Efficacy Study of "Imaginative Distention", a Self Managed Tool to Cope With Fatigue,Insomnia and Stress in pw Insomnia and pw MS
DIMMISI
A Randomized Controlled Trial on Integrated Imaginative Distention in MS Ans Insomnia: a Self Managed Tool to Cope With Fatigue, Stress and Insomnia
1 other identifier
interventional
144
1 country
1
Brief Summary
Imaginative Distention (ID) is proposed as supportive and integrative intervention to cope with fatigue, (principal end point), to cope with insomnia, stress perception and to improve QoL of pw MS, insomnia pw and health care personnel. ID is safe and it can be easily learned and practised without of any particular instrument and also feasible in disabled pw. This technique allows persons to experience the body as a source of well-being and not just fatigue, pain and disease. ID can become a self managed tool of empowerment to cope with MS, to reduce its negative impact on daily life and job performances. Adherence to pharmacological therapies could be improved using ID. For pw MS ID could have specific and customizable rehabilitation implications to improve motor disability, as already seen in stroke patients. The principal end point of the trial is verify ID efficacy on fatigue and its specificity on pw MS at the end of the training. For this reason, ID efficacy will be tested in comparative terms too. Among all possible comparison populations, we selected: pw insomnia, which is stress related disease and health personnel, because at risk of stress. The control groups comparison permits to evaluate the specificity of ID on pw MS. The three groups are randomised to intervention or waiting list. The training is 8 weekly session long. Self administered questionnaire are filled by participants before and after the training, and 3-6 months later. The extent of change in outcome measure monitored in each exposed group vs. unexposed will allow to separate the non-disease specific effect of ID from the MS-specific effect. The difference in estimates will allow to determine the extent of the true effect of ID in pw MS. All outcome measure will be compared among all groups mentioned and over time. The study would identify also the most important outcome measures for MS patients questioning them in a focus group. This aspect is very important because could differs from which clinicians and researchers think about.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable multiple-sclerosis
Started Sep 2014
Typical duration for not_applicable multiple-sclerosis
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2014
CompletedFirst Submitted
Initial submission to the registry
October 7, 2014
CompletedFirst Posted
Study publicly available on registry
November 14, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedApril 4, 2017
March 1, 2017
1.1 years
October 7, 2014
March 31, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Fatigue
Evaluated with MFIS self administered questionnaire.Modified Fatigue Impact Scale (MFIS) is a self-assessment,values fatigue on daily life impact. Provides 21 items with 5-point Likert scale answer (from 0 = never to 4 = almost always).Total score ranges from 0 to 84 and includes three subscales:physical,cognitive and psychosocial fatigue (score ranges between 0-8)
Change from baseline in MFIS score at two months + one week
Secondary Outcomes (5)
Quality of life
month 2;month 3;month 6
Stress
month 2;follow-up (month 3;month 6)
Insomnia
month 2
Physiological parameters and Neurological evaluation
month 2,month 3;month 6
Cognitive screening
baseline,month 3
Study Arms (6)
Multiple Sclerosis patients
EXPERIMENTALPatients with MS
Insomnia patients
EXPERIMENTALPatients with insomnia
Health professionists
EXPERIMENTALHealth professionists as healthy volunteers
Waiting list MS
ACTIVE COMPARATORpw MS filled the self administered questionnaire but they receive any training. They must wait study conclusion to be treated
Waiting list arm Insomnia
ACTIVE COMPARATORpw INS Insomnia Subject filled the self administered questionnaire but they receive any training. They must wait study conclusion to be treated
Waiting list arm Health professionists
ACTIVE COMPARATORHealth professionist filled the self administered questionnaire but they receive any training. They must wait study conclusion to be treated.
Interventions
ID is an Imaginative relaxation technique which combines physical and mental relaxation. ID technique reaches physical relaxation through planned alternated movements taken from Jacobson PMRT which consist of specific muscle contractions and subsequent relaxations, with a precise temporal scanning. Psychological relaxation is achieved thanks to mental imagery (motor imagery, body scan, imagination).
Eligibility Criteria
You may qualify if:
- any gender, ethnicity
- aged 18-65 years
- ability to understand Italian to be able to conduct the study
- adherence to the study by written informed consent
- absence of serious internal medicine and psychiatric comorbidities
You may not qualify if:
- under 18 and above 65 years
- lack of understanding Italian to conduct of the studies
- inability to provide informed consent
- presence of severe internal medicine and psychiatric comorbidities
- Pw MS:
- Diagnosis according to the criteria of Polman, 2011: relapsing remitting or progressive (primary and secondary)
- Or in no specific drug therapy for the disease and symptomatic
- Pw insomnia:
- Diagnosis of psychophysiological insomnia according to DSM IV
- Or in no specific drug therapy for the disease and symptomatic
- Healthy professionals:
- \- Healthy personnel operating within the Niguarda Hospital
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Azienda ospedaliera Ospedale Niguarda Ca' Granda
Milan, 20162, Italy
Related Publications (1)
Sgoifo A, Bignamini A, La Mantia L, Celani MG, Parietti P, Ceriani MA, Marazzi MR, Proserpio P, Nobili L, Protti A, Agostoni EC. Integrated Imaginative Distention Therapy to Cope with Fatigue. DIMMI SI Study: The First Randomized Controlled Trial in Multiple Sclerosis. Neurol Ther. 2017 Dec;6(2):213-223. doi: 10.1007/s40120-017-0081-9. Epub 2017 Aug 9.
PMID: 28795383DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 7, 2014
First Posted
November 14, 2014
Study Start
September 1, 2014
Primary Completion
October 1, 2015
Study Completion
December 1, 2016
Last Updated
April 4, 2017
Record last verified: 2017-03