Pragmatic Assessment and Treatment for the Health System

NCT ID: NCT05809401

Last Updated: 2024-03-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

330 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-13

Study Completion Date

2025-07-31

Brief Summary

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The project goal is to promote a feasible and effective approach to communicative disorders in neurological and psychiatric populations, focused on the pragmatics of language. Pragmatics allows speakers to use and interpret language in context and to engage in successful communication. Pragmatic language disorder is widespread in clinical conditions and causes reduced social interactions and lower quality of life for both patients and their family. Yet it is seldom considered in assessment and rehabilitation.

Detailed Description

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The project aims at developing a comprehensive approach for the assessment and treatment of pragmatic impairment in neurological disease. It consists of three Work Packages:

* The aim of WP1 is to develop a short test of pragmatic abilities. 200 healthy participants will be enrolled for this WP, and the same test will be administered to 40 patients with right hemisphere damage, 40 with traumatic brain injury, and 50 with Schizophrenia.
* The aim of WP2 is to test the efficacy of a novel treatment for pragmatic disorder. 32 patients will be enrolled (16 for each patient group) and allocated (via Randomized Control Trial) to a standard treatment or to a novel treatment for pragmatic disorders. Only RHD and TBI will take part to this WP.
* The aim of WP3 is to better clarify the neural correlates of pragmatic abilities. All patients will undergo an high density EEG recording session, and their brain activity will be correlated with performance on neuropsychological tests and on pragmatic impairment. The RHD and TBI patients enrolled for WP2 will undergo a session of hd-EEG also at the end of rehabilitation to monitor brain changes after treatment.

Conditions

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Stroke Traumatic Brain Injury Schizophrenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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PRAGMACOM

An experimental treatment for pragmatic disorders characterized by activities that focus on conversational rules and on understanding figurative language. The treatment is already tested on Schizophrenic patients.

Group Type EXPERIMENTAL

Pragmatic Rehabilitation

Intervention Type BEHAVIORAL

A series of behavioral activities to improve specific pragmatic abilities in patients

Standard Neuropsychological Treatment

The standard treatment for neuropsychological disorders is administered to RHD, and TBI patients in the IRCCS San Camillo Hospital, which consists mostly of attentional training.

Group Type ACTIVE_COMPARATOR

Neuropsychological Rehabilitation

Intervention Type BEHAVIORAL

A series of behavioral activities to improve general aspect of cognition, with a specific focus on attentional abilities.

Interventions

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Pragmatic Rehabilitation

A series of behavioral activities to improve specific pragmatic abilities in patients

Intervention Type BEHAVIORAL

Neuropsychological Rehabilitation

A series of behavioral activities to improve general aspect of cognition, with a specific focus on attentional abilities.

Intervention Type BEHAVIORAL

Other Intervention Names

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Pragmatic language Rehabilitation Cognitive Rehabilitation

Eligibility Criteria

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Inclusion Criteria

Healthy participants

* no neurological disorder
* written informed consent Right Hemisphere Damage (RHD)
* unilateral stroke
* first stroke
* no comorbidities with psychiatric disorders
* written informed consent TBI
* traumatic brain injury
* written informed consent

Schizophrenia:

* Diagnosis of Schizophrenia
* written informed consent

Exclusion Criteria

* Important comorbidities that may affect results
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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IRCCS San Raffaele

OTHER

Sponsor Role collaborator

Istituto Universitario di Studi Superiori Pavia

OTHER

Sponsor Role collaborator

IRCCS San Camillo, Venezia, Italy

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Arcara

Role: PRINCIPAL_INVESTIGATOR

IRCCS San Camillo Hospital

Locations

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IRCCS San Raffaele

Milan, MI, Italy

Site Status RECRUITING

IRCCS Eugenio Medea

Pieve di Soligo, TV, Italy

Site Status RECRUITING

Istituto Universitario di Studi Superiori Pavia

Pavia, , Italy

Site Status RECRUITING

IRCCS San Camillo Hospital

Venice, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Giorgio Arcara

Role: CONTACT

0412207594

Sonia Montemurro

Role: CONTACT

Facility Contacts

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Marta Bosia

Role: primary

Alec Vestri

Role: primary

Valentina Bambini

Role: primary

Valeria Camparini

Role: primary

References

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Bambini V, Agostoni G, Buonocore M, Tonini E, Bechi M, Ferri I, Sapienza J, Martini F, Cuoco F, Cocchi F, Bischetti L, Cavallaro R, Bosia M. It is time to address language disorders in schizophrenia: A RCT on the efficacy of a novel training targeting the pragmatics of communication (PragmaCom). J Commun Disord. 2022 May-Jun;97:106196. doi: 10.1016/j.jcomdis.2022.106196. Epub 2022 Feb 2.

Reference Type BACKGROUND
PMID: 35526293 (View on PubMed)

Other Identifiers

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2019.10

Identifier Type: -

Identifier Source: org_study_id

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