Mindfulness-based Psychoeducation for Schizophrenia (MBPP)
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Purpose
Only a few intervention studies have also focused on changing patients' negative thoughts and feelings towards the illness and their relationship to the suffering caused by those thoughts, which is evidenced to empower psychosocial functioning and control of distressing thoughts in severe depression and psychotic disorders by using the Mindfulness-Based Stress Reduction program. This controlled trial is designed to test the effects of a mindfulness-based psychoeducation program (MBPP) for Chinese patients with schizophrenia on their symptom severity, illness insight and psychosocial functioning.
| Condition | Intervention |
|---|---|
|
Schizophrenia |
Behavioral: MBPP |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | The Effectiveness of a Mindfulness-based Psychoeducation Program for Chinese Patients With Schizophrenia: An Randomised Controlled Trial |
- Rehospitalisation rate [ Time Frame: from recuritment to the 24-month follow-up ] [ Designated as safety issue: No ]The average number and length of hospital stay over the past six months
- insights to illness and treatment [ Time Frame: from recruitment to 24-month follow-up ] [ Designated as safety issue: No ]Measuring the patients' insights and attitudes to illness and treatment using the Insight and Treatment Attitudes Questionnaire at recruitment, one month, 12 months, and 24 months following intervention
- symptom severity [ Time Frame: from recruitment to 24-month follow-up ] [ Designated as safety issue: No ]Measuring the patients' mental state using the Brief Psychiatric Rating Scale at baseline and one, 12 and 24 months follow-up
| Estimated Enrollment: | 110 |
| Study Start Date: | January 2011 |
| Estimated Study Completion Date: | May 2014 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: MBPP
A structured, researcher-designed mindfulness-based psychoeducation program (6 months), comprised of 12 bi-weekly, 2-hour group sessions (5-6 patients per group). The program was based on the psychoeducation programs by Chien et al. (2010) and Lehman et al. (2004), as well as the 8-session Mindfulness-Based Stress Reduction Program by Kabat-Zinn (1990).
|
Behavioral: MBPP
The program was based on the psychoeducation programs by Chien et al and Lehman et al, as well as the 8-session Mindfulness-Based Stress Reduction Program by Kabat-Zinn(1990)
|
|
Active Comparator: Routine Care
Routine psychiatric outpatient care, including medication, psychaitric consultation in outpatient clinic, brief education by psychiatric nurses, financial and social welfare advices by social workers, and individual counseling by clinical psychologist.
|
Behavioral: MBPP
The program was based on the psychoeducation programs by Chien et al and Lehman et al, as well as the 8-session Mindfulness-Based Stress Reduction Program by Kabat-Zinn(1990)
|
Detailed Description:
Objectives: This study is to test the effectiveness of a mindfulness-based psychoeducation program for Chinese outpatients with schizophrenia over an 18-month follow-up. The program is an integrated, insight-inducing educational program that addresses patients' awareness and knowledge of schizophrenia and skills of illness management.
Methods: A multi-site controlled trial will be conducted with 96 Chinese patients with schizophrenia in Hong Kong. They will be randomly assigned to either the mindfulness-based psychoeducation program or usual psychiatric care. The patients' mental and psychosocial functioning, insights into illness and their re-hospitalization rates will be measured at recruitment and at one, 12 and 24 months after the intervention.
Hypothesis: The patients in the psychoeducation program will report significantly greater improvements in their illness insights, symptom severity and length of re-hospitalizations over the 24-month follow-up, compared with those in usual care.
Conclusions: The findings will provide evidence whether the mindfulness-based education program can improve Chinese schizophrenia sufferers' psychosocial functioning and reduce their illness relapse.
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- outpatients,
- aged 18+,
- diagnosed as schizophrenic (< 5 years) according to the DSM-IV
Exclusion Criteria:
- not able to understand the psychoeducation content,
- mentally unstable at recruitment and
- with co-morbidity of other severe mental health problems such as depression
Contacts and Locations| Contact: Chien WT, PhD | 852-27665648 | chinwaton@gmail.com |
| Contact: Chan Alan, MSc | 852-27664146 | rsalanc@polyu.edu.hk |
| Hong Kong | |
| Li Ka Shing Specialty OPD | Recruiting |
| Sha Tin, NT, Hong Kong | |
| Contact: Chan SWC, PhD 852-2609 6222 waitongchi@yahoo.com.hk | |
| Principal Investigator: Chien WT, PhD | |
| CPH | Recruiting |
| Tuen Mun, NT, Hong Kong | |
| Contact: Alan Chan, MSc 852-27664146 rsalanc@polyu.edu.hk | |
| Sub-Investigator: Alan Chan, MSc | |
| Principal Investigator: | Chien WT, PhD | The HK Polytechnic University |
More Information
Publications:
| Responsible Party: | Chien Wai-Tong, Professor, The Hong Kong Polytechnic University |
| ClinicalTrials.gov Identifier: | NCT01667601 History of Changes |
| Other Study ID Numbers: | D50888 |
| Study First Received: | August 15, 2012 |
| Last Updated: | May 3, 2013 |
| Health Authority: | Hong Kong: The Hong Kong Polytechnic University |
Keywords provided by The Hong Kong Polytechnic University:
|
mindfulness-based program Psychoeducation schizophrenia Chinese outpatients |
Additional relevant MeSH terms:
|
Schizophrenia Schizophrenia and Disorders with Psychotic Features Mental Disorders |
ClinicalTrials.gov processed this record on June 18, 2013