TREating FAtigue in Multiple Sclerosis: Energy conservation management

ISRCTN ISRCTN82353628
DOI https://doi.org/10.1186/ISRCTN82353628
Secondary identifying numbers ZonMw 60-61300-98-024; CCMO NL33451.029.10
Submission date
13/07/2011
Registration date
19/07/2011
Last edited
11/03/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Heleen Beckerman
Scientific

Dept Rehabilitation Medicine
VU University Medical Center
PO Box 7057
Amsterdam
1007 MB
Netherlands

Study information

Study designRandomized clinical trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleDisabling fatigue in multiple sclerosis occurs frequently: how should it be treated? A randomized clinical trial
Study acronymTREFAMS-E
Study objectivesWhat is the effect of Energy Conservation Management (ECM) advices on fatigue and participation in patients with Multiple Sclerosis? Can this effect be attributed to the use of ergonomic advices given or adhering to altered time-schedules?
Ethics approval(s)1. The Medical Ethics Committee of the VU University Medical Center (2010/289), 05/04/2011
2. The Board of the Erasmus Medical Center Rotterdam, 27/06/2011
Health condition(s) or problem(s) studiedMultiple Sclerosis
Intervention1. Energy Conservation Management consists of 12 individual therapist-supervised 45-minute sessions, in which energy-management and ergonomic advices are given, in a period of 4 months; in the first 8 weeks one occupational therapist-supervised session will be given per week, in the subsequent 8 weeks one therapist-supervised session will be given every other week. In addition, individualized home-assignments are given.
2. Control treatment for each RCT of the TREFAMS-ACE research programme consists of currently available standardized written patient information and will be provided in a standardized manner by an MS nurse. Patients receive this information package personally in the first week. In week 6 and 16, 45-minute appointments with the MS nurse will be scheduled in order to ask questions about the information package. This control treatment covers two important aspects that we want to control for:
2.1. Good information about MS related fatigue, and
2.2. Attention of a professional who has experience in MS in order to reassure the patient that his concerns or questions will be taken seriously. The MS nurses will receive instructions on how to provide the information without additional therapeutic interventions or specific personal advises
Intervention typeOther
Primary outcome measure1. Fatigue: Checklist Individual Strength (CIS) subscale fatigue
2. Participation: Impact on Participation and Autonomy (IPA)
The 6 time points are: week-1, week 0, week 8, week 16, week 26 and week 52
Secondary outcome measures1. Medical Outcome study Short Form 36 (SF36)
2. Rehabilitation Activities Profile (RAP)
3. Fatigue Severity Scale (FSS)
4. Checklist Individual Strength (CIS) subscales motivation, concentration, activity
5. Modified Fatigue Impact Scale (MFIS)
The 6 time points are: week -1, week 0, week 8, week 16, week 26 and week 52
Overall study start date15/09/2011
Completion date01/04/2014

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit70 Years
SexBoth
Target number of participants90
Key inclusion criteriaAmbulatory multiple sclerosis (MS) patients fulfulling the following enrollment criteria:
1. Age between 18-70 years
2. Diagnosis of MS according to the criteria of McDonald
3. Able to walk with no more than one unilateral walking aid i.e. able to walk with no more than one unilateral walking aid
4. Suffering from fatigue, defined as a score higher than 35 on the subscale fatigue of the Checklist Individual Strength (CIS)
Key exclusion criteria1. Patients using in the last three months prior to inclusion amantadine, modafinil, Ritalin® or pemoline for their fatigue
2. Major depression
Date of first enrolment15/09/2011
Date of final enrolment01/04/2014

Locations

Countries of recruitment

  • Netherlands

Study participating centre

VU University Medical Center
Amsterdam
1007 MB
Netherlands

Sponsor information

VU University Medical Center (Netherlands)
Hospital/treatment centre

Dept Rehabilitation Medicine
PO Box 7057
Amsterdam
1007 MB
Netherlands

Website http://www.vumc.com/patientcare/
ROR logo "ROR" https://ror.org/00q6h8f30

Funders

Funder type

Government

The Netherlands Organisation for Health Research and Development (ZonMw) (Netherlands) (ZonMw 60-61300-98-024)

No information available

Fonds NutsOhra (Netherlands)
Private sector organisation / Other non-profit organizations
Alternative name(s)
NutsOhra Foundation, NutsOhra Fund, Stichting Nuts Ohra
Location
Netherlands

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 12/08/2013 Yes No
Results article results 01/01/2015 Yes No