Quality Of LIfe Tool for IBD
QOLITI
1 other identifier
interventional
62
1 country
1
Brief Summary
This study seeks to test the feasibility of a self-management manual with minimal telephone support by a healthcare professional. The study will also explore the acceptability of the intervention manual to patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2016
Shorter than P25 for not_applicable
1 active site
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
January 1, 2016
CompletedFirst Submitted
Initial submission to the registry
February 4, 2016
CompletedFirst Posted
Study publicly available on registry
March 14, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2016
CompletedMarch 6, 2017
April 1, 2016
10 months
February 4, 2016
March 3, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (7)
Feasibility
Percentage of patients eligible
within 2 weeks of potential participants getting in touch (i.e. once at the beginning of the study)
Acceptability
Percentage of eligible patients consenting
within 2 weeks of potential participants getting in touch (i.e. once at the beginning of the study)
Effectiveness: Change in depression
Assessing whether depression levels have changed from pre- to post-intervention (Patient Health Questionnaire, PHQ-9)
within 2 weeks of obtaining consent as well as 10 weeks post-randomisation
Acceptability: Change in numbers of participants throughout the trial
Percentage of consenting eligible participants retained until completion
2 weeks of obtaining consent compared to 10 weeks post-randomisation
Effectiveness: Change in anxiety
Assessing whether anxiety levels have changed from pre- to post-intervention (Generalised Anxiety Disorder 7-item scale, GAD-7)
within 2 weeks of obtaining consent as well as 10 weeks post-randomisation
Effectiveness: Change in generic quality of life
Assessing whether generic quality of life levels have changed from pre- to post-intervention (EQ-5D-5L)
within 2 weeks of obtaining consent as well as 10 weeks post-randomisation
Effectiveness: Change in Inflammatory Bowel Disease - specific quality of life
Assessing whether IBD-specific quality of life levels have changed from pre- to post-intervention (Inflammatory Bowel Disease Questionnaire, IBDQ)
within 2 weeks of obtaining consent as well as 10 weeks post-randomisation
Secondary Outcomes (5)
Semi-structured qualitative interviews
at 12 weeks post-randomisation
Change in fatigue
within 2 weeks of obtaining consent as well as 10 weeks post-randomisation
Change in illness perception
within 2 weeks of obtaining consent as well as 10 weeks post-randomisation
Change in disease activity
within 2 weeks of obtaining consent as well as 10 weeks post-randomisation
Change in disease activity
within 2 weeks of obtaining consent as well as 10 weeks post-randomisation
Study Arms (2)
QOLITI
EXPERIMENTALIntervention group receives the QOLITI ("Quality Of LIfe Tool for IBD") manual immediately to work with over the course of several weeks along with 3 x 30 minutes of telephone support by a trained healthcare professional. Telephone calls will occur at two, four and six weeks post-randomisation. Participants will be invited to discuss their experiences after the end of the actual study. These interviews are no obligatory part of the QOLITI study.
Waitlist Control group (WLC)
NO INTERVENTIONWaitlist control group waits until after the study finishes to receive the same manual, but without telephone support sessions.
Interventions
The cognitive-behavioural therapy (CBT)-inspired manual will contain several chapters each of which addresses a different topic with information, guidance in setting goals for behaviour change and accompanying tasks to aid implementation which will be completed at home in the participant's own time. Key themes are likely to include symptom management, dealing with social implications of the disease and interacting effectively with healthcare professionals among others. Each chapter will address a theme providing information, sign posting to appropriate organisations, step-by-step tasks and quotes from pwIBD among others, drawing on relevant therapeutic approaches for self-management including CBT and certain elements of Acceptance and Commitment Therapy.
Eligibility Criteria
You may qualify if:
- Participants with must have a diagnosis of IBD,
- be over 18 years of age as well as able to read and understand English fluently.
- Informed consent must be obtained.
You may not qualify if:
- Suicidal patients will be directly referred to liaison psychiatry or their GP and will not be able to access the study as the intensity of the manual intervention is within the low-moderate range and thus not suitable to address severe symptoms appropriately.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- King's College Londonlead
- Guy's and St Thomas' NHS Foundation Trustcollaborator
Study Sites (1)
Health Psychology Section, Psychology Dept, Institute of Psychiatry, King's College London
London, London, SE1 9RT, United Kingdom
Related Publications (20)
Graff LA, Walker JR, Clara I, Lix L, Miller N, Rogala L, Rawsthorne P, Bernstein CN. Stress coping, distress, and health perceptions in inflammatory bowel disease and community controls. Am J Gastroenterol. 2009 Dec;104(12):2959-69. doi: 10.1038/ajg.2009.529. Epub 2009 Sep 15.
PMID: 19755973BACKGROUNDTang LY, Nabalamba A, Graff LA, Bernstein CN. A comparison of self-perceived health status in inflammatory bowel disease and irritable bowel syndrome patients from a Canadian national population survey. Can J Gastroenterol. 2008 May;22(5):475-83. doi: 10.1155/2008/109218.
PMID: 18478133BACKGROUNDNahon S, Lahmek P, Durance C, Olympie A, Lesgourgues B, Colombel JF, Gendre JP. Risk factors of anxiety and depression in inflammatory bowel disease. Inflamm Bowel Dis. 2012 Nov;18(11):2086-91. doi: 10.1002/ibd.22888. Epub 2012 Jan 31.
PMID: 22294486BACKGROUNDHuppe A, Langbrandtner J, Raspe H. [Assessing complex health problems of patients with IBD--first step to patient activation]. Z Gastroenterol. 2013 Mar;51(3):257-70. doi: 10.1055/s-0032-1325354. Epub 2013 Mar 13. German.
PMID: 23487355BACKGROUNDMarri SR, Buchman AL. The education and employment status of patients with inflammatory bowel diseases. Inflamm Bowel Dis. 2005 Feb;11(2):171-7. doi: 10.1097/00054725-200502000-00011.
PMID: 15677911BACKGROUNDDenters MJ, Schreuder M, Depla AC, Mallant-Hent RC, van Kouwen MC, Deutekom M, Bossuyt PM, Fockens P, Dekker E. Patients' perception of colonoscopy: patients with inflammatory bowel disease and irritable bowel syndrome experience the largest burden. Eur J Gastroenterol Hepatol. 2013 Aug;25(8):964-72. doi: 10.1097/MEG.0b013e328361dcd3.
PMID: 23660935BACKGROUNDMoradkhani A, Beckman LJ, Tabibian JH. Health-related quality of life in inflammatory bowel disease: psychosocial, clinical, socioeconomic, and demographic predictors. J Crohns Colitis. 2013 Jul;7(6):467-73. doi: 10.1016/j.crohns.2012.07.012. Epub 2012 Aug 10.
PMID: 22884758BACKGROUNDTriantafillidis JK, Merikas E, Gikas A. Psychological factors and stress in inflammatory bowel disease. Expert Rev Gastroenterol Hepatol. 2013 Mar;7(3):225-38. doi: 10.1586/egh.13.4.
PMID: 23445232BACKGROUNDBonaz BL, Bernstein CN. Brain-gut interactions in inflammatory bowel disease. Gastroenterology. 2013 Jan;144(1):36-49. doi: 10.1053/j.gastro.2012.10.003. Epub 2012 Oct 12.
PMID: 23063970BACKGROUNDKnowles SR, Cook SI, Tribbick D. Relationship between health status, illness perceptions, coping strategies and psychological morbidity: a preliminary study with IBD stoma patients. J Crohns Colitis. 2013 Nov;7(10):e471-8. doi: 10.1016/j.crohns.2013.02.022. Epub 2013 Mar 28.
PMID: 23541738BACKGROUNDKeefer L, Doerfler B, Artz C. Optimizing management of Crohn's disease within a project management framework: results of a pilot study. Inflamm Bowel Dis. 2012 Feb;18(2):254-60. doi: 10.1002/ibd.21679. Epub 2011 Feb 23.
PMID: 21351218BACKGROUNDThompson RD, Craig A, Crawford EA, Fairclough D, Gonzalez-Heydrich J, Bousvaros A, Noll RB, DeMaso DR, Szigethy E. Longitudinal results of cognitive behavioral treatment for youths with inflammatory bowel disease and depressive symptoms. J Clin Psychol Med Settings. 2012 Sep;19(3):329-37. doi: 10.1007/s10880-012-9301-8.
PMID: 22699797BACKGROUNDTaylor RS, Watt A, Dalal HM, Evans PH, Campbell JL, Read KL, Mourant AJ, Wingham J, Thompson DR, Pereira Gray DJ. Home-based cardiac rehabilitation versus hospital-based rehabilitation: a cost effectiveness analysis. Int J Cardiol. 2007 Jul 10;119(2):196-201. doi: 10.1016/j.ijcard.2006.07.218. Epub 2006 Nov 7.
PMID: 17084927BACKGROUNDvan Kessel K, Moss-Morris R, Willoughby E, Chalder T, Johnson MH, Robinson E. A randomized controlled trial of cognitive behavior therapy for multiple sclerosis fatigue. Psychosom Med. 2008 Feb;70(2):205-13. doi: 10.1097/PSY.0b013e3181643065. Epub 2008 Feb 6.
PMID: 18256342BACKGROUNDMoss-Morris R, McAlpine L, Didsbury LP, Spence MJ. A randomized controlled trial of a cognitive behavioural therapy-based self-management intervention for irritable bowel syndrome in primary care. Psychol Med. 2010 Jan;40(1):85-94. doi: 10.1017/S0033291709990195. Epub 2009 Jun 17.
PMID: 19531276BACKGROUNDCraig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M; Medical Research Council Guidance. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008 Sep 29;337:a1655. doi: 10.1136/bmj.a1655.
PMID: 18824488BACKGROUNDZigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361-70. doi: 10.1111/j.1600-0447.1983.tb09716.x.
PMID: 6880820BACKGROUNDCheung WY, Garratt AM, Russell IT, Williams JG. The UK IBDQ-a British version of the inflammatory bowel disease questionnaire. development and validation. J Clin Epidemiol. 2000 Mar 1;53(3):297-306. doi: 10.1016/s0895-4356(99)00152-3.
PMID: 10760641BACKGROUNDThabane L, Ma J, Chu R, Cheng J, Ismaila A, Rios LP, Robson R, Thabane M, Giangregorio L, Goldsmith CH. A tutorial on pilot studies: the what, why and how. BMC Med Res Methodol. 2010 Jan 6;10:1. doi: 10.1186/1471-2288-10-1.
PMID: 20053272BACKGROUNDTiles-Sar N, Neuser J, de Sordi D, Baltes A, Preiss JC, Moser G, Timmer A. Psychological interventions for treatment of inflammatory bowel disease. Cochrane Database Syst Rev. 2025 Apr 17;4(4):CD006913. doi: 10.1002/14651858.CD006913.pub3.
PMID: 40243391DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lynsady D Hughes, PhD
King's College London
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 4, 2016
First Posted
March 14, 2016
Study Start
January 1, 2016
Primary Completion
November 1, 2016
Study Completion
November 1, 2016
Last Updated
March 6, 2017
Record last verified: 2016-04
Data Sharing
- IPD Sharing
- Will not share
The investigators seek to publish the results of the study which are going to be based on group statistics only, i.e. no individual patient data will be made available.