Fibromyalgia Clinical Trial
Official title:
"One Step at a Time" - an Internet-delivered Treatment for Patients Moderately Impaired by Bodily Distress Syndrome. A Feasibility Pilot Study
Verified date | October 2022 |
Source | University of Aarhus |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This uncontrolled feasibility pilot study explores the acceptability and potential effect of a 14 week, 11-module, therapist-assisted, internet-delivered treatment program, "One step at the time", for patients moderately affected by Bodily Distress Syndrome. The study includes 25 participants aged 18-60 with multiple functional somatic symptoms for a duration of minimum 6 months. The focus of the feasibility trial is evaluation of treatment response, treatment satisfaction, program utility, recruitment and retention rates, data completion rates, and time requirement. The primary feasibility criterion is a +2.0 points change in patient-rated physical health measured by the SF-36 aggregate score physical health from before to after treatment.
Status | Withdrawn |
Enrollment | 0 |
Est. completion date | November 15, 2021 |
Est. primary completion date | November 15, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 60 Years |
Eligibility | Inclusion Criteria: 1. Meet the diagnostic criteria for Bodily distress syndrome (BDS) with 2-3 of 4 symptom clusters 2. Moderate impact on daily life (self-reliant at home, can participate in activities outside the home) 3. Symptoms lasting for at least 6 months 4. 18-60 years at the time of inclusion 5. Previous stable educational or occupational attachment until at least 2 years prior to enrollment and expecting to return to occupational or educational activity 6. Motivation and time to participate in a psychological treatment program for treatment of BDS 7. IT skills and access to internet and computer/tablet 8. Willingness to engage in working with illness perception and behavioral change Exclusion Criteria: 1. Presence of other physical condition if the symptoms of this condition can not clearly be separated from symptoms of BDS or the condition is unstable/untreated 2. Current moderate or severe psychiatric disorder that substantially impacts daily life or demands special, individualized treatment, or clinical suspicion hereof, e.g. treatment-demanding depression or personality disorder 3. Current continuous treatment with opioids and drugs with opioid-like properties 4. Previous psychological treatment targeting BDS |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
University of Aarhus |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Patients' experience and satisfaction with assessment and treatment | Qualitative semi-structured interviews | During treatment | |
Other | 5-point clinical global improvement scale (CGI) | Clinician-rated improvement | After treatment (16 weeks) | |
Other | Therapist time spent per patient | Time spent per patient | During treatment | |
Other | The Internet Evaluation and Utility Questionnaire | Clinician-rated program utility | After treatment (16 weeks) | |
Other | Recruitment and retention rates and data completeness. | Rates of eligible patients willing to participate, completion rate (at least 5 modules) and data completeness. | Baseline, before treatment (2 weeks), after treatment (16 weeks) and at 3 month follow up (28 weeks) | |
Primary | Changes in physical Health | Patient-rated physical health measured by the SF-36 aggregate score Physical Health | Baseline, before treatment (2 weeks), after treatment (16 weeks) and at 3 month follow up (28 months) | |
Secondary | SF-36 physical health | Changes in physical, mental, and social health | Baseline, before treatment (2 weeks), after treatment (16 weeks) and at 3 month follow up (28 weeks) | |
Secondary | 5-point clinical global improvement scale (CGI) | Overall health improvement | after treatment (14 weeks) | |
Secondary | The Numeric Rating Scale | Changes in symptom intensity and symptom interference | every 2 weeks during treatment | |
Secondary | Relevant subscores of the 92-item Danish version of the Symptom Checklist (SCL-92) | Changes in symptoms of anxiety, depression, and somatization | Baseline, before treatment (2 weeks), after treatment (16 weeks) and at 3 month follow up (28 weeks) | |
Secondary | The BDS Checklist | Symptom checklist | Baseline, before treatment (2 weeks), after treatment (16 weeks) and at 3 month follow up (28 weeks) | |
Secondary | Whiteley-7 | Changes in illness worry | Baseline, before treatment, after treatment and at 3 month follow up | |
Secondary | Brief-Illness perception questionnaire | Changes in illness perception | Baseline, before treatment (2 weeks), after treatment (16 weeks) and at 3 month follow up (28 weeks) | |
Secondary | The Behavioural Responses to Illness Questionnaire (BRIQ) Changes in illness behaviour | Changes in illness behaviour | Baseline, before treatment (2 weeks), after treatment (16 weeks) and at 3 month follow up (28 weeks) | |
Secondary | The credibility/expectancy questionnaire | Treatment expectancy, rationale credibility, and treatment satisfaction | Before treatment (2 weeks) and after treatment (16 weeks) | |
Secondary | Costs associated with Psychiatric Illness (TiC-P) | Changes in work performance and work absence | Before treatment (2 weeks) and at 3 month follow up (16 weeks) | |
Secondary | The inventory for the assessment of negative effects of psychotherapy (INEP) | Negative effects of psychotherapy | After treatment (16 weeks) | |
Secondary | The Internet Evaluation and Utility Questionnaire | Program utility | after treatment (16 weeks) | |
Secondary | The Sources of Meaning and Meaning in Life Questionnaire (SoMe short version) | Chnages in sense of meaningfulness and crisis of meaning | Baseline, before treatment (2 weeks), after treatment (16 weeks) and at 3 month follow up (28 weeks) |
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