- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04027114
Individualized Physiotherapy and Activity Coaching for Multiple Sclerosis (IPAC-MS)
November 28, 2021 updated by: Sarah Donkers, University of Saskatchewan
Individualized Physiotherapy and Activity Coaching for Multiple Sclerosis (IPAC-MS): A Randomised Controlled Trial
Multiple Sclerosis (MS) is a chronic neurological disease that places a high burden on patients, families and society.
Physical activity in MS is associated with improved fitness, symptoms, and function, fewer relapses, and fewer brain lesions on MRI.
Saskatchewan has one of the highest rates of MS worldwide, and a recent survey estimated approximately 80% of persons living with MS are not sufficiently active for health benefits.
Individuals living with MS recognize the importance of physical activity, but often indicate a lack support, including limited access to professionals knowledgeable about both MS and physical activity.
There is a need to identify effective interventions for improving activity levels safely and appropriately.
Behaviour change strategies target specific behaviours involved in increasing and maintaining physical activity.
The primary objective of this project is to determine if individualized behaviour change strategies delivered by neurophysiotherapists increases physical activity in MS.
Participants will be randomly assigned into two groups.
The intervention group will receive individualized behaviour change strategies delivered through the support of neurophysiotherapists for 12 months.
The wait-list control group will receive usual care for 12 months, and then be offered the intervention for a 6-month period at the end of the study period.
The long-term goal of this research is to help decrease the burden of MS by identifying new opportunities for increasing physical activity.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
120
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
-
-
Saskatchewan
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Saskatoon, Saskatchewan, Canada, S7N 2Z4
- University of Saskatchewan
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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:
- clinically definite MS (diagnosed by a neurologist)
- patient determined disease steps (PDDS) less than or equal to 6 (i.e. not wheel-chair bound)
- GLTEQ<24 (not active enough for health benefits)
Exclusion Criteria:
- medical instability (PAR-Q moderate-high risk of exercise-related harm)
- persons unable to provide consent
- persons under the age of 18 years old
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: SUPPORTIVE_CARE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
NO_INTERVENTION: Wait list control
|
|
EXPERIMENTAL: Behavioural Physical Activity (PA) intervention
|
• The intervention involves a tailored physiotherapy (PT) intake that will serve as the foundation for the individualized approach.
Participants' individual attributes and physical activity needs, including a general PT assessment will occur initially.
Over the next 12 months, participants will receive individualized PT coaching and a physical activity plan plus access to educational literature that outlines methods and benefits of exercise.
An estimated 15 hours of PT contact hours per participant is anticipated and the specifics of each encounter will be documented.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Godin Leisure Time Exercise Questionnaire (GLTEQ) Score
Time Frame: baseline to 12 months
|
change in physical activity level.
The GLTEQ is a 4-item self-administered questionnaire with the first three questions seeking information on the number of times one engages in mild, moderate and strenuous activity in bouts of at least 15 min duration in a typical week.
Total leisure activity score is then calculated based on number of bouts at each intensity multiplied by 3, 5, and 9 metabolic equivalents and summed.
A higher score means more physically active.
|
baseline to 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Multiple Sclerosis Impact Scale version 2 (MSIS-29 v2)
Time Frame: baseline to 12 months
|
change in patient-reported disease-related symptoms measured using MSIS-29 v2 scale.
MSIS-29 assess the impact of MS on health related quality of life in terms of physical and psychological well-being.
The MSIS-29 v2 is a 29 item self-administered questionnaire.
20 items are associated with a physical scale and 9 items with a psychological scale.
Items ask about the impact of MS on day-to-day life in the past two weeks.
All items have 4 response options: 1 "not at all" to 4"extremely".
Min score=29, max =116 with a higher value indicating more severely impacted
|
baseline to 12 months
|
Multiple Sclerosis Self Efficacy Scale (MSSE)
Time Frame: baseline to 12 months
|
change in patient-reported level of confidence regarding components of disease management.
The MSSE has 18 items represented by two subscales of Function (9 items) and Control (9 items).
Participants rate their confidence from 10-100 where 10 has an anchor of very uncertain, 50 moderately certain, and 100 very certain.
A higher score meaning more confident/higher self-efficacy.
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baseline to 12 months
|
Interviews and Exit surveys
Time Frame: after intervention (at 12 month point for intervention group and 18 month for wait-list control) group
|
experience of participants and interventionists
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after intervention (at 12 month point for intervention group and 18 month for wait-list control) group
|
Intervention Description
Time Frame: after intervention (at 12 month point for intervention group and 18 month for wait-list control group)
|
a description of interventionist contact time with participant and frequency, method and types of services provided
|
after intervention (at 12 month point for intervention group and 18 month for wait-list control group)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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 (ACTUAL)
July 12, 2019
Primary Completion (ACTUAL)
January 15, 2021
Study Completion (ACTUAL)
June 21, 2021
Study Registration Dates
First Submitted
July 10, 2019
First Submitted That Met QC Criteria
July 16, 2019
First Posted (ACTUAL)
July 19, 2019
Study Record Updates
Last Update Posted (ACTUAL)
November 30, 2021
Last Update Submitted That Met QC Criteria
November 28, 2021
Last Verified
November 1, 2021
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Bio-1019
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
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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