UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000034106
Receipt number R000038868
Scientific Title Effectiveness of metacognitive training for schizophrenic patients: Randomized controlled trial
Date of disclosure of the study information 2021/06/30
Last modified on 2021/02/10 13:26:04

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Effectiveness of metacognitive training for schizophrenic patients: Randomized controlled trial

Acronym

Metacognitive training for schizophrenic patients

Scientific Title

Effectiveness of metacognitive training for schizophrenic patients: Randomized controlled trial

Scientific Title:Acronym

Metacognitive training for schizophrenic patients

Region

Japan


Condition

Condition

Schizophrenia

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Verify the effect of metacognitive training on schizophrenic patients

Basic objectives2

Others

Basic objectives -Others

Search for factors predicting recurrence (re-hospitalization) one year after discharge.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Score change of The Brief Assessment of Cognition in Schizophrenia 3 months after treatment start or discharge

Key secondary outcomes

Score change of Positive and Negative Syndrome Scale 3 months after treatment start or discharge


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Placebo

Stratification

YES

Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Other

Interventions/Control_1

During the hospital stay for a few months, metacognitive training (MCT) will be conducted twice a week, 16 times in total, in addition to usual occupational therapy.

Interventions/Control_2

A usual occupational therapy will be carried out during the hospitalization period of a few months.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

65 years-old >

Gender

Male and Female

Key inclusion criteria

1) Person who is in hospital in psychiatric hospital.
2) Persons diagnosed with schizophrenia or schizophrenia affective disorder.
3) Person who prescribed occupational therapy from the attending physician.
4) After receiving sufficient explanation for the participation of this research, those who gained written consent based on the free will of the patient himself / herself.

Key exclusion criteria

1) Person who is under 20 years old or over 65 years old.
2) Persons who have mergers such as intellectual disability, alcohol / drug dependence (substance abuse / dependence), dementia, epilepsy, head trauma, cerebrovascular disease etc.
3) Persons who are unstable in medical condition and have difficulty performing MCT or cognitive function test.
4) Persons who have not received occupational therapy.
5) Persons who can not obtain consent to participate in research.
6) Person who judged that the doctor or research director is ineligible.

Target sample size

46


Research contact person

Name of lead principal investigator

1st name Masayoshi
Middle name
Last name Kobayashi

Organization

Shinshu University

Division name

Graduate School of Health Science

Zip code

390-8621

Address

Matsumoto

TEL

0263372403

Email

mkobaya@shinshu-u.ac.jp


Public contact

Name of contact person

1st name Masayoshi
Middle name
Last name Kobayashi

Organization

Shinshu University Graduate School of Health Science

Division name

Division of Occupational Therapy

Zip code

390-8621

Address

Matsumoto

TEL

0263372403

Homepage URL


Email

mkobaya@shinshu-u.ac.jp


Sponsor or person

Institute

Tikumaso Mental Hospital

Institute

Department

Personal name



Funding Source

Organization

Shinshu University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Shinshu University Graduate School of Medicine

Address

3-1-1

Tel

0263372403

Email

mkobaya@shinshu-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 06 Month 30 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

24

Results

Post evaluation showed significant improvement in BACS Verbal fluency, Executive function, and Composite score, but two-way ANOVA did not show any interaction. In PANSS, positive and negative symptoms were significantly reduced, and time x group interaction was observed in general pathology. In BCIS, self-reflection in the OT + IMI group tended to improve, but there was no difference between the groups and the interaction was small.

Results date posted

2021 Year 02 Month 10 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Among schizophrenia patients admitted to the psychiatric emergency ward, those who received occupational therapy.The age (M (SD)) of the participants was 44.25 (8.58) years in the OT + MCT group and 43.25 (7.98) years in the OT alone group.

Participant flow

Patients who meet the criteria, n=24.
Random allocation:
OT+MCT group, n=12
OT alone group, n=12
4 members of the OT+MCT group were discharged during the follow-up period.
2 of the OT alone groups were discharged and another two withdrew their consent.

Adverse events

None

Outcome measures

The Brief Assessment of Cognition in Schizophrenia (BACS)
Positive and Negative Syndrome Scale (PANSS)
Beck Cognitive Insight Scale (BCIS)
Intrinsic Motivation Inventory (IMI)
Client Satisfaction Questionnaire (CSQ)

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 09 Month 04 Day

Date of IRB

2018 Year 09 Month 04 Day

Anticipated trial start date

2018 Year 09 Month 10 Day

Last follow-up date

2020 Year 12 Month 31 Day

Date of closure to data entry

2020 Year 12 Month 31 Day

Date trial data considered complete

2020 Year 12 Month 31 Day

Date analysis concluded

2021 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2018 Year 09 Month 12 Day

Last modified on

2021 Year 02 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000038868


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name