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Enrolling by invitationNCT06879665TANDem-2Updated Sep 22, 2025

TANDem-2: Closing the Gap to Interventions for TAND

An interventional study of Well-Beans for Caregivers Program in Adult Caregivers of Individuals With TSC and Tuberous Sclerosis Complex (TSC), sponsored by Vrije Universiteit Brussel. Enrolling by invitation at 2 sites in 2 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-22.

Sponsored by Vrije Universiteit Brussel · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

The goal of this pilot study is to determine the feasibility, acceptability and impact of a brief behavioral intervention - the "Well-Beans for Caregivers" program, for adult caregivers of individuals with tuberous sclerosis complex (TSC) of any age. The main questions of the study are:

  1. Can this innovative, ultra-brief caregiver well-being intervention be delivered feasibly to caregivers via an online modality?
  2. How do the caregivers experience the program (acceptability)?
  3. Does limited efficacy testing suggest the program has an impact on caregiver's well-being?
Read the detailed description

The investigators hypothesize that an innovative, ultra-brief caregiver wellbeing intervention developed for caregivers of children with developmental disabilities can be adapted as a universal caregiver wellbeing intervention in tuberous sclerosis complex (TSC), that it can be delivered feasibly in an online modality, and will result in changes in key caregiver wellbeing factors. To test these hypotheses, the researchers will adapt the 3-session 'Well-Beans for Caregivers' program through a participatory method with the TAND consortium (the TAND consortium is an international group of clinical and research professionals as well as family members living with individuals with TSC - TAND stands for TSC-Associated Neuropsychiatric Disorders - see tandconsortium.org). The input from the TAND Consortium will be augmented by members of TSCi (Tuberous Sclerosis International), the global network of TSC non-profit organizations.

For step 2 (pilot intervention), two specialist facilitators and four trainee observers will deliver the 3-session program using ZoomPro, a secure online platform to two groups of 10-12 caregivers. Caregivers are those who provide long-term, day-to-day support and care, and this group includes parents, partners, relatives, or other family members (not paid professional caregivers). These sessions will not be recorded to ensure that participants can join the program without feeling concerned about being recorded. Data collection will use a quasi-experimental pre-post-test design. Eligible and consented participants will therefore complete baseline data as 'pre-test' and then 'post-test' data after the 3-week intervention. Following this, they will complete 3-month and 6-month data collection. Caregiver wellbeing measures will only include open access and freely available measures. The program as well as data collection will be conducted in English.

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Conditions studied

  • Adult Caregivers of Individuals With TSC
  • Tuberous Sclerosis Complex (TSC)

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Keywords

  • Caregiver well-being
  • Psychological flexibility
  • Acceptance and Commitment Therapy (ACT)
  • Tuberous sclerosis complex (TSC)
  • TSC-Associated Neuropsychiatric Disorders (TAND)
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In context

Tuberous Sclerosis

115 studies on the registry are indexed under Tuberous Sclerosis; 27 are open to participants now.

This study's planned enrollment of 30 is below the median of 52 across 73 interventional studies indexed under Tuberous Sclerosis.

Browse Tuberous Sclerosis studies →

Lead sponsor

Vrije Universiteit Brussel is the lead sponsor of 158 studies on the registry; 43 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Adult caregiver of an individual with Tuberous Sclerosis Complex (TSC) of any age

Exclusion criteria

Exclusion Criteria:

  • Not an adult caregiver of an individual with TSC
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Other
    Feasibility of "Well-Beans for Caregivers"

    Pre-post- quazi-experimental pilot intervention of the feasibility, acceptability and impact of the "Well-Beans for Caregivers" Program

    Behavioral: Well-Beans for Caregivers Program

Interventions

  • BehavioralWell-Beans for Caregivers Program

    This is a brief behavioral intervention consisting of 3 weekly 2-hour sessions. The sessions are based on Acceptance and Commitment Therapy (ACT) and are designed to improve psychological flexibility in caregivers. This in turn is designed to help them connect with their difficult emotions and experiences in a flexible way, and improve emotional well-being.

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What researchers measure

Primary outcomes

  1. Attendance rates to assess feasibility

    Attendance rates at each of the three weekly intervention sessions will be tracked as a measure of feasibility of the intervention program.

    Time frame: At the end of cycle 1, cycle 2 and cycle 3 (each cycle is 7 days)

  2. Feasibility Feedback Forms for caregivers, facilitators and observers

    Caregivers, facilitators and observers will complete bespoke Feasibility Feedback Forms to assess whether the intervention could be implemented as designed.

    Time frame: At the end of cycle 1, cycle 2 and cycle 3 (each cycle is 7 days)

  3. Acceptability Feedback Forms for caregivers, facilitators and observers

    Caregivers, facilitators and observers will complete bespoke Acceptability Feedback Forms to assess their experience and acceptability of the program.

    Time frame: At the end of cycle 1, cycle 2 and cycle 3 (each cycle is 7 days)

Secondary outcomes

  1. Change in psychological flexibility on the Psy-Flex measure

    Changes in scores on the Psy-Flex (Gloster, 2021) will be used to assess changes in caregiver psychological flexibility from before to after treatment. The Psy-Flex consists of 6 items with a minimum score of 6 and a maximum score of 30. Higher scores indicate better psychological flexibility (better outcome).

    Time frame: Change from baseline to immediately post-treatment, and at 3 and 6 months post-treatment

  2. Change in depression on the Patient Health Questionnaire-9 (PHQ-9)

    Changes in participant levels of depression will be measured via changes in scores on the Patient Health Questionnaire (PHQ-9) from before to after the intervention and at two follow-up intervals. The PHQ consists of 9 items with a minimum score of 0 and a maximum score of 27. Higher scores indicate higher levels of depression.

    Time frame: Change from baseline to immediately post-, and 3 and 6-month post treatment

  3. Change in anxiety on the Generalized Anxiety Disorder-7 Scale (GAD-7)

    Changes in anxiety will be assessed via changes in scores on the Generalized Anxiety Disorder-7 Scale (GAD-7). This is a 7-item scale with a minimum score of 0 and a maximum score of 21. Higher scores indicate higher levels of anxiety.

    Time frame: Change from baseline to immediately post-, and 3 and 6-month post treatment

  4. Change in general wellbeing scores on the World Health Organization Wellbeing Index (WHO-5)

    Changes in general wellbeing will be assessed via changes in scores on the WHO-5 Wellbeing Index (WHO-5). This is a 5-item scale with a minimum score of 0 and a maximum score of 25. Higher scores indicate higher levels of well-being.

    Time frame: Change from baseline to immediately post-, and 3 and 6-month post treatment

  5. Change in resilience as measured on the Brief Resilience Scale

    Changes in resilience will be assessed via changes in scores on the Brief Resilience Scale (BRS). The BRS is a 6-item scale with a minimum score of 6 and a maximum score of 30. Higher scores indicate higher levels of resilience.

    Time frame: Change from baseline to immediately post-, and 3 and 6-month post treatment

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Study locations

2 sites
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References and documents

Publications

  • Schlebusch L, Chambers N, Rosenstein D, Erasmus P; WHO CST Team; de Vries PJ. Supporting caregivers of children with developmental disabilities: Findings from a brief caregiver well-being programme in South Africa. Autism. 2024 Jan;28(1):199-214. doi: 10.1177/13623613221133182. Epub 2022 Nov 9. PubMed 36352758 ↗
  • de Vries PJ, Chambers N, Campbell E, Gutierrez-Lafrentz L, Heunis TM, Schlebusch L, Beaure d'Augeres G, Bissell S, Byars A, Capal J, Cardozo L, Cukier S, Davis P, Epstein NB, Fladrowski C, Flinn J, Gipson T, Goy SL, Kingswood JC, Krueger D, Little F, Lubbe S, Mitchell R, Rozenberg M, Sahin M, Silva M, Smith C, Srivastava S, Takei M, van Eeghen A, Vasseghi M, Wagenaar JP, Waltereit R, De Waele L, Jansen AC. Closing the Gap to Interventions for Tuberous Sclerosis Complex-Associated Neuropsychiatric Disorders (TAND): Protocol for a Longitudinal Study of TAND Severity, Predictors, and Caregiver Well-Being (TANDem-2). JMIR Res Protoc. 2026 May 5;15:e91726. doi: 10.2196/91726. PubMed 42085697 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06879665
Collaborators
University of Cape Town, United States Department of Defense
Responsible party
Prof Anna Jansen (Professor, Vrije Universiteit Brussel) — Principal investigator
First posted
Mar 17, 2025
Start date
Jul 15, 2025
Primary completion
Dec 31, 2026 (estimated)
Completion
Jul 15, 2027 (estimated)
Last update
Sep 22, 2025

Study contacts

Anna Jansen, MD, PhD
principal investigator · Vrije Universiteit Brussel
Petrus J de Vries, MD PhD
principal investigator · University of Cape Town

Oversight

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

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