- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02524093
The Impact of Positive Mental Training in Multiple Sclerosis (PosMTMS)
April 3, 2018 updated by: Katy Murray, University of Edinburgh
The Efficacy of Positive Mental Training in Patients With Multiple Sclerosis Experiencing Psychological Distress: A Pilot Randomised Controlled Trial
Depression and anxiety are common in MS and often go untreated.
Even symptoms which do not meet the threshold for a psychiatric diagnosis can have a significant impact on quality of life.
Positive Mental Training (PosMT) is a 12 week programme which aims to help people overcome the negative thinking and feelings that come with worry and low mood and become more positive, confident and resilient.
To find out if Positive Mental Training is helpful in MS the investigators are running a randomised controlled trial.
The initial study is a pilot tiral, the primary function being examination of the feasibility and acceptability of this treatment in MS.
Though sample size is small and consequently it may not be powered to detect a significant change in symptoms in association with the treatment, this will also be examined.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Psychiatric disturbance is common in multiple sclerosis (MS), with anxiety and depression the most frequent diagnoses.
The lifetime rate of major depression is up to 50%.
However, even symptoms of mood and anxiety which are not severe enough to warrant a diagnosis of a psychiatric disorder can still have a big impact people's lives.
The investigators want to find ways to make people with MS feel better and cope better in their day to day life, and to be stronger inside themselves so that they don't become worried or stressed so much in the future.
Positive Mental Training (PosMT) is a 12 week programme which aims to help people overcome the negative thinking and feelings that come with worry and low mood and become more positive, confident and resilient.
To find out if Positive Mental Training is helpful in MS the investigators are running randomised controlled trial.
Patients with MS who score higher than 4 on either the Hospital Anxiety (HADS-A) or Depression Scale (HADS-D) will be admitted to the trial.
They will be randomly allocated to either an intervention or control group.
The intervention group will be given the treatment immediately, the other 12 weeks later.
In addition to the HADS, patients will be asked to complete two further questionnaires asking about how low mood and anxiety affecting them, both when they enter the trial and 12 weeks later.
These are the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) and EuroQol health related quality of life - 5 dimensions - 5 levels (EuroQol-5D-5L).
The primary function of this pilot trial is to ascertain suitability and acceptability of this treatment for people with MS, and to guide planning of a subsequent full trial.
Feedback will therefore be obtained from participants in the treatment group of their experience of using the intervention.
Though the sample size of this pilot trial is small, by comparing the change in scores on rating scales in patients given the treatment to those who have not been given it yet (the control group), it may be feasible to ascertain if PosMT is a useful treatment in MS.
Study Type
Interventional
Enrollment (Actual)
60
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Scotland
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Edinburgh, Scotland, United Kingdom, EH16 4SD
- Anne Rowling Clinic
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Have confirmed diagnosis of Multiple Sclerosis
Exclusion Criteria:
- Lack capacity to provide informed consent
- Judged by the treating clinician to have cognitive deficits of such severity to preclude engagement with the treatment
- Felt by the treating clinician to be unsuitable to participate on other clinical grounds (e.g. significant receptive aphasia) will be excluded.
- Do not speak English (they would be unable to independently make use of the intervention)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention
Participants in this arm will be given the Positive Mental Training programme.
This consists of twelve eighteen minute audio tracks.
Each is listened to in turn every day, once a day for a week (or at least 5 days in a week).
This means that to use the treatment properly the participant needs to spend 18 minutes a day for 12 weeks listening to it.
Each track guides the listener through different instructions which aim to build skills and bring about positive change.
The programme begins with simple relaxation, going on to support the creation of pictures in your head of safe places and a more positive future.
|
Positive Mental Training consists of twelve eighteen minute audio tracks.
Each is listened to in turn every day, once a day for a week (or at least 5 days in a week).
This means that to use the treatment properly you need to spend 18 minutes a day for 12 weeks listening to it.
Each track guides the listener through different instructions which aim to build skills and bring about positive change.
The programme begins with simple relaxation, going on to support the creation of pictures in your head of safe places and a more positive future.
|
Placebo Comparator: Control
Will receive treatment as usual for 12 weeks, when will be asked to complete rating scales again.
They will then be given the Positive Mental Training programme.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Hospital Anxiety and Depression Scale (HADS)
Time Frame: Change from baseline after 12 weeks
|
Change from baseline after 12 weeks
|
Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS)
Time Frame: Change from baseline after 12 weeks
|
Change from baseline after 12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Assessment of health-related quality of life - EuroQol health related quality of life - 5 dimensions - 5 levels (EuroQol-5D-5L)
Time Frame: Change from baseline after 12 weeks
|
Change from baseline after 12 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Katy Murray, MD, NHS Lothian
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
January 1, 2016
Primary Completion (Actual)
July 1, 2017
Study Completion (Actual)
July 1, 2017
Study Registration Dates
First Submitted
August 10, 2015
First Submitted That Met QC Criteria
August 12, 2015
First Posted (Estimate)
August 14, 2015
Study Record Updates
Last Update Posted (Actual)
April 5, 2018
Last Update Submitted That Met QC Criteria
April 3, 2018
Last Verified
April 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- PosMT1.0
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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