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RecruitingNCT05036590BREFORMUpdated Jun 12, 2026

Efficiency Assessment of BREFORM. A Multicentric Stepped-wedge Randomized Control Trial.

An interventional study of control group and Intervention group in Schizophrenia, sponsored by Hôpital le Vinatier. Recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-12.

Sponsored by Hôpital le Vinatier · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was expected by Jun 2026, 4 months ago, but the record still lists the study as recruiting.
  • Started Apr 2022; still recruiting 4 years 7 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
206
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 32 studies in Schizophrenia by Hôpital le Vinatier — 6 open to participants now, 6 under way, none of them phase 3. Schizophrenia · Hôpital le Vinatier.

Planned enrollment
2nd of 31
206 · median 60
Started
2022
the only one that year
No phase
31 of 32
6 open now
Registered
29th of 32
by date

Among the 32 studies in Schizophrenia by Hôpital le Vinatier, this one is the 2nd largest by planned enrollment of the 31 interventional ones that give a count, is the only one that started in 2022, is one of 31 with no phase, and was the 29th registered.

Schizophrenia

3,567 studies on the registry are indexed under Schizophrenia; 493 are open to participants now.

Browse Schizophrenia studies →

Open to participants now

6 of the 32 studies in Schizophrenia by Hôpital le Vinatier are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 6 open studies →

Where they have run

Who these studies take

Of the 332 Schizophrenia studies recruiting now, 63 (19%) set no upper age limit and 258 (78%) stop at 75 or younger; 42 take children under 18; 83 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

In psychiatry, caregiver burden is associated with excess physical and psychological morbidity in relatives of patients with schizophrenic disorders Single or multi-family psychoeducation for caregivers of patients with schizophrenic disorders or first episode psychosis has a direct benefit on the health of the caregiver and an indirect benefit on the health of the ill family member. It is associated with a reduction in the rate of relapse and re-hospitalization and with better compliance with treatment. For single-family psychoeducation, the number of caregivers to be treated to avoid re-hospitalization of the sick family member is 3. For caregivers, psychoeducation is accompanied by an improvement in knowledge of the disorders and coping strategies. Therefore, international recommendations recommend that psychoeducation for caregivers be systematic, early, and integrated into routine care.

Currently, the organization of the French care system does not allow these recommendations to be met. In order to increase the use of psychoeducation in France, early interventions for caregivers must be offered systematically. The effectiveness of early psychoeducation for caregivers needs to be evaluated; only three randomized controlled trials are available in the literature and none have been conducted in France.

Read the detailed description

The BREFORM project proposes to train health professionals in an early psychoeducation program, the BREF program, in order to implement it in their structure, and to evaluate its impact on the burden of caregivers of users living with a first psychotic episode or a schizophrenic disorder.

Regarding caregivers' outcomes:

outcome measures will be assessed at baseline (visit 1, V1), 6 weeks (Visit 2, V2), 6 months (Visit 3, V3), 12 months (Visit 4, V4) after baseline in the active group and in the treatment as usual group

Regarding patients' outcomes:

outcome measures will be assessed at baseline and 12 months after baseline in the active group and in the treatment as usual group

Regarding mental health professionals' outcomes:

outcome measures will be assessed before, after and 16 months after the training course

Regarding the psychiatric departments' outcomes:

outcome measures will be assessed at baseline and 36 months after baseline

03

Conditions studied

  • Schizophrenia

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • people over 18yo
  • first-degree relatives (parents, siblings, children) or spouse of the patient
  • primary caregiver of a patient with schizophrenic disorders or first psychotic episode (DSM5)
  • consenting to participate to the study

Exclusion criteria

Exclusion Criteria:

  • mental disorder on Axis I
  • having already benefited from a family intervention such as psychoeducation
  • caring for several people with severe psychiatric disorders
  • receiving income for the caring activities
  • being legally responsible of the patient
  • having difficulty understanding fluent French
  • illiterate
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
206 participants (estimated)

Study arms

  • Active comparator
    Control group

    The design is a stepped-wedge cluster randomized controlled trial. The study will be conducted in 9 centers (clusters) and will be conducted in 6 successive phases of 4 months each. During the first period, groups will be in the control period, then sequentially and according to a randomly defined order, at each time, one group will go into the intervention period after a transition period of 4 months allowing the intervention to be deployed (training of three health professionals for each center and then implementation of the BREF program). Thus, each cluster will belong successively to the control group and the intervention group. During the control period, caregivers will be supported according to the usual practices of each center. During the intervention period, the BREF program will be offered to all eligible caregivers.

    Other: control group

  • Experimental
    intervention group

    Thus, each cluster will belong successively to the control group and the intervention group. During the intervention period, the BREF program will be offered to all eligible caregivers.

    Other: Intervention group

Interventions

  • Othercontrol group

    The control group consisted of caregivers included during the control period, before the intervention was deployed, i.e., before the BREF program was implemented by the centers.

  • OtherIntervention group

    The intervention group consists of caregivers included during the intervention period. Caregivers in the intervention group will benefit from the BREF program.

06

What researchers measure

Primary outcomes

  1. Changes in the severity of caregiver burden between V1 and V4 by the Zarit Burden Inventory scale (ZBI)

    The ZBI consists of 22 items rated on a 5-point Likert scale that ranges from 0 (never) to 4 (nearly always) with the sum of scores ranging between 0-88. Higher scores indicate greater burden. A score of 17 or more was considered high burden.

    Time frame: one year

Secondary outcomes

  1. Changes in caregiver burden severity at V1,V2 and V3 by the Zarit Burden Inventory (ZBI) scale

    The ZBI consists of 22 items rated on a 5-point Likert scale that ranges from 0 (never) to 4 (nearly always) with the sum of scores ranging between 0-88. Higher scores indicate greater burden. A score of 17 or more was considered high burden.

    Time frame: 8 months

  2. Evolution of the caregivers' perceived-stress between V1, V2, V3, V4 by the Perceived Stress Scale-14 (PSS-14)

    Total score of the PSS can be obtained by summing the 14 items' scores . The total score ranges from 0 to a maximum of 56, a higher score indicating a higher level of perceived stress.

    Time frame: one year

  3. Evolution of the caregivers' mood between V1, V2, V3, V4 by the Center for Epidemiologic Studies-Depression Scale (CES-D)

    The CES-D consists of 20 items in a self-report format measuring depressive symptoms experienced in the past week on a 4-point Likert scale ranging from 0 (rarely or none of the time) to 3 (most or all of the time). Depression Severity: 0-4 none, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe. ... PHQ-9 score ≥10 had a sensitivity of 88% and a specificity of 88% for major depression.

    Time frame: one year

  4. Evolution of the caregivers' family functioning between V1, V2, V3, V4

    Assessed by the Family Assessment Device scale (FAD)

    Time frame: one year

  5. Evolution of the caregivers' quality of life between V1, V2, V3, V4

    Assessed by the Schizophrenia CareGiver Quality of Life scale (S-CGQoL)

    Time frame: one year

  6. Evolution of the caregivers' sense of competence between V1, V2, V3, V4

    assessed by the Sense of Competence Questionnaire scale (SCQ)

    Time frame: one year

  7. Evolution of the caregivers' number of consultations with the general practitioner (GP)

    Change in number of consultations with the general practitioner (GP) n the 12 months prior to inclusion compared to the 12 months following inclusion

    Time frame: 12 months period before baseline assessment versus 12 months period after baseline assessment

  8. Evolution of the caregivers' number of days off work

    Change in number the caregivers' number of days off work in the 12 months prior to inclusion compared to the 12 months following inclusion

    Time frame: 12 months period before baseline assessment vs. 12 months period after baseline assessment

  9. Evolution of the caregivers' number of days on long-term leave or disability

    Change in the number of long-term leaves of absence or disability related to the caregiver situation in the 12 months prior to inclusion compared to the 12 months following inclusion

    Time frame: 12 months period before baseline assessment vs. 12 months period after baseline assessment

  10. Evolution of the caregivers' number of work days

    Change in the number of work days related to the caregiver situation in the 12 months prior to inclusion compared to the 12 months following inclusion

    Time frame: 12 months

  11. Evolution of the caregivers' willingness to pay someone to replace them in their caring activities during one hour

    Change in caregivers' willingness to pay someone to replace them in their caregiving activities for one hour in the 12 months prior to inclusion versus 12 months after inclusion.

    Time frame: 12 months

  12. Evolution of the caregivers' number of suicide attempts assessed by the Columbia Suicide Severity Rating Scale (C-SSRS)

    The Columbia Suicide Severity Rating Scale (C-SSRS) is a measure used to identify and assess individuals at risk for suicide. Questions are phrased for use in an interview format, but can be completed as a self-report measure if necessary. The score is created at each assessment for each patient and is used for determining treatment emergence. Suicidal Ideation Score: The maximum suicidal ideation category (1-5 on the C- SSRS) present at the assessment. Assign a score of 0 if no ideation is present.

    Time frame: 12 months period before baseline assessment vs. 12 months period after baseline assessment

  13. caregivers' satisfaction

    questionnaire

    Time frame: 12 months

  14. Evolution of the caregivers' living status (shared or non-shared household) between V1, V2, V3, V4

    questionnaire

    Time frame: 12 months

  15. Evolution of the caregivers' informal caregiving activities between V1, V2, V3, V4

    questionnaire

    Time frame: 12 months

  16. Evolution of the caregivers' number of hours spent providing informal caregiving between V1, V2, V3, V4

    questionnaire

    Time frame: 12 months

  17. Evolution of the patients' psychotic symptoms severity between baseline and 12 months after baseline assessed by the Positive And Negative Syndrome Scale (PANSS)

    PANSS items are rated on a 7-point scale (1=absent, 2=minimal, 3=mild, 4=moderate, 5=moderate severe, 6=severe, and 7=extreme); because the absence of symptoms is equal to 1 point, the lowest possible total score on both PANSS scales is 7.

    Time frame: 12 months period before baseline assessment vs. 12 months period after baseline assessment

  18. Evolution of the patients' functioning level between baseline and 12 months after baseline

    Assessed by the Global Assessment of Functionning scale (GAF)

    Time frame: Baseline assessment and 12 months after baseline assessment

  19. Evolution of the patients' functioning level assessed by the Personal and social Performance scale (PSP)

    The patient's degree of severity in the four domains is to be rated on a six-point scale from absent (which means no problems on this dimension) over mild, manifest, marked, severe to very severe difficulties in the given area. Out of the ratings on the four subdimensions, one total score on a 100-point scale can be created. A variation of eight points is already to be classified as a clinically relevant difference. The items "self-care" and "disturbing and aggressive behavior" are of greater concern for patients with acute

    Time frame: Baseline assessment and 12 months after baseline assessment

  20. Evolution of the patients' quality of life between baseline and 12 months after baseline

    Assessed by the Schizophrenia-quality of Life scale (S-QoL)

    Time frame: Baseline assessment and 12 months after baseline assessment

  21. Evolution of the patients' clinical severity between baseline and 12 months after baseline

    Assessed by the Clinical Global Impression (CGI)

    Time frame: Baseline assessment and 12 months after baseline assessment

  22. Evolution of the patients' depressive symptoms between baseline and 12 months after baseline

    Assessed by the Calgary Depression Scale for Schizophrenia scale (CDSS)

    Time frame: Baseline assessment and 12 months after baseline assessment

  23. Evolution of the patients' relapse risk factors between baseline and 12 months after baseline

    Composite score assessed by the Medication Adherence Rating Scale (MARS) and Birchwood Scale (Birchwood), substance use disorders (declarative questionnaire)

    Time frame: Baseline assessment and 12 months after baseline assessment

  24. Evolution of the patients' number of suicide attempts

    Assessed by the Columbia Suicide Severity Rating Scale " (C-SSRS)

    Time frame: 12 months period before baseline assessment vs. 12 months period after baseline assessment

  25. Evolution of the patients' suicide risk level

    Assessed by the Columbia Suicide Severity Rating Scale " (C-SSRS)

    Time frame: Baseline assessment and 12 months after baseline assessment

  26. Evolution of the patients' aggressive behaviors

    questionnaire

    Time frame: 12 months period before baseline assessment vs. 12 months period after baseline assessment

  27. Evolution of the patients' number of hospitalization in psychiatry

    number of hospitalization in psychiatry

    Time frame: 12 months period before baseline assessment vs. 12 months period after baseline assessment

  28. Evolution of the mental health professionals' beliefs and knowledge about psychoeducation to caregivers

    questionnaire

    Time frame: Assessed before, after and 16 months after the training course

  29. Evolution of the mental health professionals' sense of competence about psychoeducation to caregivers

    Self-assessment before, after and 16 months after the training course

    Time frame: Assessed before, after and 16 months after the training course

  30. Evolution of the mental health professionals' satisfaction of the training course

    questionnaire

    Time frame: Assessed after and 16 months after the training course

  31. Evolution of the mental health professionals' satisfaction of the BREF program

    questionnaire

    Time frame: Assessed 16 months after the training course

  32. Evolution of the psychiatric department organization regarding caregivers interventions

    questionnaire

    Time frame: Assessed at baseline and 36 months after baseline

  33. Sustainability of the BREF program in each psychiatric department

    Question the referent person at the center to know if the program is still used 3 years after its implementation QUESTION THE REFERENT PERSON AT THE CENTER TO KNOW IF THE PROGRAM IS STILL USED 3 YEARS AFTER ITS IMPLEMENTATION Question the referent perso of the center to know if the program is still used 3 years after its implementation

    Time frame: Assessed 36 months after baseline

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2022 (actual). Primary completion is estimated for Jun 2026, 50 months after the start.

Of 756 non-industry interventional studies with no phase under Schizophrenia, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 56. This study's planned 50 months is above that.

Counting every sponsor, half of 769 studies reached it within 32 months; a quarter within 16 and three quarters within 56.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 5, 2021
First posted
Sep 5, 2021
StartActual
Apr 5, 2022
Primary completionEst.
Jun 30, 2026
CompletionEst.
Dec 31, 2026
Last update
Jun 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05036590
Responsible party
Sponsor
First posted
Sep 5, 2021
Start date
Apr 5, 2022
Primary completion
Jun 30, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Jun 12, 2026

Study contacts

Romain REY, MD, PhD
Contact
romain.rey@ch-le-vinatier.fr
+33437915495
Anne-Lise BOHEC, PhD
Contact
Anne-lise.BOHEC@ch-le-vinatier.fr
+33437915495
Romain REY, MD, PhD
principal investigator · CH LE VINATIER

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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