About this trial
The goal of this clinical trial is to evaluate if a nursing intervention based on the carbohydrate-insulin model can effectively reduce weight and manage the risk of metabolic syndrome (MetS) in individuals with first-episode psychosis. The main questions it aims to answer are:
Will the intervention lead to a clinically significant weight loss (≥5%)? Can the intervention improve metabolic parameters, psychopathological state, physical activity level, and quality of life? Researchers will compare participants receiving the specialized nursing consultations to those receiving routine care to see if the former group experiences greater improvements in weight loss and metabolic risk reduction.
Participants will:
Attend a series of 8 nursing consultations focused on dietary habits based on the carbohydrate-insulin model and physical activity.
Complete assessments at the start, 6 months, and 12 months, including weight, metabolic parameters, and psychological evaluations.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients admitted to the Early Intervention Program (EIP).
First-episode psychosis (FEP) within the last 5 years.
Diagnosis of psychosis from the F2 spectrum or an affective disorder with psychotic symptoms according to ICD-10.
Disqualifiers
Cognitive inability to learn or comorbid intellectual disability that interferes with study procedures.
Comorbid diagnosis of neurological pathology.
Language or comprehension impairments preventing accurate data collection.
Use of hypoglycemic medication before or during the study.
Trial design
Parallel
Treatments tested in this trial
Nursing Consultation in Weight Management and Metabolic syndrome
BehavioralBased on the Carbohydrate-insulin Theory
Treatment groups
Trial outcomes
Primary outcomes
Weight
Weight in kilograms
Secondary outcomes
Metabolic Syndrome
According to the International Diabetes Federation (IDF)
Psychopathology
measured using PANSS scale
Depressive symptoms
measured by Hamilton Depression Rating Scale
Qualit of Life
EuroQoL 5D scale will be used
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Hospital de Basurto
Lead sponsor
Euskal Herriko Unibertsitatea. Universidad del Pais Vasco.
Collaborator
Instituto Vasco de Investigación Sanitaria (BIOEF)
Collaborator