- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT00944190
TakeCharge: Telephone Delivered Self-management Intervention for People With Multiple Sclerosis (MS) (TakeCharge)
Telephone Delivered Self-management Intervention for People With Multiple Sclerosis Addressing Pain, Fatigue, Depression, and Cognitive Difficulties
The proposed project will evaluate the efficacy of a telephone-delivered self-management (T-SM) intervention for reducing the impact of secondary conditions in persons with multiple sclerosis (MS), including chronic pain, fatigue, depression, and cognitive impairment. It is hypothesized that if the effects of these conditions are reduced, study participants will demonstrate improved participation in the community and improved employment outcomes. This project is important because the majority of persons with MS experience one or more of the following secondary conditions: fatigue, pain, depression, and cognitive impairment. These secondary conditions are not always readily apparent and constitute what has been described by our Rehabilitation Research and Training Center as "hidden disabilities." Secondary conditions such as pain, depression, fatigue, and cognitive impairment frequently not only cause distress in their own right but also affect employment, participation, and quality of life. Having more than one often compounds the effect; the effect of all may be greater than the sum of each individually (e.g. depression can worsen fatigue, and cognitive impairment can worsen depression).
It is critical that this constellation of secondary symptoms be addressed using state of the art techniques based on self-management training and that intervention effects be documented with carefully controlled treatment efficacy studies.
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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-
Washington
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Seattle, Washington, Estados Unidos, 98195
- University of Washington
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-
Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- Must be diagnosed with MS by a physician.
- Must be at least 18 years of age.
- Must be able to understand, speak, and read English.
- Must have the presence of at least one of four common secondary conditions (fatigue, pain, depression, cognitive difficulties) that interferes with employment, participation, and functioning.
Exclusion Criteria:
- Unable to understand or read English.
- Severe cognitive impairment, defined as one or more errors on the 6-item screener, that would prevent informed consent and inability to carry on a phone conversation.
- Currently participating in regularly scheduled psychotherapy.
- Psychiatric contraindications such as current psychosis, active suicidal ideation, or current alcohol or drug use.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Solteiro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Experimental: Self-management Intervention
Telephone based self management intervention targeted at pain, fatigue, depression, and cognitive difficulties.
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Brief counseling technique, self-management,
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Comparador Ativo: Education
Education about pain, fatigue, depression, and cognitive difficulties in multiple sclerosis.
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Educational information about pain, fatigue, depression, and cognitive difficulties in multiple sclerosis.
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Prazo |
|---|---|
|
PHQ 9
Prazo: Baseline, 5 weeks, 10 weeks, 6 months, and 12 months
|
Baseline, 5 weeks, 10 weeks, 6 months, and 12 months
|
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Brief Pain Inventory
Prazo: Baseline, 5 weeks, 10 weeks, 6 months, and 12 months
|
Baseline, 5 weeks, 10 weeks, 6 months, and 12 months
|
|
Modified Fatigue Impact Scale
Prazo: Baseline, 5 weeks, 10 weeks, 6 months, 12 months
|
Baseline, 5 weeks, 10 weeks, 6 months, 12 months
|
Medidas de resultados secundários
Medida de resultado |
Prazo |
|---|---|
|
PROMIS Depression Short Form
Prazo: Baseline, 5 weeks, 10 weeks, 6 months, 12 months
|
Baseline, 5 weeks, 10 weeks, 6 months, 12 months
|
|
PROMIS Pain Impact Short Form
Prazo: Baseline, 5 weeks, 10 weeks, 6 months, 12 months
|
Baseline, 5 weeks, 10 weeks, 6 months, 12 months
|
|
PROMIS Fatigue Short Form
Prazo: Baseline, 5 weeks, 10 weeks, 6 months, 12 months
|
Baseline, 5 weeks, 10 weeks, 6 months, 12 months
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Dawn Ehde, PhD, University of Washington
- Diretor de estudo: George Kraft, MD, University of Washington
Publicações e links úteis
Publicações Gerais
- Knowles LM, Arewasikporn A, Kratz AL, Turner AP, Alschuler KN, Ehde DM. Early Treatment Improvements in Depression Are Associated With Overall Improvements in Fatigue Impact and Pain Interference in Adults With Multiple Sclerosis. Ann Behav Med. 2021 Aug 23;55(9):833-843. doi: 10.1093/abm/kaaa102.
- Ehde DM, Arewasikporn A, Alschuler KN, Hughes AJ, Turner AP. Moderators of Treatment Outcomes After Telehealth Self-Management and Education in Adults With Multiple Sclerosis: A Secondary Analysis of a Randomized Controlled Trial. Arch Phys Med Rehabil. 2018 Jul;99(7):1265-1272. doi: 10.1016/j.apmr.2017.12.012. Epub 2018 Jan 11.
- Ehde DM, Elzea JL, Verrall AM, Gibbons LE, Smith AE, Amtmann D. Efficacy of a Telephone-Delivered Self-Management Intervention for Persons With Multiple Sclerosis: A Randomized Controlled Trial With a One-Year Follow-Up. Arch Phys Med Rehabil. 2015 Nov;96(11):1945-58.e2. doi: 10.1016/j.apmr.2015.07.015. Epub 2015 Aug 6.
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Atualizações de registro de estudo
Última Atualização Postada (Estimativa)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- 36021-C
- H133B080025 (Número de outro subsídio/financiamento: NIDRR)
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