Beat Victimization! A body-oriented resilience training with elements of kickboxing for individuals with a psychotic disorder.

ISRCTN ISRCTN21423535
DOI https://doi.org/10.1186/ISRCTN21423535
Secondary identifying numbers ABR NL52202.042.15
Submission date
16/02/2016
Registration date
30/03/2016
Last edited
10/04/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
People with a psychotic disorder are at in increased risk of becoming victim of a crime. Research has revealed that there are several possible reasons, or risk factors, for this, including impaired social cognition (how they perceive information about other people and social situations), aggression problems, assertiveness, self-stigma and self-esteem) . To address these risk factors and prevent victimization, a body-oriented resilience training with elements of kickboxing (the intervention) has been developed. The present study aims to test how well this intervention works.

Who can participate?
Adults (aged at least 18) diagnosed with a psychotic disorder.

What does the study involve?
Participants are randomly allocated to one of two groups. Those in group 1 (body-orientated training group) are taught the basic techniques of kickboxing by a body-orientated therapist, once a week over 20 weeks. Participants in group 2 (control group) attend befriending sessions, the main goal of which is to create a welcoming atmosphere in which participants can socially interact with each other, once a week over 20 weeks. All participants are asked to fill out questionnaires just before and after the 20 week intervention period. Further follow-ups occur after 6, 18 and 20 months, where the effect of the intervention on victimization is investigated. Some participants are also asked to have fMRI scans before and after the intervention period in order to assess potential haemodynamic changes (blood flow changes) associated with the effects of the training.

What are the possible benefits and risks of participating?
Benefits associated with participation in the body-oriented resilience training are taking part in supportive, fun kickboxing lessons in which basic kickboxing techniques are learned. Kickboxing may have positive effect on physical health because of endurance and muscle training. Benefits with regard to the befriending meetings are meeting new people and weekly social interactions in a warm setting. Benefits associated with participation in this study in general is contribution to clinical research which eventually may result in better care and compensation for all of the measurements.

Where is the study run from?
University of Groningen (Netherlands)

When is the study starting and how long is it expected to run for?
February 2016 to October 2020

Who is funding the study?
Netherlands Organisation for Scientific Research

Who is the main contact?
1. Mrs Marieke Pijnenborg (scientific)
g.h.m.pijnenborg@rug.nl
2. Mrs Jooske van Busschbach (scientific)
j.t.van.busschbach@umcg.nl

Contact information

Mrs Marieke Pijnenborg
Scientific

Grote Kruisstraat 2/1
Groningen
9712 TS
Netherlands

Phone 050 363 4637
Email g.h.m.pijnenborg@rug.nl
Mrs Jooske van Busschbach
Scientific

Hanzeplein 1
Groningen
9713 GZ
Netherlands

Phone 050 361 2069
Email j.t.van.busschbach@umcg.nl

Study information

Study designMulticenter randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleA body-oriented resilience training with elements of kickboxing: a novel intervention to reduce victimization in individuals with a psychotic disorder: a multi-center RCT.
Study acronymBeatVic
Study hypothesis1. The primary objective of this study is to investigate whether the body-oriented resilience training with elements of kickboxing reduces the risk of victimization.
2. The secondary objective of this study is to investigate whether the body-oriented resilience training with elements of kickboxing has a positive effect on risk factors of victimization in individuals with a psychotic disorder, such as aggression regulation, self-stigma, self-esteem, social behavior (behavioral level) and social cognition (behavioral and cerebral level).
Furthermore the effect on quality of life, recovery and societal participation will be investigated at the long term.
Ethics approval(s)Medisch Ethische Commissie - University Medical Center Groningen (Medical Ethical Committee), 29/02/2015, ref: NL52202.042.15, METc nr 2015/303
ConditionIndividuals with a diagnosis in the psychosis spectrum
InterventionParticipants are randomly allocated to one of two groups:
1. Individuals allocated to the treatment condition receive a body-oriented resilience training with elements of kickboxing. This training consists of 20 weekly sessions during which basic kickboxing techniques are taught and risk factors of victimization are addressed by means of various exercises
2. Participants allocated to the control condition receive 20 weekly befriending sessions, during which social interaction is most important
Follow-ups are at 6, 18 and 30 months.
Intervention typeBehavioural
Primary outcome measure1. Victimization, measured using the Integrale Veiligheidsmonitor (IVM) and the Conflicts Tactics Scale - revised (CTS2) at baseline (pre), directly after the intervention-period (post) and 6/18/30 months following the intervention.

Mediating factors:
We expect that the effect of the intervention on victimization is mediated by several risk factors, on which our intervention is based. Mediation factors will be measured at baseline (pre), directly after the intervention-period (post) and at 6 months follow-up. Mediating factors we defined in our study are:
1. Social cognition (Faux Pas task)
2. Aggression regulation (Self-Expression and Control Scale, ZECV)
3. Internalized stigma (Internalized Stigma of Mental Ilness Scale, ISMI)
4.Social behavior (Interpersonal Behavior Scale, SIG)
5. Self-esteem (Self-esteem Rating Scale - Short Form, SERS-SF)
6. Insight (Psychosis Insight Scale, PI)
Secondary outcome measures1. Quality of live (MANSA)
2. Recovery (National Recovery Scale, NHS)
3. Societal participation (Social Functioning Scale, SFS)
4. Symptoms (Brief Negative Symptom Scale, BNSS)
5. Trauma (Trauma Screening Questionnaire)
6. Physical activation (Pedometer, Yamax EX 510)
7. Endurance (Modified Shuttle Test, MST)

Measured at baseline, directly after the intervention and at 6, 18 and then 30 months follow-up.
Overall study start date22/02/2016
Overall study end date01/10/2020

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants96
Total final enrolment105
Participant inclusion criteria1. A diagnosis in the psychosis spectrum according to Diagnostic and Statistical Manual of Mental Disorders, 4th edition
2. 18 years or older
Participant exclusion criteria1. Severe psychotic symptoms (mean positive symptoms > 5 measured by PANSS)
2. Substance dependence (not substance abuse), verified by Miniscan.
3. Co-morbid neurological disorder, verified by onsite therapist.
4. Co-morbid personality disorder, verified by onsite therapist.
5. Estimated IQ < 70, onsite therapist decides if the patients’ intelligence is sufficient for participation.
6. Pregnancy.
Recruitment start date22/02/2016
Recruitment end date01/12/2016

Locations

Countries of recruitment

  • Netherlands

Study participating centre

University of Groningen
Grote Kruisstraat 2/1
Groningen
9712 TS
Netherlands

Sponsor information

University Medical Center Groningen
Hospital/treatment centre

Hanzeplein 1
Groningen
9713 GZ
Netherlands

Website www.umcg.nl
ROR logo "ROR" https://ror.org/03cv38k47

Funders

Funder type

Government

Nederlandse Organisatie voor Wetenschappelijk Onderzoek
Government organisation / National government
Alternative name(s)
Netherlands Organisation for Scientific Research, Dutch National Scientific Foundation, Dutch National Science Foundation, Dutch Research Council (Nederlandse Organisatie voor Wetenschappelijk Onderzoek), NWO:Nederlandse Organisatie voor Wetenschappelijk Onderzoek, Nederlandse Organisatie voor Wetenschappelijk Onderzoek (NWO), Dutch Research Council, Dutch Research Council, Netherlands, NWO
Location
Netherlands

Results and Publications

Intention to publish date01/10/2021
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planStudy protocol paper published in 2016
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 08/07/2016 05/08/2019 Yes No
Results article 6-month results 21/12/2022 30/03/2023 Yes No
Other publications 09/09/2019 10/04/2024 Yes No
Protocol (other) 10/04/2024 No No
Results article 24/01/2020 10/04/2024 Yes No

Editorial Notes

10/04/2024: Publication references added.
30/03/2023: Publication reference and total final enrolment added.
08/04/2020: The following changes were made to the trial record:
1. The overall trial end date was changed from 01/03/2020 to 01/10/2020.
2. The intention to publish date was changed from 01/03/2021 to 01/10/2021.
05/08/2019: The following changes have been made:
1. Publication reference added.
2. The intention to publish date has been changed from 30/06/2016 to 01/03/2021.
The registration was initiated on 16/02/2016 and finalised on 30/03/2016. The recruitment started on 22/02/2016, after initiation of public registration.
06/06/2016: The recruitment end date was changed from 01/03/2016 to 01/12/2016.