Clinical trial NCT04462146: An Internet-based Self Applied Treatment Program for Prolonged Grief Disorder (PGD)
Official title: Internet-based Self Applied Treatment Program for Prolonged Grief Disorder (PGD): An Open Clinical Trial
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Prolonged Grief Disorder
Lead sponsor: Universitat Jaume I
Sponsor class: OTHER
First posted: 2020-07-08
Enrollment: 24
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to investigate the feasibility, acceptability and preliminary efficacy of an internet delivered cognitive behavior treatment (ICBT) for people with prolonged grief disorder (PGD) compared to a face-to-face intervention for PGD.

Detailed description: Grief is an intense emotional reaction to the loss of a loved one. It produces feelings of regret and longing that usually decrease over time. However, some people have difficulty adapting to the loss and develop Prolonged Grief Disorder (PGD). An open clinical trial will be conducted to investigate the feasibility \[initial efficacy and acceptability\] of an Internet delivered cognitive behavior treatment (ICBT) for adult people diagnosed with prolonged grief disorder (PGD). There will be at least 24 participants that will be randomly assigned to experimental group (internet-based treatment for PGD) or active control group (traditional face- to-face intervention for PGD). Four assessment moments will be included (pre-treatment, post-treatment, 3 months follow-up and 12 months follow-up). The present study aims to improve knowledge about the feasibility, acceptability and preliminary efficacy of an ICBT for PGD and conduct a preliminary comparison between two intervention conditions (internet-based intervention vs. traditional face-to-face intervention). Also, the investigators aim to collect information that can help to improve the efficacy and acceptability of Internet-based interventions in general.

Eligibility criteria: Inclusion Criteria:

* Age ≥ 18 years
* Meeting diagnostic criteria for PGD
* Sign an informed consent
* Ability to understand and read Spanish
* Ability to use a computer and having access to the Internet
* Having an e-mail address

Exclusion Criteria:

* Presence of risk of suicide or self-destructive behaviors
* Presence of another severe mental disorder (substance abuse or dependence, psychotic disorder, dementia o bipolar disorder)
* Presence of severe personality disorder
* Presence of a medical condition whose severity or characteristics prevent the performance of treatment
* Receiving other psychological treatment during the study for PGD
* An increase and/or change in the medication during the study period

Primary outcomes:
measure: Change in the Inventory of Complicated Grief (ICG) validated in the Spanish population
timeFrame: immediately pre-treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
measure: Change in the Beck Depression Inventory - Second Edition validated in the Spanish population
timeFrame: immediately pre-treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
Secondary outcomes:
measure: Change in the Overall Anxiety Severity and Impairment Scale (OASIS) validated in the Spanish population
timeFrame: immediately pre-treatment, weekly during treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
measure: Change in the Overall Depression Severity and Impairment Scale (ODSIS) validated in the Spanish population
timeFrame: immediately pre-treatment, weekly during treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
measure: Change in the Positive and Negative Affect Schedule (PANAS) validated in the Spanish population
timeFrame: immediately pre-treatment, weekly during treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
measure: Change in the Quality of Life Index (QLI) validated in Spanish language
timeFrame: immediately pre-treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
measure: Change in the Work and Social Adjustment Scale (WSAS) validated in Spanish language
timeFrame: immediately pre-treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
measure: Change in the Posttraumatic Growth Inventory (PTGI) validated in Spanish language
timeFrame: immediately pre-treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
measure: Change in Five-Facet Mindfulness Questionnaire (FFMQ-15) validated in Spanish population
timeFrame: immediately pre-treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
measure: Change in Self-Compassion Scale Short Form (SCS-SF) validated in Spanish population
timeFrame: immediately pre-treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
measure: Change in Typical Beliefs Questionnaire (TBQ)
timeFrame: immediately pre-treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
measure: Change in Purpose-In-Life Test (PIL- 10)
timeFrame: immediately pre-treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
Other outcomes:
measure: Change in Prolonged Grief Disorder-13 (PG-13) validated in Spanish population
timeFrame: immediately pre-treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
measure: Change in ADIS Clinician's severity rating scale
timeFrame: immediately pre-treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
measure: Change in The Structured Clinical Interview for Complicated Grief (SCI-CG)
timeFrame: immediately pre-treatment, immediately post-treatment, 3-month post-treatment, 12-month post-treatment
measure: Change in Expectations and satisfaction Questionnaire
timeFrame: immediately pre-treatment, immediately post-treatment
measure: Qualitative opinion interview
timeFrame: immediately post-treatment
measure: Preference scale
timeFrame: immediately pre-treatment, immediately post-treatment
measure: Usability and Acceptance Questionnaire
timeFrame: immediately post-treatment
Locations:
city: Castellón de la Plana
country: Spain
facility: Universitat Jaume I
Study officials:
affiliation: Universitat Jaume I
name: Soledad Quero, psychology
role: STUDY_DIRECTOR
affiliation: Universitat Jaume I
name: Daniel Campos, psychology
role: STUDY_DIRECTOR
affiliation: Universitat Jaume I
name: Cintia Tur, psychology
role: STUDY_CHAIR
References:
citation: Mauro C, Reynolds CF, Maercker A, Skritskaya N, Simon N, Zisook S, Lebowitz B, Cozza SJ, Shear MK. Prolonged grief disorder: clinical utility of ICD-11 diagnostic guidelines. Psychol Med. 2019 Apr;49(5):861-867. doi: 10.1017/S0033291718001563. Epub 2018 Jun 18.
citation: Prigerson HG, Horowitz MJ, Jacobs SC, Parkes CM, Aslan M, Goodkin K, Raphael B, Marwit SJ, Wortman C, Neimeyer RA, Bonanno GA, Block SD, Kissane D, Boelen P, Maercker A, Litz BT, Johnson JG, First MB, Maciejewski PK. Prolonged grief disorder: Psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Med. 2009 Aug;6(8):e1000121. doi: 10.1371/journal.pmed.1000121. Epub 2009 Aug 4.
citation: Estevan, P., del Miguel, C., Prigerson, H., García-García, JA., del Cura, & GEDUPROL. (2019). Adaptación trascultural y validación del cuestionario PG-13 para la detección precoz de duelo prolongado. Psicooncología, 14(1), 163-164. https://doi.org/10.5209/PSIC.55820
citation: Bui E, Mauro C, Robinaugh DJ, Skritskaya NA, Wang Y, Gribbin C, Ghesquiere A, Horenstein A, Duan N, Reynolds C, Zisook S, Simon NM, Shear MK. THE STRUCTURED CLINICAL INTERVIEW FOR COMPLICATED GRIEF: RELIABILITY, VALIDITY, AND EXPLORATORY FACTOR ANALYSIS. Depress Anxiety. 2015 Jul;32(7):485-92. doi: 10.1002/da.22385. Epub 2015 Jun 9.
citation: Prigerson HG, Maciejewski PK, Reynolds CF 3rd, Bierhals AJ, Newsom JT, Fasiczka A, Frank E, Doman J, Miller M. Inventory of Complicated Grief: a scale to measure maladaptive symptoms of loss. Psychiatry Res. 1995 Nov 29;59(1-2):65-79. doi: 10.1016/0165-1781(95)02757-2.
citation: Limonero Garcia, J., Lacasta Reverte, M., Garcia Garcia, J., Mate Mendez, J., & Prigerson, H. (2009). Adaptación al castellano del inventario de duelo complicado. Medicina Paliativa, 16(5), 291-297.
citation: Beck, A.T., Steer, R.A., y Brown, G.K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.
citation: Sanz, J., Navarro, M. E., y Vázquez, C. (2003). Adaptación española del Inventario para la Depresión de Beck-II (BDI-II): 1. Propiedades psicométricas en estudiantes universitarios. Análisis y Modificación de Conducta, 29, 239-288.
citation: Campbell-Sills L, Norman SB, Craske MG, Sullivan G, Lang AJ, Chavira DA, Bystritsky A, Sherbourne C, Roy-Byrne P, Stein MB. Validation of a brief measure of anxiety-related severity and impairment: the Overall Anxiety Severity and Impairment Scale (OASIS). J Affect Disord. 2009 Jan;112(1-3):92-101. doi: 10.1016/j.jad.2008.03.014. Epub 2008 May 16.
citation: Gonzalez-Robles A, Mira A, Miguel C, Molinari G, Diaz-Garcia A, Garcia-Palacios A, Breton-Lopez JM, Quero S, Banos RM, Botella C. A brief online transdiagnostic measure: Psychometric properties of the Overall Anxiety Severity and Impairment Scale (OASIS) among Spanish patients with emotional disorders. PLoS One. 2018 Nov 1;13(11):e0206516. doi: 10.1371/journal.pone.0206516. eCollection 2018.
citation: Bentley KH, Gallagher MW, Carl JR, Barlow DH. Development and validation of the Overall Depression Severity and Impairment Scale. Psychol Assess. 2014 Sep;26(3):815-830. doi: 10.1037/a0036216. Epub 2014 Apr 7.
citation: Mira A, Gonzalez-Robles A, Molinari G, Miguel C, Diaz-Garcia A, Breton-Lopez J, Garcia-Palacios A, Quero S, Banos R, Botella C. Capturing the Severity and Impairment Associated With Depression: The Overall Depression Severity and Impairment Scale (ODSIS) Validation in a Spanish Clinical Sample. Front Psychiatry. 2019 Apr 9;10:180. doi: 10.3389/fpsyt.2019.00180. eCollection 2019.
citation: Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988 Jun;54(6):1063-70. doi: 10.1037//0022-3514.54.6.1063.
citation: Diaz-Garcia A, Gonzalez-Robles A, Mor S, Mira A, Quero S, Garcia-Palacios A, Banos RM, Botella C. Positive and Negative Affect Schedule (PANAS): psychometric properties of the online Spanish version in a clinical sample with emotional disorders. BMC Psychiatry. 2020 Feb 10;20(1):56. doi: 10.1186/s12888-020-2472-1.
citation: Tedeschi RG, Calhoun LG. The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. J Trauma Stress. 1996 Jul;9(3):455-71. doi: 10.1007/BF02103658.
citation: Weiss, T., & Berger, R. (2006). Reliability and validity of a Spanish version of the posttraumatic growth inventory. Research on Social Work Practice, 16(2), 191-199. https://doi.org/10.1177/1049731505281374
citation: Mezzich, J. E., Cohen, N. L., & Ruiperez, M. A. (1996). A Quality of Life Index: Brief description and validation. Paper presented at the International Congress of the International Federation for Psychiatric Epidemiology. Santiago de Compostela, Spain.
citation: Mezzich JE, Ruiperez MA, Perez C, Yoon G, Liu J, Mahmud S. The Spanish version of the quality of life index: presentation and validation. J Nerv Ment Dis. 2000 May;188(5):301-5. doi: 10.1097/00005053-200005000-00008.
citation: Mundt JC, Marks IM, Shear MK, Greist JH. The Work and Social Adjustment Scale: a simple measure of impairment in functioning. Br J Psychiatry. 2002 May;180:461-4. doi: 10.1192/bjp.180.5.461.
citation: Echezarraga A, Calvete E, Las Hayas C. Validation of the Spanish Version of the Work and Social Adjustment Scale in a Sample of Individuals With Bipolar Disorder. J Psychosoc Nurs Ment Health Serv. 2019 May 1;57(5):44-51. doi: 10.3928/02793695-20181128-02. Epub 2018 Dec 4.
citation: Gu J, Strauss C, Crane C, Barnhofer T, Karl A, Cavanagh K, Kuyken W. Examining the factor structure of the 39-item and 15-item versions of the Five Facet Mindfulness Questionnaire before and after mindfulness-based cognitive therapy for people with recurrent depression. Psychol Assess. 2016 Jul;28(7):791-802. doi: 10.1037/pas0000263. Epub 2016 Apr 14.
citation: Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S, Walsh E, Duggan D, Williams JM. Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment. 2008 Sep;15(3):329-42. doi: 10.1177/1073191107313003. Epub 2008 Feb 29.
citation: Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L. Using self-report assessment methods to explore facets of mindfulness. Assessment. 2006 Mar;13(1):27-45. doi: 10.1177/1073191105283504.
citation: Asensio-Martinez A, Masluk B, Montero-Marin J, Olivan-Blazquez B, Navarro-Gil MT, Garcia-Campayo J, Magallon-Botaya R. Validation of Five Facets Mindfulness Questionnaire - Short form, in Spanish, general health care services patients sample: Prediction of depression through mindfulness scale. PLoS One. 2019 Apr 2;14(4):e0214503. doi: 10.1371/journal.pone.0214503. eCollection 2019.
citation: Garcia-Campayo J, Navarro-Gil M, Andres E, Montero-Marin J, Lopez-Artal L, Demarzo MM. Validation of the Spanish versions of the long (26 items) and short (12 items) forms of the Self-Compassion Scale (SCS). Health Qual Life Outcomes. 2014 Jan 10;12:4. doi: 10.1186/1477-7525-12-4.
citation: Raes F, Pommier E, Neff KD, Van Gucht D. Construction and factorial validation of a short form of the Self-Compassion Scale. Clin Psychol Psychother. 2011 May-Jun;18(3):250-5. doi: 10.1002/cpp.702. Epub 2010 Jun 8.
citation: Skritskaya NA, Mauro C, Olonoff M, Qiu X, Duncan S, Wang Y, Duan N, Lebowitz B, Reynolds CF 3rd, Simon NM, Zisook S, Shear MK. Measuring Maladaptive Cognitions in Complicated Grief: Introducing the Typical Beliefs Questionnaire. Am J Geriatr Psychiatry. 2017 May;25(5):541-550. doi: 10.1016/j.jagp.2016.09.003. Epub 2016 Sep 19.
citation: García-Alandete, J., Martínez, E. R., & Nohales, P. S. (2013). Estructura factorial y consistencia interna de una versión española del Purpose-In-Life Test. Universitas Psychologica, 12(2), 517-530. https://doi.org/10.11144/Javeriana.UPSY12-2.efci
citation: Crumbaugh JC. Cross-validation of Purpose-in-Life test based on Frankl's concepts. J Individ Psychol. 1968 May;24(1):74-81. No abstract available.
citation: Tur C, Campos D, Herrero R, Mor S, Lopez-Montoyo A, Castilla D, Quero S. Internet-delivered Cognitive-Behavioral Therapy (iCBT) for Adults with Prolonged Grief Disorder (PGD): A Study Protocol for a Randomized Feasibility Trial. BMJ Open. 2021 Jul 6;11(7):e046477. doi: 10.1136/bmjopen-2020-046477.