NCT02290990

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

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
144

participants targeted

Target at P75+ for not_applicable multiple-sclerosis

Timeline
Completed

Started Sep 2014

Typical duration for not_applicable multiple-sclerosis

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2014

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

October 7, 2014

Completed
1 month until next milestone

First Posted

Study publicly available on registry

November 14, 2014

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2015

Completed
1.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2016

Completed
Last Updated

April 4, 2017

Status Verified

March 1, 2017

Enrollment Period

1.1 years

First QC Date

October 7, 2014

Last Update Submit

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

EXPERIMENTAL

Patients with MS

Behavioral: "Imaginative Distention" technique

Insomnia patients

EXPERIMENTAL

Patients with insomnia

Behavioral: "Imaginative Distention" technique

Health professionists

EXPERIMENTAL

Health professionists as healthy volunteers

Behavioral: "Imaginative Distention" technique

Waiting list MS

ACTIVE COMPARATOR

pw MS filled the self administered questionnaire but they receive any training. They must wait study conclusion to be treated

Behavioral: "Imaginative Distention" technique

Waiting list arm Insomnia

ACTIVE COMPARATOR

pw INS Insomnia Subject filled the self administered questionnaire but they receive any training. They must wait study conclusion to be treated

Behavioral: "Imaginative Distention" technique

Waiting list arm Health professionists

ACTIVE COMPARATOR

Health professionist filled the self administered questionnaire but they receive any training. They must wait study conclusion to be treated.

Behavioral: "Imaginative Distention" technique

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).

Health professionistsInsomnia patientsMultiple Sclerosis patientsWaiting list MSWaiting list arm Health professionistsWaiting list arm Insomnia

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

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

Location

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.

MeSH Terms

Conditions

Multiple Sclerosis

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNSAutoimmune Diseases of the Nervous SystemNervous System DiseasesDemyelinating DiseasesAutoimmune DiseasesImmune System Diseases

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

Locations