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Online Mindfulness-Based Cognitive Therapy for People With Multiple Sclerosis With Mild-Moderate Depression

28 juillet 2026 mis à jour par: Robert Simpson

Online Mindfulness-Based Cognitive Therapy for People With Multiple Sclerosis With Mild-Moderate Depression: A Hybrid Effectiveness-Implementation Study

This study will use a waiting list randomized controlled trial design with a mixed-methods research approach, including both quantitative and qualitative methods. Randomization helps minimize research bias and controls for participant and contextual factors that might otherwise make interpretation of results challenging. We will recruit 152 people with multiple sclerosis (PwMS) with any type of MS, who also have mild-moderate depression, aged 18 or greater, and able to understand spoken and written English.

For the quantitative part, we will examine how much change in depression there is following mindfulness-based cognitive therapy (MBCT), as well as whether participants attend the course and complete study measures or not, and how much participants complete MBCT home practices. We will also examine how much change there is in fatigue, sleep pain, quality of life, and anxiety.

For the qualitative part of the study, we will use semi-structured interviews to explore participant experiences of online MBCT, how people used online MBCT, what worked, what didn't and why, how online MBCT impacted self-management of depression, and suggestions for improving the course to make it more relevant for PwMS with depression.

Aperçu de l'étude

Statut

Pas encore de recrutement

Les conditions

Intervention / Traitement

Type d'étude

Interventionnel

Inscription (Estimé)

152

Phase

  • Phase 3

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Non

La description

Inclusion criteria will include:

  • Age >/=18
  • Neurologist confirmed MS diagnosis (McDonald criteria)
  • Able to understand spoken and written English
  • A score of 14-28 on the Beck Depression Inventory-II signifying mild-moderate depression
  • Registered with a primary care provider (family physician or neurologist)
  • Residing in Canada

Exclusion criteria will include:

  • Potentially life-threatening comorbidities (suicidal ideation (i.e., score of 2 or 3 on the BDI-Fast Screen suicidal ideation question), history of psychosis, terminal/life threatening inter-current illness), or those such conditions expected to significantly limit participation and adherence (pregnancy, cognitive impairment i.e. score <26 on the Montreal Cognitive Assessment - MoCA)
  • Receipt of MBCT in the past 2 years (completed at least 4/8 sessions).

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Seul

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Mindfulness-Based Cognitive Therapy
Online group Mindfulness-Based Cognitive Therapy delivered live online in weekly sessions for 8 weeks
Autre: Mindfulness-Based Cognitive Therapy
Online group Mindfulness-Based Cognitive Therapy delivered live online in weekly sessions for 8 weeks
Aucune intervention: Waitlist control
Waitlist control arm - participants receive no intervention initially but receive MBCT following data collection

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Depression
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Change in depression scores using the Hospital Anxiety and Depression Scale
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Self-efficacy
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Self-efficacy, as measured by the Generalized Self-Efficacy Scale
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Self-management
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Self-management, as measured by the Multiple-Sclerosis Self-Management Scale-Revised
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Stigma
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Stigma, as measured by the Stigma Scale for Chronic Illness-8
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Fatigue
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Fatigue as measured by the Modified Fatigue Impact Scale
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Sleep
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Sleep as measured by the Insomnia Severity Index
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Change in pain
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Pain as measured by the Pain Effects Scale
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Change in quality of life
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Quality of life as measured by the Multiple Sclerosis Impact Scale-29
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Anxiety
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Anxiety as measured by Hospital Anxiety and Depression Scale -Anxiety
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Mindfulness
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Mindfulness as measured by The Five-facet Mindfulness Questionnaire
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Self-compassion
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Self-compassion, measured using the The Self-Compassion Scale-short form
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Emotion regulation
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Emotion regulation, as measured by The Difficulties with Emotional Regulation Scale short-form
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Group attendance
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Group attendance in those allocated to tailored online MBCT
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Group climate
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Group climate using the Climate Questionnaire-Engage Scale
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Therapeutic alliance
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Therapeutic alliance as measured by the Working Alliance Inventory
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Depressive symptoms
Délai: Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Depressive symptoms as measured by the Beck Depression Inventory II (BDI-II)
Baseline (T0), immediately post MBCT (T1), and 3 months later (T2)
Implementation
Délai: Throughout the study and up to 12 months post-intervention
Implementation, as informed by the Proctor's taxonomy
Throughout the study and up to 12 months post-intervention

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Robert Simpson

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Estimé)

1 août 2026

Achèvement primaire (Estimé)

1 novembre 2028

Achèvement de l'étude (Estimé)

1 décembre 2028

Dates d'inscription aux études

Première soumission

23 juillet 2026

Première soumission répondant aux critères de contrôle qualité

28 juillet 2026

Première publication (Réel)

3 août 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

3 août 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

28 juillet 2026

Dernière vérification

1 janvier 2026

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • 00049655

Plan pour les données individuelles des participants (IPD)

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INDÉCIS

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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