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| Name | Class |
|---|---|
| Fundación Renal Iñigo Alvarez De Toledo | OTHER |
| Centro de Enseñanza Superior Cardenal Cisneros | UNKNOWN |
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Investigation of the efficacy of Acceptance and Commitment Therapy (ACT) for the psychological treatment of patients with chronic kidney disease.
After being informed about the study, all patients giving written informed consent will be assessed to determine eligibility for study entry.
The clinical trial will include a control group (waiting list).
Patients who meet eligibility requirements will be assigned to control group or intervention group.
Psychological intervention will consist in an 8-session individual face-to-face delivered ACT-based treatment.
The participants will be assessed through self-report instruments before and after treatment and at 3 months follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ACT group | Experimental | 8 individual weekly sessions which included ACT methods |
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| Waiting list | No Intervention | Participants assigned to Waiting List arm waited for 5 months before receiving treatment |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ACT | Behavioral | Acceptance and Commitment Therapy methods were focused on promoting Values clarification, Acceptance, Cognitive defusion, Committed action and Flexible attention to the present moment, and included methods such as the Garden Metaphor, Funeral exercise or Mindfulness training. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in emotional distress assessed through Hospital Anxiety and Depression Scale (HADS) | HADS assesses anxiety, depression and emotional distress. It is a 14-item four-point Likert-type scale. Scores range between 0 and 42. Higher the score in the overall score indicate higher levels of emotional distress and worse outcome. | Change from Baseline Emotional Distress at 5 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Simplified Medication Adherence Questionnaire (SMAQ) | SMAQ assesses adherence to medication. It is a 6-item questionnaire that evaluates different aspects of patient compliance with treatment: forgetfulness, routine, adverse effects, and omissions. A patient is classified as non-compliant if he/she responds to any of the questions with a non-adherence answer, and in terms of quantification, if the patient has lost more than two doses during the last week or has not taken medication during more than two complete days during the last three months. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Francisco Montesinos, Ph.D. | Contact | +34647413773 | francisco.montesinos@universidadeuropea.es |
| Name | Affiliation | Role |
|---|---|---|
| Francisco Montesinos, Ph.D. | Universidad Europea de Madrid | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fundación Renal Iñigo Alvarez de Toledo | Recruiting | Madrid | 28003 | Spain |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jul 8, 2023 | Oct 13, 2023 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Jul 8, 2023 | Oct 13, 2023 | ICF_001.pdf |
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| D003863 | Depression |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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Randomization assigned participants to 2 arms:
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Participants did not know that two different treatments were delivered.
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| Change from Baseline Adherence at 5 months |
| Change in COOP/WONCA questionnaire | COOP/WONCA assesses health related Quality of Life (HRQOL). It was selected the 7-item five-point Likert-type version of the scale. Scores range between 0 and 35. Higher scores indicate lower levels of HRQOL and worse outcome. | Change from Baseline health related Quality of Life at 5 months |
| Change in Acceptance and Action Questionnaire in the context of Haemodialysis (CAAH-II) | Acceptance and Action Questionnaire' assesses psychological inflexibility. It is a 7-item, seven-point Likert-type scale. Scores range between 7 and 49. Higher scores indicate higher levels of psychological inflexibility and worse outcome. | Change from Baseline psychological inflexibility at 5 months |
| Change in coping skills assessed through coping strategies inventory -short form (CSI-SF) | CSI-SF is a 15-item, five-point Likert-type scale which includes four subscales: Problem Focused Engagement (PFE), Problem Focused Disengagement (PFD), Emotion Focused Engagement (EFE) and Emotion Focused Disengagement (EFD). | Change from Baseline coping strategies at 5 months |
| Change in mood assessed through Daylio App | Daylio is a mobile app which allows daily assessing mood through emoticons which will be transformed into a five-point Likert-type scale. Scores range between 1 and 5. Higher scores indicate higher better mood and better outcome. | Change from Baseline mood at 5 months |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |