Nursing Intervention in Weight and Metabolic Syndrome Management in First-episode Psychosis (MetaKOP)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorHospital de Basurto

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Nursing Consultation in Weight Management and Metabolic syndrome

    Behavioral

    Based on the Carbohydrate-insulin Theory

Treatment groups

88 Participants
are divided into 2 treatment groups
Group A: InterventionExperimental treatment 1 intervention
Group B: ControlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Weight

Weight in kilograms

Time frame
From enrollment to the end of treatment at 48 weeks

Secondary outcomes

1

Metabolic Syndrome

According to the International Diabetes Federation (IDF)

Time frame
From enrollment to the end of treatment at 48 weeks
2

Psychopathology

measured using PANSS scale

Time frame
From enrollment to the end of treatment at 48 weeks
3

Depressive symptoms

measured by Hamilton Depression Rating Scale

Time frame
From enrollment to the end of treatment at 48 weeks
4

Qualit of Life

EuroQoL 5D scale will be used

Time frame
From enrollment to the end of treatment at 48 weeks

Other outcomes

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