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CTRI Number  CTRI/2025/03/082627 [Registered on: 18/03/2025] Trial Registered Prospectively
Last Modified On: 18/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Application for caretakers of patients with mental illness 
Scientific Title of Study   Evaluating the efficacy of a computer application vs. group therapy in managing expressed emotion in caretakers of chronic psychiatric patients- a Randomized Controlled Trial 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Jumana Haseen S 
Designation  Post graduate  
Affiliation  Saveetha Medical College and Hospital 
Address  1, Integrated clinic, Department of Psychiatry, Saveetha Medical College and Hospital, Chennai.

Chennai
TAMIL NADU
602105
India 
Phone  9443770935  
Fax    
Email  jumanasadique27@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Shanthi Nambi 
Designation  Professor  
Affiliation  Saveetha Medical College and Hospital 
Address  1, Integrated clinic, Department of Psychiatry, Saveetha Medical College and Hospital, Chennai.

Chennai
TAMIL NADU
602105
India 
Phone  9444080307  
Fax    
Email  shanthi.nambi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Jumana Haseen S 
Designation  Post graduate  
Affiliation  Saveetha Medical College and Hospital 
Address  1, Integrated clinic, Department of Psychiatry, Saveetha Medical College and Hospital, Chennai.

Chennai
TAMIL NADU
602105
India 
Phone  9443770935  
Fax    
Email  jumanasadique27@gmail.com  
 
Source of Monetary or Material Support  
Saveetha Medical college and Hospital 
 
Primary Sponsor  
Name  Saveetha Medical College and Hospital 
Address  Saveetha Medical College and Hospital, Thandalam, Chennai-602105, Tamilnadu, India. 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr S Jumana Haseen  Saveetha Medical College & Hospital  IC-1, Department of Psychiatry, Adult Psychiatry
Chennai
TAMIL NADU 
9443770935

jumanasadique27@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Saveetha Medical College and Hospital Institutional Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Evaluating and managing expressed emotions in caretakers of chronic psychiatric patients 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Computer based application- Untangled mind  Computer Application Group (intervention): Interactive modules on psychoeducation, communication, emotion regulation, and problem-solving delivered over 8 weeks. 
Comparator Agent  Conventional group therapy  Group Therapy Group (control): Weekly therapist-led sessions for 8 weeks, focusing on similar themes as the app. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Primary caregivers aged 18-65 years.
Must be the primary caregiver for a patient with a chronic psychiatric illness (e.g., schizophrenia, bipolar affective disorder, alcohol dependence syndrome).
At least 6 months of caregiving experience.
Ability to read and understand the language used in the computer application and group therapy sessions.
Access to a smartphone, tablet, or computer with internet connectivity for participants in the computer application group.
 
 
ExclusionCriteria 
Details  Diagnosed psychiatric disorders in the caregiver that require immediate treatment.
Caregivers currently enrolled in similar psychoeducation or therapy programs.
Individuals with a history of poor adherence to structured interventions.
Conditions that may impair participation in either intervention (e.g., terminal illness, severe mobility issues). 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Reduction in expressed emotion (EE) levels among caregivers, measured using the Family Attitude Scale (FAS). Assessments will be conducted at baseline, post-intervention (8 weeks).  At baseline, 8 weeks and 12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Secondary outcomes include caregiver burden, quality of life (QoL), adherence.  Assessments will be conducted at baseline, post-intervention (8 weeks). 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/04/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The intervention consists of a comprehensive computer application designed to manage expressed emotions in caretakers of chronic psychiatric patients. It includes modules for psychoeducation, communication skills, emotion regulation, cognitive restructuring, problem-solving, expressed emotion awareness, mindfulness, role-playing, journaling, a resource library, and progress tracking. Family Attitude Scale is used as a questionnaire, it’s a validated measure commonly used to assess family dynamics and attitudes in mental health research. The scale typically includes items related to family cohesion, flexibility, communication patterns, emotional expression, problem-solving abilities, and overall family functioning. Participants rate their agreement or disagreement with each item on a Likert scale, allowing researchers to quantitatively evaluate family attitudes and dynamics. The intervention is compared with traditional group therapy in a Randomized Controlled Trial (RCT) to evaluate its efficacy. 
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