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Non-Pharmacological Treatment of Psychosis

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ClinicalTrials.gov Identifier: NCT04051775
Recruitment Status : Recruiting
First Posted : August 9, 2019
Last Update Posted : August 3, 2022
Sponsor:
Information provided by (Responsible Party):
Haukeland University Hospital

Tracking Information
First Submitted Date May 16, 2019
First Posted Date August 9, 2019
Last Update Posted Date August 3, 2022
Actual Study Start Date December 1, 2018
Estimated Primary Completion Date June 30, 2023   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: August 8, 2019)
Serious adverse events [ Time Frame: One year ]
To investigate the prevalence of any Serious Adverse Events (SAE) in the NorPharm group compared to the control group
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: August 8, 2019)
  • Time to remission [ Time Frame: One year ]
    To investigate the time to remission (absence of positive psychotic symptoms as determined by the Positive And Negative Syndrome Scale)
  • Time to recovery [ Time Frame: One year ]
    To investigate the time to recovery (absence of positive psychotic symptoms plus normalized functioning)
  • Time to relapse [ Time Frame: One year ]
    To investigate the time to relapse (presence of positive psychotic symptoms)
  • Insight [ Time Frame: One year ]
    To investigate the change of insight as determined by Beck Cognitive Insight Scale (BCIS)
  • Insight [ Time Frame: One year ]
    To investigate the change of insight as determined by Medication Adherence Report Scale
  • Insight [ Time Frame: One year ]
    To investigate the change of insight as determined by Birchwood Insight Scale
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Non-Pharmacological Treatment of Psychosis
Official Title Non-Pharmacological Treatment of Psychosis
Brief Summary The objectives of the project are to investigate feasibility, safety, and health-related outcomes in patients with psychosis who choose not to use antipsychotic drugs (APs). The instruction from the Ministry of Health and Care Services to establish "Medication Free" (non-pharmacological (NonPharm)) treatment services, which has received substantial critique for being given without support in scientific evidence, provides a window of opportunity for research in an under-investigated field. The study will prospectively follow a cohort over 1 year who seeks NonPharm treatment, with repeated measurements of symptoms, functional outcomes, quality of life, adverse events, as well as biological parameters including genetics and brain imaging, and environmental factors, and compare the findings to a control group of users of antipsychotic drugs, matched for age, gender and diagnosis. Current unanswered questions in the treatment of psychosis include which patients can successfully and safely discontinue antipsychotic medication; and what are the long-term symptomatic, biological and functional outcomes after use or non-use of APs, respectively. Taken together there is a fundamental lack of high-quality evidence to guide the treatment options in people who cannot or do not want to use APs in psychosis. This is also a major challenge in the study, as a more rigorous design that could directly compare different treatment options is not feasible, because no alternatives to APs have proven to be sufficiently effective and safe in controlled trials. The study is accordingly expected to provide new exploratory information that could be the basis of intervention studies which in its turn could provide important information for consumers and the mental health services regarding treatment options in psychosis.
Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Probability Sample
Study Population Eligible patients are those seeking NonPharm treatment who has a diagnosis of schizophrenia or related disorder (corresponding to chapter F2 in the ICD-10). Eligible patients will be included from the Division of Psychiatry, Haukeland University Hospital and collaborating District Psychiatric Centers in the same catchment area. The catchment population is 400.000. Both in- and out-patients are eligible for the study.
Condition Psychosis; Schizophrenia-Like
Intervention Not Provided
Study Groups/Cohorts Not Provided
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: August 8, 2019)
50
Original Estimated Enrollment Same as current
Estimated Study Completion Date June 30, 2023
Estimated Primary Completion Date June 30, 2023   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Fulfillment of diagnostic criteria for schizophrenia or related disorder (corresponding to chapter F2 in the ICD-10)
  • The clinician responsible for the treatment must consider nonpharmacological treatment to be professionally justifiable in the patient in question
  • Patient being able/ capable of providing informed consent
  • Patient receiving active treatment including different psychosocial treatments
  • Patient having a treatment plan and a crisis resolution plan.

Exclusion Criteria Not fullfilling inclusion criteria

Sex/Gender
Sexes Eligible for Study: All
Ages Child, Adult, Older Adult
Accepts Healthy Volunteers No
Contacts
Contact: Erik Johnsen, PhD 0047 55958400 erik.johnsen@helse-bergen.no
Contact: Lena Stabell, MSc 0047 55958400 lena.antonsen.stabell@helse-bergen.no
Listed Location Countries Norway
Removed Location Countries  
 
Administrative Information
NCT Number NCT04051775
Other Study ID Numbers 2018/938
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement Not Provided
Current Responsible Party Haukeland University Hospital
Original Responsible Party Same as current
Current Study Sponsor Haukeland University Hospital
Original Study Sponsor Same as current
Collaborators Not Provided
Investigators Not Provided
PRS Account Haukeland University Hospital
Verification Date July 2022