RecruitingNot ApplicableNCT05567575

Cognitive Behavior Therapy (CBT) Informed Mobile-Application for First Episode Psychosis

Culturally Adapted Cognitive Behavior Therapy (CBT) Informed Mobile-Application for First Episode Psychosis (FEP). A Feasibility Randomised Controlled Trial

Sponsor

Pakistan Institute of Living and Learning

Enrollment

100 participants

Start Date

Oct 1, 2022

Study Type

INTERVENTIONAL

Conditions

Psychosis

Summary

Onset of First Episode Psychosis (FEP) is at a young age and is a critical period influencing the long-term course of the disorder. Failure to identify FEP can lead to serious implications such as disruption of education, reduced long-term employment, huge economic burden, and is associated with significantly higher mortality. The prevalence of psychosis increases rapidly from age 14 onwards with a peak incidence in the late teens and early 20s. The aim of the project is to examine the acceptability and feasibility of a mobile phone application-based intervention 'TechCare-PK', for individuals with psychosis in Pakistan. The main objectives are to determine whether appropriate individuals could be identified and recruited to the study and whether the TechCare App would be an acceptable intervention for individuals with psychosis.

Eligibility

Min Age: 18 Years

Inclusion Criteria6

Male and Females patients diagnosed with FEP- Schizophrenia or Schizoaffective disorder.
Over the age of 18 years.
A score of three or more on any of the positive symptoms on the PANSS
A Minimum score of one on the Calgary Depression scale (CDS)
Having smart phone and able to use smart phone functions.
Able to understand written and spoken Urdu.

Exclusion Criteria2

Exclusions will be any evidence of organic brain disease, clinically significant concurrent medical illness, learning disability.
unable to use simple functions of an android phone

Interventions

BEHAVIORALCognitive Behavioral Therapy,

TechCare is based on the intelligent real time therapy (iRTT) conceptual model proposed by Kelly et al. iRTT relates to the use of mobile technologies to deliver interventions such as CBT, extending beyond assessment of symptoms. The intervention is based on the treatment manual developed by David G. Kingdon and Douglas Turkington. The intervention is informed by evidence based cognitive models of psychosis, where the participant is able to choose from a list of pre-selected digital self-help strategies that are personalised to each participant. For example, the App may incorporate the participant's favourite music in the form of multimedia or YouTube links, which are prompted during symptom elevation. Other examples may include psychoeducation, goal setting, problem-solving, etc., based on common self-help strategies in CBT for Psychosis (CBTp).