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RecruitingNCT06109493Updated Apr 23, 2025

Effects of an ACT-based Psychological Treatment in Patients With Chronic Kidney Disease

An interventional study of ACT in Chronic Kidney Diseases and Depression, sponsored by Universidad Europea de Madrid. Recruiting at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-23.

Sponsored by Universidad Europea de Madrid · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 9 months ago, but the record still lists the study as recruiting.
  • Started Nov 2023; still recruiting 2 years 11 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
104
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Investigation of the efficacy of Acceptance and Commitment Therapy (ACT) for the psychological treatment of patients with chronic kidney disease.

Read the detailed description

After being informed about the study, all patients giving written informed consent will be assessed to determine eligibility for study entry.

The clinical trial will include a control group (waiting list).

Patients who meet eligibility requirements will be assigned to control group or intervention group.

Psychological intervention will consist in an 8-session individual face-to-face delivered ACT-based treatment.

The participants will be assessed through self-report instruments before and after treatment and at 3 months follow-up.

02

Conditions studied

  • Chronic Kidney Diseases
  • Depression
03

In context

Kidney Diseases

3,840 studies on the registry are indexed under Kidney Diseases; 500 are open to participants now.

This study's planned enrollment of 104 is above the median of 70 across 2,640 interventional studies indexed under Kidney Diseases.

Browse Kidney Diseases studies →

Lead sponsor

Universidad Europea de Madrid is the lead sponsor of 94 studies on the registry; 22 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Inclusion criteria

  • Patients with chronic kidney disease on haemodialysis
  • Older than 18 years-old
  • At least 3 months on haemodialysis
  • HADS Global Scale Score ≥14

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of severe or chronic mental disorder, mental retardation and cognitive impairment, or disabling illness.
  • Antidepressant drugs consume
  • Insufficient understanding of Spanish.
  • Patients who are in the Advanced Chronic Kidney Disease Unit
  • Receiving other psychological treatment
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
104 participants (estimated)

Study arms

  • Experimental
    ACT group

    8 individual weekly sessions which included ACT methods

    Behavioral: ACT

  • No intervention
    Waiting list

    Participants assigned to Waiting List arm waited for 5 months before receiving treatment

Interventions

  • BehavioralACT

    Acceptance and Commitment Therapy methods were focused on promoting Values clarification, Acceptance, Cognitive defusion, Committed action and Flexible attention to the present moment, and included methods such as the Garden Metaphor, Funeral exercise or Mindfulness training.

06

What researchers measure

Primary outcomes

  1. Change in emotional distress assessed through Hospital Anxiety and Depression Scale (HADS)

    HADS assesses anxiety, depression and emotional distress. It is a 14-item four-point Likert-type scale. Scores range between 0 and 42. Higher the score in the overall score indicate higher levels of emotional distress and worse outcome.

    Time frame: Change from Baseline Emotional Distress at 5 months

Secondary outcomes

  1. Change in Simplified Medication Adherence Questionnaire (SMAQ)

    SMAQ assesses adherence to medication. It is a 6-item questionnaire that evaluates different aspects of patient compliance with treatment: forgetfulness, routine, adverse effects, and omissions. A patient is classified as non-compliant if he/she responds to any of the questions with a non-adherence answer, and in terms of quantification, if the patient has lost more than two doses during the last week or has not taken medication during more than two complete days during the last three months.

    Time frame: Change from Baseline Adherence at 5 months

  2. Change in COOP/WONCA questionnaire

    COOP/WONCA assesses health related Quality of Life (HRQOL). It was selected the 7-item five-point Likert-type version of the scale. Scores range between 0 and 35. Higher scores indicate lower levels of HRQOL and worse outcome.

    Time frame: Change from Baseline health related Quality of Life at 5 months

  3. Change in Acceptance and Action Questionnaire in the context of Haemodialysis (CAAH-II)

    Acceptance and Action Questionnaire' assesses psychological inflexibility. It is a 7-item, seven-point Likert-type scale. Scores range between 7 and 49. Higher scores indicate higher levels of psychological inflexibility and worse outcome.

    Time frame: Change from Baseline psychological inflexibility at 5 months

  4. Change in coping skills assessed through coping strategies inventory -short form (CSI-SF)

    CSI-SF is a 15-item, five-point Likert-type scale which includes four subscales: Problem Focused Engagement (PFE), Problem Focused Disengagement (PFD), Emotion Focused Engagement (EFE) and Emotion Focused Disengagement (EFD).

    Time frame: Change from Baseline coping strategies at 5 months

  5. Change in mood assessed through Daylio App

    Daylio is a mobile app which allows daily assessing mood through emoticons which will be transformed into a five-point Likert-type scale. Scores range between 1 and 5. Higher scores indicate higher better mood and better outcome.

    Time frame: Change from Baseline mood at 5 months

07

Study locations

1 of 1 sites recruiting
  • Fundación Renal Iñigo Alvarez de Toledo
    Madrid, 28003, Spain
    Recruiting
08

References and documents

Study documents

  • Protocol and statistical analysis plan · Jul 8, 2023
  • Informed consent form · Jul 8, 2023

Documents are hosted by the registry — open the source record to download them.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06109493
Lead sponsor
Universidad Europea de Madrid
Collaborators
Fundación Renal Iñigo Alvarez De Toledo, Centro de Enseñanza Superior Cardenal Cisneros
Responsible party
Sponsor
First posted
Oct 31, 2023
Start date
Nov 1, 2023
Primary completion
Dec 31, 2025 (estimated)
Completion
Jun 30, 2026 (estimated)
Last update
Apr 23, 2025

Study contacts

Francisco Montesinos, Ph.D.
Contact
francisco.montesinos@universidadeuropea.es
+34647413773
Francisco Montesinos, Ph.D.
principal investigator · Universidad Europea de Madrid

Oversight

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

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