NCT07155291

Brief Summary

Dysmenorrhea, or menstrual pain, is a prevalent issue among female students, which negatively influences students' productivity, academic performance, and quality of life. This study explores a non-pharmaceutical physiotherapy method that has shown potential to decrease menstrual cramping, but research on its efficacy remains limited. The intervention is a visceral abdominal self-massage. Because individuals tend to respond differently to physiotherapy methods, the investigators aim to assess the effect of performing the self-massage regularly on the self-reported perception of menstrual pain and related symptoms of female students in Germany, with a series of N-of-1 trials. N-of-1 trials lasting up to 60 days are conducted with participants who regularly experience dysmenorrhea. Participants undergo a control (A) and an intervention phase (B), with a probable second control phase (A) depending on the individual cycle lengths and study start. Daily symptoms are recorded via the StudyU smartphone application. The baseline questionnaire collects demographic, lifestyle, and menstrual history information to identify potential effect modifiers. The intervention's effects will be estimated across individual and population levels. Participants will receive access to an analysis of their data. The results may benefit individual well-being and contribute to the exploration of a more holistic approach to menstrual health.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
46

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Sep 2025

Shorter than P25 for not_applicable

Status
not yet recruiting

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

First Submitted

Initial submission to the registry

August 24, 2025

Completed
8 days until next milestone

Study Start

First participant enrolled

September 1, 2025

Completed
3 days until next milestone

First Posted

Study publicly available on registry

September 4, 2025

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2026

Completed
Last Updated

September 4, 2025

Status Verified

August 1, 2025

Enrollment Period

4 months

First QC Date

August 24, 2025

Last Update Submit

August 31, 2025

Conditions

Keywords

Abdominal Self-MassageMassage PhysiotherapyMenstrual HealthN-of-1 Trial

Outcome Measures

Primary Outcomes (1)

  • Daily Perceived Menstrual Pain

    Participants assess the severity of menstrual pain on a visual analog scale from 0 to 10 (0=no pain, 10=worst pain imaginable).

    Daily from date of enrollment until completion of individual N-of-1 trial, up to 60 days

Secondary Outcomes (4)

  • Pain Medication Intake

    Daily from date of enrollment until completion of individual N-of-1 trial, up to 60 days

  • Additional Menstrual Symptoms

    Daily from date of enrollment until completion of individual N-of-1 trial, up to 60 days

  • Mood Impact

    Daily from date of enrollment until completion of individual N-of-1 trial, up to 60 days

  • Symptom Narrative

    Daily from date of enrollment until completion of individual N-of-1 trial, up to 60 days

Study Arms (1)

Abdominal Self-Massage

EXPERIMENTAL

All participants follow an ABA intervention sequence of 60 days, where A represents the control phase and B the intervention phase. The phase timing is adjusted to individual menstrual cycle lengths. During the intervention phase, participants are instructed to perform a self-administered abdominal massage. During the control phases, participants maintain usual care with no intervention. Daily symptoms are recorded throughout all phases.

Behavioral: Abdominal Self-Massage

Interventions

Daily self-administered visceral abdominal massage consisting of circular motions and pressure point techniques, performed for 5-20 minutes in total based on participant preference. The massage includes two parts: belly exercises (10 exercises) and pelvic exercises (3 exercises), with each exercise repeated 5-10 times or until the area feels relaxed. The app provides instructional videos and written step-by-step guides with drawings in English and German. Participants are recommended to use oil/cream, find a comfortable position, and integrate the massage into a daily routine.

Also known as: Visceral Abdominal Self-Massage
Abdominal Self-Massage

Eligibility Criteria

Age18 Years - 45 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Female students living in Germany
  • Have consistently experienced menstrual pain and other symptoms primarily during menstruation for at least the last three cycles
  • Regular access to a smartphone on which the StudyU (https://www.studyu.health/) application can be installed
  • Informed consent
  • Proficiency in English or German

You may not qualify if:

  • Age under 18 or over 45 years
  • Participation in a different intervention study during the duration of this study
  • Use of hormonal treatments affecting the menstrual cycle
  • Confirmed or suspected pregnancy
  • Presence of contraindicated disorders or diseases for massage
  • Severe psychiatric conditions impairing informed consent or reliable participation
  • Substance abuse (e.g., alcohol, drugs)
  • Planned surgery within the next four to five months
  • Doctor's advice against proceeding with the intervention

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Dysmenorrhea

Condition Hierarchy (Ancestors)

Menstruation DisturbancesPathologic ProcessesPathological Conditions, Signs and SymptomsPelvic PainPainNeurologic ManifestationsSigns and Symptoms

Study Officials

  • Stefan Konigorski, Dr. rer. nat.

    Hasso-Plattner-Institut

    PRINCIPAL INVESTIGATOR
  • Valeria Tisch, Master's Student

    Hasso-Plattner-Institut

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
CROSSOVER
Model Details: Series of N-of-1 trials: The study follows an A-B-A design where A represents control/baseline periods and B represents the intervention period, with timing adjusted to individual menstrual cycle lengths.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr. rer. nat.

Study Record Dates

First Submitted

August 24, 2025

First Posted

September 4, 2025

Study Start

September 1, 2025

Primary Completion

January 1, 2026

Study Completion

January 1, 2026

Last Updated

September 4, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will share

The investigators plan to make anonymized data publicly available, either fully or partially, in a recognized research data repository to support further scientific research. Data obtained through the StudyU application will be published in its designated publicly available repository (https://designer.studyu.health).

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
The study protocol and the Statistical Analysis Plan will be made available before starting data analysis (approximately until end of November) and remain available throughout the duration of the study registration.