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Trial registered on ANZCTR
Registration number
ACTRN12610000467033
Ethics application status
Approved
Date submitted
6/06/2010
Date registered
9/06/2010
Date last updated
9/06/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
Metacognition and Mindfulness: A Group Intervention for Reducing Distress in Early Episode Psychosis
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Scientific title
Metacognition and Mindfulness: A Group Intervention for Reducing Distress in Early Episode Psychosis
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Secondary ID [1]
251961
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NA
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Universal Trial Number (UTN)
U1111-1115-4559
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Psychosis
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Condition category
Condition code
Mental Health
257687
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Psychosis and personality disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: other
- 8 x 2 hour weekly sessions
- Total 8 week program
- Administered by 2 Clinical Psychology Trainee's and a Clinical Psychologist to groups of up to 10 people
- Each week begins with a 45 minutes delivered content on Metacognition. A different topic, such as attribution, thinking errors affecting self esteem, or jumping to conclusions is delievered each week. The topic is delievered via powerpoint and active discussion is encouraged by participants. Participants are given a summary sheet each week and optional homework. The metacognition component of the study was created by Steffen Moritz and is freely downloadable from: http://www.uke.de/kliniken/psychiatrie/index_17380.php
- Following the Metacognition component a break, 45 minutes of Mindfulness training is delievered. This consists of 2 x 10 minute mindfulness meditations and a discussion of mindfulness and psychosis inbetween. Participants are given a mindfulness CD and are encouraged to practice mindfulness between each session.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
Uncontrolled
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Primary Outcome 1: mean Brief Symptom Inventory Score
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Assessment method [1]
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Timepoint [1]
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Timepoints: baselines, 8 and 12 weeks
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Primary outcome [2]
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Primary Outcome 2: mean Psychotic Symptom Rating Scales (PSYRATS) score
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Assessment method [2]
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Timepoint [2]
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Timepoints: basline, 8 and 12 weeks
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Primary outcome [3]
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Primary Outcome 3: mean Southampton Mindfulness Questionnaire score
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Assessment method [3]
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Timepoint [3]
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Timepoints: basline, 8 and 12 weeks
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Secondary outcome [1]
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Secondary Outcome 1: Mean Metacogniton-30 questionnaire score
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Assessment method [1]
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Timepoint [1]
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Baslines, 8 and 12 weeks
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Eligibility
Key inclusion criteria
Diagnosis of Psychosis.
Individuals are recruited from the 'Early Episode Psychosis' program of Peel, Rockingham and Kwinana Mental health Service. The program treats individuals between the ages of 18-40 years experiencing their first known psychotic episode and aims to improve quality of life, reduce relapse rates and duration of illness by early sustained treatment.
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Minimum age
18
Years
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Maximum age
40
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Currently Acute Individuals - defined in the study as individuals who received treatment for psychosis in an inpatient setting within 28 days of the group intervention begining.
NB: However, if a participants treating psychiatrist feels that an individual is in the recovery or maintenance phase of psychosis and would benefit from the group intervention, then they may be included in the study even if they were in an inpatient setting 28 days prior to the group beginning
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
3/06/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
8
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Primary sponsor type
University
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Name
Murdoch univeristy
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Address
90 Murdoch Drive
Murdoch
WA
6150
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Country
Australia
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Secondary sponsor category [1]
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Government body
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Name [1]
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Rockingham Kwinana Mental Health Service
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Address [1]
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Ameer Street
Rockingham
WA
6168
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Murdoch University Human Ethics Committee
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Ethics committee address [1]
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90 South Street Murdoch WA 6150
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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14/05/2010
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Ethics approval number [1]
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2010/098
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Summary
Brief summary
To the author’s knowledge, this is the first intervention within Australia with any psychotic population which combines metacognitive and mindfulness interventions. It is also to the author’s knowledge, the first intervention which has used metacognitive or mindfulness interventions for individuals with First Episode Psychosis. All previous evaluations of metacognitive (see Moritz and Woodward, 2010; Moritz et al, 2007) or mindfulness interventions have focused on individuals with chronic psychosis (see Chadwick et al 2009; Taylor and Chadwick et al 2009; Clarke, 2001). However, delivering psychological interventions at an earlier stage of psychosis (such as in Early Episode Psychosis program) has been demonstrated to have a better prognosis, decrease longer-term negative impact of psychosis on the individuals functioning, and to offer potential in decreasing relapse and hospitalization rates (McGorry, 2009; Birchwood, 2008; Boonstra et al 2009). The intervention, being implemented by Peel and Rockingham Kwinana Mental Health Service (PaRK), therefore offers the potential to decrease distress and dysfunction associated with psychosis in the short and longer-term by combining the two previously evidenced based psychological interventions.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Chris Hepworth
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Address
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189 Royal Street
Office of the Chief Psychiatrist
Department of Health
East Perth
WA
6004
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Country
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Australia
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Phone
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+61892224492
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Chris Hepworth
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Address
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189 Royal Street
Office of the Chief Psychiatrist
Department of Health
East Perth
WA
6004
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Country
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Australia
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Phone
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+61892224492
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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