NCT02707068

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

87
On Track

Trial Health Score

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

Enrollment
62

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jan 2016

Shorter than P25 for not_applicable

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

January 1, 2016

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

February 4, 2016

Completed
1 month until next milestone

First Posted

Study publicly available on registry

March 14, 2016

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2016

Completed
Last Updated

March 6, 2017

Status Verified

April 1, 2016

Enrollment Period

10 months

First QC Date

February 4, 2016

Last Update Submit

March 3, 2017

Conditions

Keywords

Quality of LifeSelf-help intervention

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

EXPERIMENTAL

Intervention 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.

Behavioral: Quality Of LIfe Tool for IBD (QOLITI)

Waitlist Control group (WLC)

NO INTERVENTION

Waitlist 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.

QOLITI

Eligibility Criteria

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

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

Study Sites (1)

Health Psychology Section, Psychology Dept, Institute of Psychiatry, King's College London

London, London, SE1 9RT, United Kingdom

Location

Related Publications (20)

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    PMID: 19755973BACKGROUND
  • Tang 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: 18478133BACKGROUND
  • Nahon 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: 22294486BACKGROUND
  • Huppe 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: 23487355BACKGROUND
  • Marri 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: 15677911BACKGROUND
  • Denters 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: 23660935BACKGROUND
  • Moradkhani 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: 22884758BACKGROUND
  • Triantafillidis 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: 23445232BACKGROUND
  • Bonaz 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: 23063970BACKGROUND
  • Knowles 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: 23541738BACKGROUND
  • Keefer 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: 21351218BACKGROUND
  • Thompson 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: 22699797BACKGROUND
  • Taylor 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: 17084927BACKGROUND
  • van 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: 18256342BACKGROUND
  • Moss-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: 19531276BACKGROUND
  • Craig 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: 18824488BACKGROUND
  • Zigmond 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: 6880820BACKGROUND
  • Cheung 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: 10760641BACKGROUND
  • Thabane 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: 20053272BACKGROUND
  • Tiles-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.

MeSH Terms

Conditions

Inflammatory Bowel Diseases

Condition Hierarchy (Ancestors)

GastroenteritisGastrointestinal DiseasesDigestive System DiseasesIntestinal Diseases

Study Officials

  • Lynsady D Hughes, PhD

    King's College London

    PRINCIPAL INVESTIGATOR

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.

Locations