Fibromyalgia Clinical Trial
Official title:
Development and Piloting of a Prehabilitation Behavioural Change and Physical Activity Intervention for Fibromyalgia Syndrome
Verified date | December 2018 |
Source | Universidad de Granada |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Twelve people with FM will be recruited from the FM patient support groups. The investigators
will develop and test a 4-week prehabilitation educational programme (i.e., a behavioural
change intervention) consisting of meeting once per week (each approximately 1 - 1.5 hours).
These dynamic and interactive meetings will focus on education and skills training in:
exercise, activity cycling, pacing, causes of symptoms in FM (pain, fatigue, sleep
dysfunction) and their management.
Participants will be taught to set specific, measurable, achievable, realistic and timed
goals (SMART principle) that are valuable or meaningful to them. To do so, the participants
will identify a 'committed action' plan. The principles of cognitive behavioural therapy will
be used to address maladaptive thoughts (e.g., catastrophizing and fear avoidance) and to
manage stress (e.g., skills of relaxation). Participants will learn how to use of pedometers
to monitor physical activity.
After the 4-week prehabilitation educational programme, the participants will be encouraged
to engage in a 6-week gentle self-paced walking programme (with weekly telephone support).
The 6-week walking programme will consist of a simple pedometer-driven intervention.
Furthermore, the research team will telephone each participant at a prearranged time each
week to discuss progress, to document mean daily step count and to discuss a new physical
activity target (step count) for the subsequent week. Participants will record daily step
counts (pedometer-derived) in a walking dairy which will be used as raw data and mean steps
per day calculated. Where a participant declines telephone support, an alternative weekly
email or text/WhatsApp messages will be offered instead, where the same information will be
given and requested.
Before (baseline measurements) and right after the completion of the 4-week prehabilitation
educational programme as well as the 6-week gentle self-paced walking programme the same
measurements will be taken. By doing so, the investigators will evaluate short and mid-term
changes promoted by the prehabilitation programme. The participants will fill out the
following questionnaires: the Revised FM Impact Questionnaire, Pain Catastrophizing Scale,
Multidimensional Fatigue Inventory, Short-Form 36-item Health Survey, International Physical
Activity Questionnaire, Sedentary Behaviour Questionnaire, Exercise Self Efficacy
Questionnaire, Pittsburgh Sleep Quality Index questionnaire, and the modified 2011
preliminary FM criteria questionnaire.
Right after the completion of the prehabiliation intervention, all the participants will fill
out the treatment acceptability and credibility questionnaire. Right after the completion of
the walking programme, participants will be interviewed (semistructured face-to-face exit
interview lasting about 30-45 minutes) to explore their experiences of the study including
barriers to participation.
The main outcome of the study will be acceptability and credibility of the prehabilitation
intervention (treatment acceptability and credibility questionnaire. Additionally, the
success of the prehabilitation programme will be based on (i) number of sessions attended
(>80%), (ii) number of drop outs (<15%) and reasons for early withdrawal, (iii) number of
screening questionnaires completed and returned (>80%).
Status | Completed |
Enrollment | 12 |
Est. completion date | November 26, 2018 |
Est. primary completion date | November 26, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 16 Years and older |
Eligibility |
Inclusion Criteria: - Participants must have been diagnosed with FM by a medical practitioner, which will be confirmed by the research team -i.e., the modified 2011 preliminary FM criteria questionnaire (Appendix 14) by satisfying 'widespread pain index' (WPI) and 'symptom severity scale' (SS) as follows, either WPI =7 and the SS =5, or the WPI is 3-6 and the SS =9. Exclusion Criteria: - Younger than 16 years old. - Not able to communicate in English. - Mobilise dependently/aided. - Have any medical condition that would make exercise participation unsafe (for example; heart disease, stroke, respiratory disease, severe mobility problems, severe arthritis or inflammatory joint disease). - Are involved in ongoing litigation involving FM. - Are currently under active treatment by a physiotherapist or involved in any other research studies. - Are pregnant. |
Country | Name | City | State |
---|---|---|---|
United Kingdom | The VINE center | Belfast |
Lead Sponsor | Collaborator |
---|---|
Universidad de Granada | University of Ulster |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Acceptability and credibility of the prehabilitation intervention | The treatment acceptability and credibility questionnaire | Time point(s): once, right after the education programme. Time frame: An average of the past 4 weeks | |
Primary | Number of sessions attended | Percentage of participants attending to more than 80% of the education sessions | Time point(s): once, right after the education programme. Time frame: The past 4 weeks | |
Primary | Number of drop outs and reasons for early withdrawal | Percentage of participants that do complete the study | Time point(s): once, right after the education programme. Time frame: The 4 past weeks | |
Primary | Number of questionnaires completed and returned | Percentage of participants that complete and return, at least, 80% of the questionnaires | Time point(s): once, right after the education programme. Time frame: The 4 past weeks | |
Secondary | Severity of fibromyalgia (also know as, impact of fibromyalgia) | the Revised FM Impact Questionnaire | Time point(s): 3 (baseline, 4th and 10th weeks). Time frame: The past week | |
Secondary | Pain intensity | 0-10 NRS | Time point(s): 3 (baseline, 4th and 10th weeks). Time frame: The past week | |
Secondary | Pain catastrophizing | Pain catastrophizing is the tendency to describe a pain experience in more exaggerated terms than the average person, to ruminate on it more (e.g., "I kept thinking 'this is terrible'"), and/or to feel more helpless about the experience ("I thought it was never going to get better"). Pain catastrophizing will be measured by means of the Pain Catastrophizing Scale is a 13-item questionnaire in which patients are asked to reflect on past painful experiences and indicate their thoughts or feelings about pain, on a 5-point scale. For this study, the total score (range 0-52) was used, where higher scores represent a more negative appraisal of pain. | Time point(s): 3 (baseline, 4th and 10th weeks). Time frame: "in general", an average of the past 4 weeks. | |
Secondary | Fatigue | the Multidimensional Fatigue Inventory | Time point(s): 3 (baseline, 4th and 10th weeks). Time frame: The past week | |
Secondary | health related quality of life | the Short-Form Health Survey | Time point(s): 3 (baseline, 4th and 10th weeks). Time frame: "in general", an average of the past 4 weeks. | |
Secondary | physical activity | the International Physical Activity Questionnaire | Time point(s): 3 (baseline, 4th and 10th weeks). Time frame: the past 7 days | |
Secondary | Sedentary Behaviour | Sedentary Behaviour Questionnaire | Time point(s): 3 (baseline, 4th and 10th weeks). Time frame: the past week | |
Secondary | exercise self-efficacy | the Exercise Self Efficacy Questionnaire | Time point(s): 3 (baseline, 4th and 10th weeks). Time frame: "in general", an average of the past 4 weeks. | |
Secondary | sleep quality | the Pittsburgh Sleep Quality Index questionnaire | Time point(s): 3 (baseline, 4th and 10th weeks). Time frame: "in general", an average of the past 4 weeks. |
Status | Clinical Trial | Phase | |
---|---|---|---|
Active, not recruiting |
NCT05659862 -
Digitally Assisted Behavioral Physical Activity Intervention in Fibromyalgia
|
N/A | |
Recruiting |
NCT03207828 -
Testing Interventions for Patients With Fibromyalgia and Depression
|
N/A | |
Completed |
NCT03042728 -
Impact of Inclusion of a Therapy Dog Visit as Part of the Fibromyalgia Treatment Program
|
N/A | |
Recruiting |
NCT06097091 -
Effects and Mechanisms of Pain Neuroscience Education in Patients With Fibromyalgia
|
N/A | |
Recruiting |
NCT04554784 -
Effectiveness of Bowen Therapy for Pain Management in Patients With Fibromyalgia
|
N/A | |
Completed |
NCT03300635 -
Metabolism, Muscle Function and Psychological Factors in Fibromyalgia
|
N/A | |
Recruiting |
NCT06166563 -
Exercise, Irritable Bowel Syndrome and Fibromyalgia
|
N/A | |
Completed |
NCT03227952 -
Sensory Stimulation in Fibromyalgia
|
N/A | |
Completed |
NCT03166995 -
Postural Exercises in Women With Fibromyalgia
|
N/A | |
Recruiting |
NCT06237595 -
Vagus Nerve Stimulation in Fibromyalgia
|
N/A | |
Completed |
NCT01888640 -
Fibromyalgia Activity Study With Transcutaneous Electrical Nerve Stimulation (FAST)
|
N/A | |
Completed |
NCT03641495 -
Pain Education and Therapeutic Exercise for Fibromyalgia
|
N/A | |
Recruiting |
NCT05581628 -
FREQUENCY OF FIBROMYALGIA IN PATIENTS WITH CELIAC DISEASE
|
||
Active, not recruiting |
NCT05128162 -
Open-label Study to Assess the Safety and Efficacy of Psilocybin With Psychotherapy in Adult Participants With Fibromyalgia
|
Phase 2 | |
Completed |
NCT04674878 -
Comparison of Muscle Energy Techniques and Breathing Exercises for Functional Improvement in Fibromyalgia
|
N/A | |
Active, not recruiting |
NCT04084795 -
Augmentation of EMDR With tDCS in the Treatment of Fibromyalgia
|
N/A | |
Completed |
NCT03129906 -
Impact of the Restriction of Sources of Gluten in Fibromyalgia Patients
|
N/A | |
Completed |
NCT05058911 -
Exposure-based Cognitive Behavior Therapy vs Traditional Cognitive Behavior Therapy for Fibromyalgia
|
N/A | |
Recruiting |
NCT04571528 -
Effectiveness of VIRTUAL FIBROWALK STUDY
|
N/A | |
Recruiting |
NCT04571853 -
New Educational Tool for FM
|
N/A |