NCT03993548

Brief Summary

This study explores the efficacy and feasibility of a self-management wellness intervention that is integrated, prescriptive, and trackable in a population of patients with Rheumatoid Arthritis (RA) taking a biologic. This 30-day wellness intervention (called "KickStart30") combines five wellness elements: exercise, mindfulness, sleep, social connectedness, and nutrition. Additionally, the program requires that participants implement 5 wellness interventions daily for the 30-day study, document daily online adherence, complete daily HERO (happiness, enthusiasm, resilience, and optimism) exercises to improve mental wellness, and complete online program forms before and after the 30-day intervention. Participants are assessed pre- and post-intervention to determine whether the intervention promotes wellness behavior changes.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
13

participants targeted

Target at below P25 for not_applicable chronic-pain

Timeline
Completed

Started Jun 2019

Shorter than P25 for not_applicable chronic-pain

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

June 17, 2019

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

June 18, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

June 20, 2019

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 12, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 12, 2020

Completed
Last Updated

April 17, 2020

Status Verified

March 1, 2020

Enrollment Period

9 months

First QC Date

June 18, 2019

Last Update Submit

April 16, 2020

Conditions

Keywords

WellnessMental WellnessWell-Being

Outcome Measures

Primary Outcomes (13)

  • Change in Patient Health Questionnaire-9 (PHQ-9)

    The PHQ-9 is a nine-item depression self-report questionnaire for screening and measurement of severity of major depression. Scores range from 0-27 (Lower scores = Less depression).

    0, and 30 days

  • Change in Generalized Anxiety Disorder-7 (GAD-7)

    The GAD-7 is a seven-item self-report questionnaire for screening and measurement of severity of generalized anxiety disorder. Scores range from 0-21 (Lower scores = Less anxiety).

    0, and 30 days

  • Change in World Health Organization Well-Being Index (WHO-5)

    The WHO-5 Well-Being Index is a five-item self-report questionnaire covering 5 areas: positive mood, vitality, and general interests. Scores range from 0-25 (Higher scores = Higher levels of well-being).

    0, and 30 days

  • Change in Mindful Attention Awareness Scale (MAAS)

    The MAAS is a 15-item scale designed to assess a core characteristic of dispositional mindfulness. Scores range from 15-90 (Higher scores = Higher levels of mindfulness).

    0, and 30 days

  • Change in Sleep Condition Indicator (SCI)

    The SCI is a brief 8-item screening tool to evaluate insomnia disorder. Scores range from 0-32 (Lower scores = Greater sleep problems).

    0, and 30 days

  • Change in Social Connectedness Scale (SCS)

    The SCS is an 8-item questionnaire that assesses the degree to which people feel connected to others in their social environment. Scores range from 8 to 48. (Higher scores = More connectedness to others).

    0, and 30 days

  • Change in Eating and Appraisal Due to Emotions and Stress (EADES)

    The EADES is a 24-item sub-scale used to measure stress-related eating. Scores range from 24-120 (Lower scores = Greater emotion and stress-related eating).

    0, and 30 days

  • Change in Brief Pain Inventory (BPI)

    The BPI is an 8-item scale that assesses pain. Scores range from 0-10. (0 = No pain and 10 = Pain as bad as you can imagine).

    0, and 30 days

  • Change in Sheehan Disability Scale (SDS)

    The SDS is a 3-item measurement tool for assessing functional impairment in three inter-related domains: work/school, social, and family life. Scores range from 0-10 (Higher scores = Higher levels of functional impairment).

    0, and 30 days

  • Change in Cognitive and Physical Functioning Questionnaire (CPFQ)

    The CPFQ is a brief 7-item scale designed to assess cognitive and physical functioning. Scores range from 7-42 (Lower scores = Higher levels of cognitive and physical functioning).

    0, and 30 days

  • Change in HERO Wellness Scale

    The HERO Wellness Scale is a brief 5-item scale designed to measure four wellness traits plus perceived mental wellness. Scores range from 0-50 (Lower scores = Lower levels of mental wellness).

    0, and 30 days

  • Post-Program Participant Questionnaire

    A brief 6 question post study survey that captures participants' opinions about KickStart30.

    0, and 30 days

  • Change in Health Assessment Questionnaire-II (HAQ-II)

    The HAQ-II is a ten-item self-report questionnaire for assessing functional status in individuals with rheumatic disease. Scores range from 0-3.0 (Higher scores = Worse functioning and greater disability).

    0, and 30 days

Study Arms (1)

Wellness Intervention

EXPERIMENTAL

KickStart30 is an integrated, prescriptive, and trackable wellness intervention combining five wellness elements including exercise, mindfulness, sleep, social connectedness, and nutrition.

Behavioral: Wellness Element 1 - ExerciseBehavioral: Wellness Element 2 - MindfulnessBehavioral: Wellness Element 3 - Sleep HygieneBehavioral: Wellness Element 4 - Social ConnectednessBehavioral: Wellness Element 5 - NutritionBehavioral: Wellness Element 6 - Wellness ExercisesBehavioral: Wellness Element 7 - Motivational Messages

Interventions

Daily wellness element focusing on Exercise; adherence documented online daily

Wellness Intervention

Daily wellness element focusing on Mindfulness Meditation; adherence documented online daily

Wellness Intervention

Daily wellness element focusing on sleep hygiene; adherence documented online daily

Wellness Intervention

Daily wellness element focusing on Social Connectedness; adherence documented online daily

Wellness Intervention

Daily wellness element focusing on Nutrition; adherence documented online daily

Wellness Intervention

Daily wellness workbook exercises focusing on improving mental wellness; adherence documented online daily

Wellness Intervention

Daily motivational emails offering information on one of the 5 wellness elements each day (Exercise, Mindfulness Meditation, Sleep, Social Connectedness, and Nutrition)

Wellness Intervention

Eligibility Criteria

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

You may qualify if:

  • Diagnosed with Rheumatoid Arthritis (RA) by a Rheumatologist
  • Currently taking a biologic and/or a JaK inhibitor for the treatment of RA, including one or more of the following: Orencia (intravenous infusion or subcutaneous injection), Humira (subcutaneous injection), Kineret (subcutaneous injection), Cimzia (subcutaneous injection), Enbrel (subcutaneous injection), Simponi (subcutaneous injection), Simponi Aria (intravenous infusion), Remicade (intravenous infusion), Kevzara (subcutaneous injection), Rituxan (intravenous infusion), Actemra (intravenous infusion or subcutaneous injection), Olumiant (oral administration), Xeljanz (oral administration)
  • Interested in improving overall wellness
  • Not pregnant and no plans to get pregnant during the 30-day study
  • English-speaking
  • Must have access to a reliable Internet-enabled computer
  • Must possess basic computer skills

You may not qualify if:

  • Has not been diagnosed with RA by a Rheumatologist
  • Not currently taking a biologic or a JAK inhibitor for the treatment of RA
  • Not interested in improving overall wellness
  • Pregnant or plans to get pregnant during the 30-day study
  • Does not speak English
  • Does not have access to a reliable, Internet-enabled computer
  • Reports a lack of basic computer skills
  • Acutely suicidal and/or actively psychotic

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Texas at Austin

Austin, Texas, 78701, United States

Location

MeSH Terms

Conditions

Chronic PainArthritis, Rheumatoid

Condition Hierarchy (Ancestors)

PainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Study Officials

  • Saundra M Jain, PsyD, LPC

    University of Texas at Austin

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Adjunct Clinical Affiliate, School of Nursing

Study Record Dates

First Submitted

June 18, 2019

First Posted

June 20, 2019

Study Start

June 17, 2019

Primary Completion

March 12, 2020

Study Completion

March 12, 2020

Last Updated

April 17, 2020

Record last verified: 2020-03

Data Sharing

IPD Sharing
Will not share

Locations