- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT02589886
Self-help and Education on the Internet for Functional Motor Disorders (SHIFT)
Self-Help and Education on the Internet for Functional Motor Disorders, a Randomised Controlled Trial (SHIFT)
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
Patients will be referred to the study from all neurology centers in the Netherlands that are found willing to participate. After informed consent is acquired, patients will be randomised into one of these two groups: usual care only or the education and self help intervention added to usual care. At baseline, after 3 months and after 6 months patients will fill out questionnaires at home online or on paper.
Patients will not be blinded for the intervention. The researcher is blinded during analysis of the data. During the study contact between the researcher and the participants will be restricted to research related topics. All contact between participants and the researcher will be documented.
To increase generalisability and applicability in clinical practice after the trial the investigators have chosen to add the intervention to usual care and to keep exclusion criteria to a minimum.
Our education and self help internet intervention is an especially designed website with an educational approach. The content of the intervention is written by a team of international experts and consists of education about the mechanism of functional motor disorders and it's treatment and of self help advice and exercises. During the trial the website will only be accessible with a log-in. The education and self help internet intervention is self-explanatory and unguided.
The medical ethical committee of the University Medical Center Groningen has taken our research under review and has decided this study does not fall under the scope of the Medical Research Involving Human Subjects Act (WMO-Wet Mensgebonden Onderzoek).
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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Groningen, Países Bajos, 9700 RB
- University Medical Center Groningen
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Diagnosis of functional motor symptom from a neurologist
- The motor symptom(s) cause(s) distress or impairment in social, occupational or other important areas of functioning.
- Able to read Dutch
- Access to a computer with internet connection on a regular basis
Exclusion Criteria:
- Incapacitated (Not able to provide informed consent)
- Accidental finding of a motor symptom in a patient with other (functional) complaints.
- Known existing visitor of the (previously available, but currently offline) translated version of a website by Dr. Jon Stone
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
---|---|
Comparador activo: intervention
This arm will receive the education and self-help internet intervention added to usual care
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The intervention is a newly developed website which consists of information about the mechanism and treatment of functional motor disorders.
Furthermore self-help elements like exercises to perform at home and rehabilitation advice are added.
The intervention is unguided.
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Sin intervención: control
This arm will receive usual care only
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Subjective general health Status on the Clinical Global Improvement scale
Periodo de tiempo: 3 months
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CGI, self-rated, 7-point scale of general health status
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3 months
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Subjective general health Status on the Clinical Global Improvement scale
Periodo de tiempo: 6 months
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CGI self-rated, 7-point scale of general health status
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6 months
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Quality of life on domains of RAND-36
Periodo de tiempo: 3 months
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extra question added to RAND-36 from WHOQuality Of Life scale
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3 months
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Quality of life on domains of RAND-36
Periodo de tiempo: 6 months
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extra question added to RAND-36 from WHO-Quality Of Life scale
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6 months
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Illness beliefs on the Illness Perception Questionnaire
Periodo de tiempo: 3 months
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Questions from the Illness Perception Questionnaire and newly devised questions about beliefs and understanding of functional motor disorders
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3 months
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Illness beliefs on the Illness Perception Questionnaire
Periodo de tiempo: 6 months
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Questions from the Illness Perception Questionnaire and newly devised questions about beliefs and understanding of functional motor disorders
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6 months
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Referral and other treatments on a questionnaire about referral and other treatments
Periodo de tiempo: 6 months
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Questions about future and past referrals to treatment
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6 months
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Symptom severity on the change in presenting symptoms scale
Periodo de tiempo: 3 months
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3 months
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Symptom severity on the change in presenting symptoms scale
Periodo de tiempo: 6 months
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6 months
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Work and social adjustment
Periodo de tiempo: 6 months
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Work and Social Adjustment scale
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6 months
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Cost-effectivity in QALY's calculated by using the PCQ, MCQ and EQ5D
Periodo de tiempo: 6 months
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Analysis using: Patient Costs Questionnaire, Medical Costs Questionnaire, and EQ5D
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6 months
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Patient satisfaction with general care and the study intervention
Periodo de tiempo: 3 months
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Questions on satisfaction with general care and with the education and selfhelp intervention in particular
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3 months
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Patient satisfaction with general care and the study intervention
Periodo de tiempo: 6 months
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Questions on satisfaction with general care and with the education and selfhelp intervention in particular
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6 months
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Psychiatric outcome on the Patient Health Questionnaire
Periodo de tiempo: 6 months
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6 months
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Fatigue on CIS-fatigue scale
Periodo de tiempo: 6 months
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6 months
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Otras medidas de resultado
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Adverse events
Periodo de tiempo: 6 months
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Death and hospitalization during the trial
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6 months
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Marina Tijssen, MD, PhD, University Medical Center Groningen, University of Groningen
Publicaciones y enlaces útiles
Publicaciones Generales
- Sharpe M, Walker J, Williams C, Stone J, Cavanagh J, Murray G, Butcher I, Duncan R, Smith S, Carson A. Guided self-help for functional (psychogenic) symptoms: a randomized controlled efficacy trial. Neurology. 2011 Aug 9;77(6):564-72. doi: 10.1212/WNL.0b013e318228c0c7. Epub 2011 Jul 27.
- Lehn A, Gelauff J, Hoeritzauer I, Ludwig L, McWhirter L, Williams S, Gardiner P, Carson A, Stone J. Functional neurological disorders: mechanisms and treatment. J Neurol. 2016 Mar;263(3):611-20. doi: 10.1007/s00415-015-7893-2. Epub 2015 Sep 26.
- Stone J, Carson A. Functional neurologic disorders. Continuum (Minneap Minn). 2015 Jun;21(3 Behavioral Neurology and Neuropsychiatry):818-37. doi: 10.1212/01.CON.0000466669.02477.45.
- Gelauff JM, Dreissen YE, Tijssen MA, Stone J. Treatment of functional motor disorders. Curr Treat Options Neurol. 2014 Apr;16(4):286. doi: 10.1007/s11940-014-0286-5.
- Gelauff JM, Rosmalen JGM, Carson A, Dijk JM, Ekkel M, Nielsen G, Stone J, Tijssen MAJ. Internet-based self-help randomized trial for motor functional neurologic disorder (SHIFT). Neurology. 2020 Sep 29;95(13):e1883-e1896. doi: 10.1212/WNL.0000000000010381. Epub 2020 Jul 20.
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- METc/2015/141
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
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