NCT04065958

Brief Summary

This study evaluates the potential effects on pain, pain-related symptoms and quality of life of a yoga-mindfulness program, compared to patient education and physiotherapy, for patients with inflammatory arthritis and persistent pain problems.

Trial Health

33
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Trial recruitment is currently suspended
Enrollment
60

participants targeted

Target at P25-P50 for not_applicable rheumatoid-arthritis

Timeline
Completed

Started Aug 2019

Longer than P75 for not_applicable rheumatoid-arthritis

Geographic Reach
1 country

2 active sites

Status
suspended

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

August 19, 2019

Completed
2 days until next milestone

First Submitted

Initial submission to the registry

August 21, 2019

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 22, 2019

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2023

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2024

Completed
Last Updated

July 13, 2022

Status Verified

July 1, 2022

Enrollment Period

4.3 years

First QC Date

August 21, 2019

Last Update Submit

July 11, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Symptom Impact Questionnaire- Revised (SIQR)

    SIQR is a questionnaire that captures the spectrum of symptoms usually associated to fibromyalgia. It consists of three domains (function, overall impact and symptoms) and includes questions about functional disability, level of disease burden and symptoms such as pain and pain-related features, e.g. fatigue, sleep problems, depression/anxiety etc. It is calculated into a score ranging from 0-100, where 0 means no symptoms. The score will be evaluated as change from baseline to study completion.

    At baseline, after 5, 10 and 15 weeks of intervention as well as 12 weeks after the intervention period.

Secondary Outcomes (10)

  • Patient Global Impression of Change (PGIC)

    At baseline, after 5, 10 and 15 weeks of intervention as well as 12 weeks after the intervention period.

  • Chronic Pain Acceptance Questionnaire (CPAQ)

    At baseline, after 5, 10 and 15 weeks of intervention as well as 12 weeks after the intervention period.

  • Pain Catastrophizing Scale (PCS)

    At baseline, after 5, 10 and 15 weeks of intervention as well as 12 weeks after the intervention period.

  • Karolinska Sleep Questionnaire - 7 items (KSQ)

    At baseline, after 5, 10 and 15 weeks of intervention as well as 12 weeks after the intervention period.

  • Short Form-36 (SF-36)

    At baseline, after 5, 10 and 15 weeks of intervention as well as 12 weeks after the intervention period.

  • +5 more secondary outcomes

Study Arms (2)

Yoga-mindfulness

EXPERIMENTAL

Yoga-mindfulness program consisting of movements/postures (asanas), breathing practices, relaxation practices and meditation practices, together with brief talks on yoga-based coping strategies. The intervention starts with a introductory lecture and is then followed by one session per week, á 90 minutes, for 15 weeks, with home assignments for about 30 minutes per day, four days per week.

Behavioral: Yoga-mindfulness

Patient education and physiotherapy

ACTIVE COMPARATOR

Patient education program consisting of lectures on topics related to inflammatory arthritis and pain together with mild physiotherapy. The interventions starts with an introductory lecture and is then followed by one session per week, á 90 minutes, for 15 weeks. Each session consists of a lecture and a program of instructed physiotherapy. Besides the weekly sessions, home assignments consisting of 30 minutes of walking, are performed four days per week.

Behavioral: Patient education and physiotherapy

Interventions

Body-mind therapy

Yoga-mindfulness

Lectures and physiotherapy

Patient education and physiotherapy

Eligibility Criteria

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

You may qualify if:

  • Subject is 18 years of age or older
  • Subject has a diagnosis of either rheumatoid arthritis or psoriatic arthritis
  • Subject has a total score on SIQR above 33

You may not qualify if:

  • Subject has another medical condition that might prevent the subjects full participation in the interventions
  • Subject has more than four swollen joints
  • Subject has a C-Reactive Protein more than 20 mg/L
  • Subject does not speak Swedish
  • Subject is unwilling to comply with the study protocol
  • Subject is considered, by the investigator, to be an unsuitable candidate for the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

University Hospital Örebro

Örebro, 701 85, Sweden

Location

Karolinska University Hospital

Stockholm, 171 76, Sweden

Location

Related Publications (2)

  • Wang C, Schmid CH, Rones R, Kalish R, Yinh J, Goldenberg DL, Lee Y, McAlindon T. A randomized trial of tai chi for fibromyalgia. N Engl J Med. 2010 Aug 19;363(8):743-54. doi: 10.1056/NEJMoa0912611.

  • Carson JW, Carson KM, Jones KD, Bennett RM, Wright CL, Mist SD. A pilot randomized controlled trial of the Yoga of Awareness program in the management of fibromyalgia. Pain. 2010 Nov;151(2):530-539. doi: 10.1016/j.pain.2010.08.020.

MeSH Terms

Conditions

Arthritis, RheumatoidArthritis, PsoriaticPain

Interventions

Patient Education as TopicPhysical Therapy Modalities

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System DiseasesSpondylarthropathiesSpondylarthritisSpondylitisSpinal DiseasesBone DiseasesPsoriasisSkin Diseases, PapulosquamousSkin DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Health EducationPreventive Health ServicesHealth ServicesHealth Care Facilities Workforce and ServicesTherapeuticsRehabilitation

Study Officials

  • Jon Lampa, MD, As.Prof.

    Karolinska University Hospital / Karolinska Institute

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, Associate professor

Study Record Dates

First Submitted

August 21, 2019

First Posted

August 22, 2019

Study Start

August 19, 2019

Primary Completion

December 1, 2023

Study Completion

December 1, 2024

Last Updated

July 13, 2022

Record last verified: 2022-07

Data Sharing

IPD Sharing
Will not share

Locations