- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00167635
Nursing Management of Irritable Bowel Syndrome:Improving Outcomes
Nursing Management of Irritable Bowel Syndrome: Improving Outcomes
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Randomization and Intervention Phase. Upon completing the baseline assessment phase, participants will be randomized to one of 3 treatment groups. A customized computer program will be used to do the randomization in an adaptive manner that ensures the 3 groups remain fairly balanced with respect to possible important predictors of outcomes: age, sex, predominant stool pattern (alternating, constipation-predominant or diarrhea-predominant), and severity of IBS symptoms and psychological symptoms at baseline. When each new participant is randomized, the program will adjust the probabilities of assignment to the three groups so that there is a higher probability of assignment to the group that results in the best balance.
Intervention Groups. Face-to-Face Individualized Comprehensive Self-Management (CSM-FF) Group. Participants in the individualized CSM-FF group will be scheduled for 9 weekly sessions with the nurse therapist followed by post-intervention follow-up assessment.
Telephone Individualized Comprehensive Self-Management (CSM-TEL) Group. Participants in the individualized CSM-TEL group will initially have 2 face-to-face meetings with the nurse therapist, 6 sessions over the phone and the final session face-to-face at 9 weeks.
Usual Care Control Group (UC). Following randomization the participants in the control group will no receive any contacts during the comparable 9-week intervention in the treatment groups.
Follow-up Phase. Participants in all 3 groups will be reassessed at 3-mo, 6-mo, and 12-mo post randomization. At this time the participants will complete questionnaires, a 4 week diary and collect 4 urines.
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
-
-
Washington
-
Seattle, Washington, United States, 98195
- University of Washington
-
Seattle, Washington, United States, 98125
- Northgate Executive 1
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Irritable Bowel Syndrome
Exclusion Criteria:
- GI pathology (organic disease)
- Co-morbid pain disorders
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 1
Face-to-Face Individualized Comprehensive Self-Management (CSM-FF) Group.
Participants in the individualized CSM-FF group will be scheduled for 9 weekly sessions with the nurse therapist followed by post-intervention follow-up assessment.
|
Cognitive-behavioral over 9 weeks
Other Names:
|
Experimental: 2
Telephone Individualized Comprehensive Self-Management (CSM-TEL) Group.
Participants in the individualized CSM-FTF group will initially have 2 face-to-face meetings with the nurse therapist, 6 sessions over the phone and the final session face-to-face at 9 weeks.
|
Cognitive-behavioral over 9 weeks
Other Names:
|
No Intervention: 3
Usual Care Control Group (UC).
Following randomization the participants in the control group will receive two short phone calls to maintain contact during the comparable 9-week intervention in the treatment groups.
|
Cognitive-behavioral over 9 weeks
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Gastrointestinal symptoms
Time Frame: baseline, and 3 months, 6 months, 12 months post randomization
|
baseline, and 3 months, 6 months, 12 months post randomization
|
Psychological distress
Time Frame: baseline, and 3 months, 6 months, 12 months post randomization
|
baseline, and 3 months, 6 months, 12 months post randomization
|
Cognitive Scale for Functional Bowel Disorders (CFBD) describes 25 cognitive beliefs related to functional bowel disorders.
Time Frame: baseline, and 3 months, 6 months, 12 months post randomization
|
baseline, and 3 months, 6 months, 12 months post randomization
|
Health Related Quality Of Life (HRQOL) will be measures with the Disease Specific Questionnaire-IBS (IBS-DSQ), a 42-item questionnaire.
Time Frame: baseline, and 3 months, 6 months, 12 months post randomization
|
baseline, and 3 months, 6 months, 12 months post randomization
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Sleep disturbance
Time Frame: baseline, and 3 months, 6 months, 12 months post randomization
|
baseline, and 3 months, 6 months, 12 months post randomization
|
Sexual dysfunction
Time Frame: baseline, and 3 months, 6 months, 12 months post randomization
|
baseline, and 3 months, 6 months, 12 months post randomization
|
Catecholamine and cortisol levels (urine)
Time Frame: baseline, and 3 months, 6 months, 12 months post randomization
|
baseline, and 3 months, 6 months, 12 months post randomization
|
Stool frequency/consistency
Time Frame: baseline, and 3 months, 6 months, 12 months post randomization
|
baseline, and 3 months, 6 months, 12 months post randomization
|
Health care utilization
Time Frame: baseline, and 3 months, 6 months, 12 months post randomization
|
baseline, and 3 months, 6 months, 12 months post randomization
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Margaret M Heitkemper, University of Washington
Publications and helpful links
General Publications
- Heitkemper MM, Jarrett ME, Levy RL, Cain KC, Burr RL, Feld A, Barney P, Weisman P. Self-management for women with irritable bowel syndrome. Clin Gastroenterol Hepatol. 2004 Jul;2(7):585-96. doi: 10.1016/s1542-3565(04)00242-3.
- Yang PL, Burr RL, Buchanan DT, Pike KC, Kamp KJ, Heitkemper MM. Indirect effect of sleep on abdominal pain through daytime dysfunction in adults with irritable bowel syndrome. J Clin Sleep Med. 2020 Oct 15;16(10):1701-1710. doi: 10.5664/jcsm.8658.
- Kamp KJ, Weaver KR, Sherwin LB, Barney P, Hwang SK, Yang PL, Burr RL, Cain KC, Heitkemper MM. Effects of a comprehensive self-management intervention on extraintestinal symptoms among patients with IBS. J Psychosom Res. 2019 Nov;126:109821. doi: 10.1016/j.jpsychores.2019.109821. Epub 2019 Aug 29.
- Han CJ, Kohen R, Jun S, Jarrett ME, Cain KC, Burr R, Heitkemper MM. COMT Val158Met Polymorphism and Symptom Improvement Following a Cognitively Focused Intervention for Irritable Bowel Syndrome. Nurs Res. 2017 Mar/Apr;66(2):75-84. doi: 10.1097/NNR.0000000000000199.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 12707-C
- 2R01NR04142-5
- 97-3895-C 11
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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