Online Mindfulness-Based Cognitive Therapy for People With Multiple Sclerosis With Mild-Moderate Depression
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.
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Faza 3
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Robert Simpson
- Numer telefonu: 416-978-8383
- E-mail: rab.simpson@utoronto.ca
Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dorosły
- Starszy dorosły
Akceptuje zdrowych ochotników
Opis
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 studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Pojedynczy
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
|
Eksperymentalny: Mindfulness-Based Cognitive Therapy
Online group Mindfulness-Based Cognitive Therapy delivered live online in weekly sessions for 8 weeks
|
Online group Mindfulness-Based Cognitive Therapy delivered live online in weekly sessions for 8 weeks
|
|
Brak interwencji: Waitlist control
Waitlist control arm - participants receive no intervention initially but receive MBCT following data collection
|
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Depression
Ramy czasowe: 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)
|
Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Self-efficacy
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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
|
Współpracownicy i badacze
Sponsor
Sponsor
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
- Choroby Układu Nerwowego
- Choroby Autoimmunologiczne
- Choroby układu odpornościowego
- Demielinizacyjne choroby autoimmunologiczne, OUN
- Choroby Autoimmunologiczne Układu Nerwowego
- Choroby demielinizacyjne
- Stwardnienie rozsiane
- Terapia behawioralna
- Psychoterapia
- Dyscypliny i działania behawioralne
- Terapia behawioralna poznawcza
- Uważność
- Terapia poznawcza oparta na uważności
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- 00049655
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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