- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT05622955
Endometriose gruppepleie (PEEPS)
En ny tilnærming til endometriosebehandling: pilotering av en tverrfaglig gruppeomsorgsmodell
Målet med denne kliniske studien er å teste effektiviteten til Peer Empowered Endometriosis Pain Support (PEEPS)-programmet hos personer som lever med endometrioserelaterte bekkensmerter. Hovedspørsmålene den tar sikte på å besvare er:
- Er PEEPS effektivt til å redusere smerteinterferens og forbedre pasientrapporterte livskvalitetsresultater?
- Hva er barrierene og tilretteleggerne for implementering av PEEPS? Deltakerne vil delta i åtte ukentlige 2-timers økter ledet av en endometriosespesialist, smertepsykolog, bekkenbunnsfysioterapeut og yogainstruktør. På disse øktene vil de delta i kollegastøtte, utdanning, mindfulness og yoga.
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
Dette er et 8 ukers tverrfaglig, integrerende gruppepleieprogram utført gjennom Institutt for obstetrikk og gynekologi (OB/GYN) ved Washington University i St. Louis (WUSTL). Programmet, kalt PEEPS, inkluderer mindfulness, fysioterapi, yoga, fysisk aktivitet, ernæring og utdanning. I tillegg vil PEEPS gi kollegastøtte og demonstrere investering av individuelle klinikere og helsevesenet.
Programmet fokuserer på å utstyre deltakerne med smertebehandling og mestringsferdigheter, slik at de har et utvidet verktøysett for å håndtere smerten etter å ha fullført programmet.
Studietype
Registrering (Antatt)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiekontakt
- Navn: Whitney Ross, MD
- Telefonnummer: 314-747-5470
- E-post: ross.w@email.wustl.edu
Studer Kontakt Backup
- Navn: Jaime Strickland, MA
- Telefonnummer: 314-747-1390
- E-post: jaime.strickland@wustl.edu
Studiesteder
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Missouri
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Saint Louis, Missouri, Forente stater, 63110
- Rekruttering
- Washington University in St. Louis
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Ta kontakt med:
- Whitney Ross, MD
- Telefonnummer: 314-747-5470
- E-post: ross.w@email.wustl.edu
-
Ta kontakt med:
- Jaime Strickland
- Telefonnummer: 314-747-1390
- E-post: jaime.strickland@wustl.edu
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Beskrivelse
Inklusjonskriterier:
- Alder 18-48 år
- Operativ bekreftelse av endometriose
- Kroniske bekkensmerter (definert som smerter som oppfattes å stamme fra bekkenet, varer ≥6 måneder)
- Ingen plan om å opereres de neste 12 ukene
- Være i stand til å delta på åtte 2-timers ukentlige økter på Washington University campus
Ekskluderingskriterier:
- Ikke-engelsktalende
- For tiden gravid
- Alvorlig fysisk svekkelse
- Historie om hofte- eller ryggradskirurgi
- Opioidbruk ≥ 5 dager i løpet av de siste 3 månedene, annet enn for den 6-ukers postoperative perioden
- Nåværende eller historie med psykiatrisk lidelse med psykose
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
---|---|
Eksperimentell: Gruppepleie for endometriose
Grupper på 6-10 pasienter med endometriose og kroniske bekkensmerter vil delta på åtte ukentlige totimers økter.
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Øktene vil gi opplæring om endometriose, mindfulness, yoga, ernæring og strategier for å mestre kroniske smerter.
Pasienter vil i tillegg motta støtte fra jevnaldrende og klinikere for å redusere den sosiale isolasjonen som oppleves av personer med endometriose
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Smerteforstyrrelser
Tidsramme: 8 uker
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Endring i rapporterte smerter etter at PEEPS-programmet er fullført av pasientrapportert resultatmålingsinformasjonssystem (PROMIS) Smerteinterferens
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8 uker
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Fysisk funksjon
Tidsramme: 8 uker
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Endring i rapportert fysisk funksjon, målt ved PROMIS Physical Function Scale
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8 uker
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Seksuell funksjon
Tidsramme: 8 uker
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Endring i rapportert seksuell funksjon, målt ved Female Sexual Function Index
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8 uker
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Endometriosespesifikk livskvalitet
Tidsramme: 8 uker
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Endometriosespesifikk livskvalitet, målt ved Endometriose Health Profile-30
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8 uker
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Angst
Tidsramme: 8 uker
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Endring i rapportert angst, målt ved PROMIS angstskala
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8 uker
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Depresjon
Tidsramme: 8 uker
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Endring i rapportert depresjon, målt ved PROMIS-depresjonsskalaen
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8 uker
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Smerte katastrofal
Tidsramme: 8 uker
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Endring i rapportert katastrofalisering, målt ved Pain Catastrophizing Scale
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8 uker
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Generell symptomforbedring
Tidsramme: 8 uker
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Endring i generelle symptomer, målt ved Patient Global Impression of Change-skalaen
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8 uker
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Endret diskrimineringsskala for hver dag
Tidsramme: Grunnlinje
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For å vurdere erfaringer med helsediskriminering
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Grunnlinje
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Samarbeidspartnere og etterforskere
Samarbeidspartnere
Publikasjoner og nyttige lenker
Generelle publikasjoner
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- van Koulil S, van Lankveld W, Kraaimaat FW, van Helmond T, Vedder A, van Hoorn H, Donders R, de Jong AJ, Haverman JF, Korff KJ, van Riel PL, Cats HA, Evers AW. Tailored cognitive-behavioral therapy and exercise training for high-risk patients with fibromyalgia. Arthritis Care Res (Hoboken). 2010 Oct;62(10):1377-85. doi: 10.1002/acr.20268.
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- Chao MT, Abercrombie PD, Duncan LG. Centering as a model for group visits among women with chronic pelvic pain. J Obstet Gynecol Neonatal Nurs. 2012 Sep-Oct;41(5):703-10. doi: 10.1111/j.1552-6909.2012.01406.x. Epub 2012 Aug 3.
- Mellado BH, Falcone AC, Poli-Neto OB, Rosa E Silva JC, Nogueira AA, Candido-Dos-Reis FJ. Social isolation in women with endometriosis and chronic pelvic pain. Int J Gynaecol Obstet. 2016 May;133(2):199-201. doi: 10.1016/j.ijgo.2015.08.024. Epub 2016 Jan 6.
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Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 202206202
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