means a better performance.

    Measured: Through study completion, an average of 8 to 10 months

  5. Demographic information

    Demographic information such as age, sex, educational level, will be obtained from medical records and anamnesis.

    Measured: Through study completion, an average of 8 to 10 months

  6. Self-rated social behaviour as assessed using the Dysexecutive questionnaire Social Scales.

    Self-reated social behaviour will be measured with a self rating on the Dysexecutive questionnaire Social Scales. Measuring the social aspects in daily life: 1) social convention, 2) behavioural-emotional selfregulation 3) metacognition. This scale has a range between 0 and 80. A higher outcome means more complaints.

    Measured: Through study completion, an average of 8 to 10 months

  7. Self-rated social behaviour as assessed using the Interpersonal Reactivity Index

    Self-rated social behavior will be measured with the Interpersonal Reactivity Index (IRI). This scale has a range between 0 and 108. A higher outcome means less behavioural complaints.

    Measured: Through study completion, an average of 8 to 10 months

  8. Self-rated social behaviour as assessed using The Dutch version of the BAFQ social scales

    Self-rated social behavior will be measured with The Dutch version of the BAFQ social scales (BAFQ-SOC). Moreover, patients answer if they have changed on that certain topic after brain damage. A higher outcome means less behavioural complaints and more change.

    Measured: Through study completion, an average of 8 to 10 months

  9. Proxy-rated social behaviour as assessed using the Interpersonal Reactivity Index

    Proxy-rated social behavior will be measured with the Interpersonal Reactivity Index, proxy version (IRI). This scale has a range between 0 and 108. A higher outcome means less behavioural complaints.

    Measured: Through study completion, an average of 8 to 10 months

  10. Proxy-rated social behaviour as assessed using the Socioemotional Dysfunction Scale

    Proxy-rated social behavior will be measured with the Socioemotional Dysfunction Scale (SDS). This scale has a range between 40 and 200. A higher outcome means more complaints.

    Measured: Through study completion, an average of 8 to 10 months

  11. Proxy-rated social behaviour as assessed using the Dutch version of the BAFQ social scales

    Proxy-rated social behavior will be measured with the Dutch version of the BAFQ social scales, proxy version (BAFQ-SOC). Moreover, proxies answer if patients have changed on that certain topic after brain damage. A higher outcome means less behavioural complaints and more change.

    Measured: Through study completion, an average of 8 to 10 months

  12. Alexithymia

    The presence of alexithymia will be measured with a self-rating on the Toronto Alexithymia Scale (TAS-20). This scale has a range between 20 and 100. A higher outcome means more complaints.

    Measured: Through study completion, an average of 8 to 10 months

  13. Life satisfaction

    Quality of life will be determined with a self-rating on the Life Satisfaction Questionnaire (LSQ-9). This scale has a range between 6 and 54. A higher outcome means a higher subjective quality of life.

    Measured: Through study completion, an average of 8 to 10 months

  14. (Social) participation as assessed using the Utrecht Scale for Evaluation of Rehabilitation

    The level of societal participation will be measured with the scores on the Utrecht Scale for Evaluation of Rehabilitation (USER-P). A higher outcome means higher participation rate.

    Measured: Through study completion, an average of 8 to 10 months

  15. (Social) participation as assessed using the Impact on Participation and Autonomy scale

    The level of societal participation will be measured with the Impact on Participation and Autonomy (IPA). A higher outcome means lower participation rate.

    Measured: Through study completion, an average of 8 to 10 months

  16. Mood and anxiety

    The level of mood and anxiety will be obtained with the Hospital Anxiety and Depression Scale (HADS). This scale has a range between 0 and 42. A higher outcome means more complaints.

    Measured: Through study completion, an average of 8 to 10 months

  17. Caregiving burden

    The extend to which proxies experience a burden in taking care of the patient wil be measured with the Zarit burden interview. This scale has a range between 0 and 48. A higher outcome means more burden.

    Measured: Through study completion, an average of 8 to 10 months

  18. Goal attainment

    The extent to which patients in the treatment condition improve on their set treatment goals will be measured with the Goal Attainment Scale (GAS). This scale has a range between 1 and 10. A higher outcome means better attainment.

    Measured: Through study completion, an average of 8 to 10 months

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 2024
  2. Study start31 May 2021
  3. Primary completion31 Jan 2025 (estimated)
  4. Study completion31 Jan 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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Experimental condition T0, baseline measurement at point of inclusion (at least \> 6 months post-acute injuries) T1, post measurement within 2 weeks after treatment T2, follow-up measurement within 3 - 5 months after treatment Waiting list condition T0, baseline measurement at point of inclusion (at least \> 6 months post-acute injuries) T1, post measurement within 3 months after T0 T2, follow-up measurement within 3 - 5 months after T1 TBI group T1, post measurement within 2 weeks after treatment T2, follow-up measurement within 3 - 5 months after treatment The participating patients are randomly allocated into two groups: an experimental condition and a waiting list condition. In addition, a group of patients with Traumatic Brain Injury will receive T-ScEmo following regular care.
Masking
Single blind
Who is masked
Investigator
Enrolment
84 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06330298
Sponsor's protocol ID
202000479
Acronym
T-ScEmo4ALL
Status last verified
Apr 2024
First submitted
12 Dec 2023
Last updated
16 Apr 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Heegers A, Rakers SE, van Twillert S, Moulaert VRM, Gerritsen MMJ, van der Naalt J, Spikman JM, Westerhof-Evers HJ. Social Cognitive Treatment (T-ScEmo) for Various Neurological Patient Groups: Study Rationale and Protocol for a Randomized Control Trial (T-ScEmo4ALL). BMC Neurol. 2025 Mar 27;25(1):129. doi: 10.1186/s12883-025-04125-4.

    PubMed 40148852

Questions about this trial

What is this clinical trial studying?

A study testing Treatment social cognition and emotion regulation (T-ScEmo) in people with Stroke and Multiple Sclerosis, run by University Medical Center Groningen at 2 sites in Netherlands.

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 8 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 16 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Netherlands. 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 A Heegers, MSc. (+31503614666, a.heegers@umcg.nl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in social behaviour examined by proxy (time frame: Through study completion, an average of 8 to 10 months). 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 NCT06330298, 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 16 Apr 2024.

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