Patient education programme for early multiple sclerosis (MS)

ISRCTN ISRCTN12440282
DOI https://doi.org/10.1186/ISRCTN12440282
Secondary identifying numbers Inims3
Submission date
07/04/2009
Registration date
14/05/2009
Last edited
07/03/2014
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

Prof Christoph Heesen
Scientific

Institute of Neuroimmunology and Clinical MS Research (INIMS)
Martinistrasse 52
Hamburg
20246
Germany

Email heesen@uke.uni-hamburg.de

Study information

Study designMulticentre randomised controlled 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 titleEffectiveness of a patient education program about diagnosis, prognosis and early treatment in multiple sclerosis: a randomised controlled trial
Study acronymPEPADIP
Study objectivesThe study aims to assess the effects of an evidence-based patient education programme on multiple sclerosis (MS) diagnosis, prognosis and early treatment for patients in the first year of the disease. We hypothesise that the educational programme:
1. Increases relevant disease-related risk-knowledge and promotes informed choice
2. Promotes sense of control, decision autonomy and satisfaction
3. As a result leads to an altered, i.e., more rational approach to immunotherapies, and
4. Reduces anxiety and depression
Ethics approval(s)Ethics Committee of the Hamburg Chamber of Physicians approved on the 12th March 2009 (ref: PV3164)
Health condition(s) or problem(s) studiedMultiple sclerosis (MS)
InterventionExperimental intervention:
Patient education programme based on the principles of evidence-based patient information comprising an educational booklet on MS diagnosis, prognosis and early therapy and a four-hour small group teaching programme.

Control intervention:
Four-hour small group stress management and coping training and standard information leaflet on diagnosis, prognosis and early therapy.

Follow-up will be 12 months for both groups.
Intervention typeOther
Primary outcome measureInformed choice (IC) about initiation or continuation of immunotherapies after 6 months of follow-up using an adaptation of the Multidimensional Measure of Informed Choice (MMIC), comprising appropriate disease-related risk-knowledge and consistency between attitude and decision.
Secondary outcome measures1. Control beliefs, assessed 2 weeks before the intervention and at the end of follow-up using the German questionnaire on control beliefs in illness (KKG)
2. Decision autonomy, assessed 2 weeks before the intervention and at the end of follow-up using the using a previously used scale based on the Control Preference Scale
3. Decision conflict and satisfaction with the decision will be assessed 2 weeks before the intervention and at the end of follow-up using the Decisional Conflict Scale (DCS)
4. Anxiety and depression, assessed after randomisation, three months after the intervention, and at the end of follow-up using the Hospital Anxiety and Depression Scale (HADS)
5. Number of newly initiated and discontinued immunotherapies (participants on immunotherapy 12 months after the intervention), assessed by telephone interview at randomisation and 3, 6, 9, and 12 months after the intervention using a standardised protocol used in an earlier trial
6. Disease related resource use (costs) will be assessed by telephone interview at randomisation and 3, 6, 9, and 12 months after the intervention using a standardised protocol that has been succesfully used in an earlier trials

Assessment of safety:
7. Disease progression, measured with a validated German version of the UNDS at randomisation and the end of follow-up. The instrument has been succesfully used in an earlier trial.
8. Health-related quality of life, assessed 2 weeks before the intervention and at the end of follow-up using the HAQUAMS instrument
Overall study start date15/04/2009
Completion date15/04/2011

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants190
Key inclusion criteria1. Possible or definite relapsing form of MS following revised McDonald criteria
2. Diagnosis within the last 12 months
3. Aged 18 - 60 years, either sex
Key exclusion criteria1. Major cognitive deficit
2. Progressive form of MS
Date of first enrolment15/04/2009
Date of final enrolment15/04/2011

Locations

Countries of recruitment

  • Germany

Study participating centre

Institute of Neuroimmunology and Clinical MS Research (INIMS)
Hamburg
20246
Germany

Sponsor information

Merck Serono (Germany)
Industry

Gutenbergstr. 5
Unterschleißheim
85716
Germany

Email norbert.zessack@merckserono.net
Website http://www.merckserono.com/en/index.html
ROR logo "ROR" https://ror.org/04b2dty93

Funders

Funder type

Industry

Merck Serono (Germany)

No information available

National MS Society (USA)

No information available

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?
Results article results 01/04/2014 Yes No