- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT07636434
My MS Toolkit: An Internet-Based Depression Self-Management Program for Adults Living With Multiple Sclerosis
연구 개요
상세 설명
First, we will modify My MS Toolkit to make it more helpful and relevant to adults with MS and depressive symptoms. We plan to add:
- a depression-specific step with robust content about depressive symptoms, disorders, and treatments specific to MS
- a depression quiz to help participants understand their depression symptoms and what Toolkit skills will be most helpful to them based on the quiz
- more resources specific to depression self-management and care, including resources within the MS community
- information on how to get mental health treatment if needed.
Second, we will evaluate the ease, convenience, and effectiveness of the improved My MS Toolkit. We will compare how well the Toolkit reduces people's feelings of depression compared to those who don't have access to the Toolkit. We will use website data to assess participant engagement and treatment ease, and explore factors like age, initial feelings of depression, and other symptoms that may impact outcomes. Understanding these factors will help determine who benefits most from My MS Toolkit and who might need different depression treatments.
Participants will either have access or no access to the Toolkit for 4 months and complete 3 online surveys over that time period.
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Susan Robles
- 전화번호: 206-598-0501
- 이메일: msstudy@uw.edu
연구 장소
-
-
Washington
-
Seattle, Washington, 미국, 98133
- University of Washington
-
연락하다:
- Susan R Robles, BS
- 전화번호: 206-668-7754
- 이메일: msstudy@uw.edu
-
수석 연구원:
- Dawn M Ehde, PhD
-
-
참여기준
자격 기준
공부할 수 있는 나이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Self-reported diagnosis of MS (with screening questions such as current disease modifying therapy)
- At least 18 years of age
- Can read, write, and speak in English
- Score of >4 on the Patient Health Questionnaire, indicating at least mild depressive symptoms
- Have access to an internet-connected device for accessing the intervention
Exclusion Criteria:
- Previous diagnosis of bipolar disorder or schizophrenia
- Started medication for depression or anxiety in the past 2 months
- Currently undergoing psychotherapy for depression
- Are of moderate or high risk for suicide on the Columbia Suicide Severity Rating Scale (C-SSRS)
- Participating in another clinical trial
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 더블
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: My MS Toolkit
Participants will be given access to the My MS Toolkit and encouraged to start their participation via a "Getting Started" page that provides guidance on how best to use the program's modules.
This is accessed online via the Internet.
|
The My MS Toolkit is an online self-management intervention created for and in partner with people living with multiple sclerosis.
With an approach based in cognitive behavioral therapy, this program guides users in building skills to help manage common symptoms of MS, such as fatigue, pain, and depression.
|
|
간섭 없음: Usual Care
Participants will be notified of their assignment to the waitlist and told that they can continue to receive or seek care as they normally would, including care from their MS health care provider.
After completion of the final 4-month assessment, usual care participants will obtain access to My MS Toolkit and will be encouraged to use it.
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Depressive Symptom Severity
기간: Baseline (prior to treatment), 12-week and 4-month
|
This will be measured using the Patient Reported Outcomes Measurement Information System (PROMIS) Short Form v1.0 Depression 8a.
Change from pre- to post-treatment will be measured and compared between My MS Toolkit and usual care participants.
Responses from each item will be summed to form a total raw score ranging from 4-20.
Higher scores indicate higher self-reported levels of depressive symptoms.
|
Baseline (prior to treatment), 12-week and 4-month
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Sleep Disturbance
기간: Baseline (prior to treatment), 12-week, and 4-month
|
Change in sleep quality will be measured with the Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance Short Form 4a, version 1.0.
Responses from each item will be summed to form a total raw score ranging from 4-20.
Higher scores indicate higher self-reported levels of sleep disturbance.
|
Baseline (prior to treatment), 12-week, and 4-month
|
|
Fatigue Severity
기간: Baseline (prior to treatment), 12-week, and 4-month
|
Change in fatigue severity will be measured with the Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue-MS Short Form 8a, version 1.0.
Responses from each item will be summed to form a total raw score ranging from 8-40.
Higher scores indicate higher self-reported levels of fatigue.
|
Baseline (prior to treatment), 12-week, and 4-month
|
|
Fatigue Impact
기간: Baseline (prior to treatment), 12-week, and 4-month
|
Change in fatigue impact will be measured using the Modified Fatigue Impact Scale (MFIS).
In the 21-item MFIS, participants rate their agreement with each statement on a 5-point Likert scale, from 0 = 'Never' to 4 = 'Almost always'.. Responses can add up to a total score (0-84) and subscales for physical (0-36), cognitive (0-40) and psychosocial functioning (0-8).
Higher numbers indicate greater impact of fatigue on a person's activities.
|
Baseline (prior to treatment), 12-week, and 4-month
|
|
Pain Intensity
기간: Baseline (prior to treatment), 12-week, and 4-month
|
Participant-rated pain intensity assessed via the 3-item Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Intensity scale.
Raw scores range from 3-15.
Higher scores indicate higher self-reported levels of pain intensity.
|
Baseline (prior to treatment), 12-week, and 4-month
|
|
Anxiety
기간: Baseline (prior to treatment), 12-week, and 4-month
|
Change in symptoms of anxiety will be measured with the Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety Short Form 7a, version 1.0.
Responses from each item will be summed to form a total raw score ranging from 7-35.
Higher scores indicate higher self-reported levels of anxiety symptoms.
|
Baseline (prior to treatment), 12-week, and 4-month
|
|
Pain Interference
기간: Baseline (prior to treatment), 12-week, and 4-month
|
Change in pain interference will be measured with the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference Short Form 6a, version 1.1.
Responses from each item will be summed to form a total raw score ranging from 6-30.
Higher scores indicate higher self-reported levels of pain interference.
|
Baseline (prior to treatment), 12-week, and 4-month
|
|
Social Participation
기간: Baseline (prior to treatment), 12-week, and 4-month
|
Change in pain interference will be measured with the Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference Short Form 6a, version 1.1.
Responses from each item will be summed to form a total raw score ranging from 8-40.
Higher scores indicate greater self-reported satisfaction and a higher quality of life regarding ability to engage with family, friends, and daily responsibilities.
|
Baseline (prior to treatment), 12-week, and 4-month
|
|
Treatment Engagement
기간: 12-week and 4-month
|
Treatment engagement will be assessed through examination of website analytic data such as number and duration of page visits.
|
12-week and 4-month
|
|
Treatment Satisfaction
기간: 12-week and 4-month
|
Global assessment of treatment satisfaction will be measured by participant self-report on a scale of 0 (very dissatisfied) - 4 (very satisfied).
|
12-week and 4-month
|
|
Treatment Recommendation
기간: 12-week and 4-month
|
Treatment recommendation will be measured using an adapted version of the NET Promoter Score.
Participations will be asked how likely they are to recommend the treatment to a friend or colleague with MS and depression on a scale of 0 (Not at all likely) to 10 (Extremely likely).
|
12-week and 4-month
|
|
Perception of Change
기간: 12-week and 4-month
|
Global impression of change will be measured by participant self-report.
Participants will report, since the start of the study, how much they think their overall depression or depressive symptom severity has changed on a scale of 1 (no change) - 7 (A great deal better and a considerable improvement that has made all the difference).
|
12-week and 4-month
|
|
Self-Efficacy
기간: Baseline (prior to treatment),12-week, and 4-month
|
Self-efficacy will be measured using the University of Washington Self-Efficacy Scale(UW-SES) 6a Short Form v1.0.
Raw scores range from 6-30.
Higher scores indicate greater belief in ability to manage challenges and achieve desired outcomes.
|
Baseline (prior to treatment),12-week, and 4-month
|
공동 작업자 및 조사자
수사관
- 수석 연구원: Dawn M Ehde, PhD, University of Washington
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- STUDY00023270
- RFA-2411-44095 (기타 보조금/기금 번호: National Multiple Sclerosis Society)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
미국에서 제조되어 미국에서 수출되는 제품
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
다발성 경화증에 대한 임상 시험
-
Sanko University완전한MULTİPLE SCLEROSİS | BALANCE | 유효성 | 신뢰도터키 (Türkiye)
-
University Hospital, Montpellier종료됨제1형 당뇨병 | Basal-bolus multiple-dily 인슐린 주사 | 인슐린 펌프(CSII)프랑스
My MS Toolkit에 대한 임상 시험
-
University of MichiganThe Craig H. Neilsen Foundation완전한
-
Stanford UniversityTobacco Related Disease Research Program빼는
-
University of Colorado, DenverUniversity of Southern California; Colorado State University; Clemson University완전한
-
Saglik Bilimleri Universitesi모병연령 관련 황반 변성 | 삼출성 연령 관련 황반 변성 | 항혈관 내피 성장 인자터키 (Türkiye)
-
University of Erlangen-Nürnberg Medical School알려지지 않은
-
Florida International UniversityNational Institute on Aging (NIA); University of Alabama, Tuscaloosa종료됨