The effectiveness of self-instructions in the treatment of patients with chronic fatigue syndrome (CFS): a randomised controlled study

ISRCTN ISRCTN27293439
DOI https://doi.org/10.1186/ISRCTN27293439
Secondary identifying numbers CMO 2005/233; NTR570
Submission date
14/02/2006
Registration date
14/02/2006
Last edited
27/03/2014
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 G. Bleijenberg
Scientific

University Medical Centre St. Radboud
Expert Centre Chronic Fatigue
P.O. Box 9011
Nijmegen
6500 HB
Netherlands

Phone +31 (0)24 3610030
Email g.bleijenberg@nkcv.umcn.nl

Study information

Study designRandomised single-blind controlled parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study objectivesThere are two research questions:
1. Do self-instructions lead to a significant decrease of fatigue and functional impairments of CFS patients compared to a waiting list condition?
2. For which patients are self-instructions a suitable treatment method?
Ethics approval(s)Received from local medical ethics committees
Health condition(s) or problem(s) studiedChronic fatigue syndrome (CFS)
InterventionAfter a baseline assessment patients are randomly assigned to one of two conditions.
In the self-instruction condition patients receive a self-instruction book and email a therapist once every two weeks about their improvements.

In the waiting list condition patients receive no treatment after the baseline assessment.
After a period of 6 to 12 months patients get a second assessment. Both patients in the self-instruction and in the waiting list condition are then offered (regular) individual cognitive behavioural therapy (CBT) for CFS. As there is a waiting period of 6-12 months for individual CBT because of lack of treatment capacity participation in the self-instruction study will not lead to a longer waiting period for treatment as usual.
Intervention typeOther
Primary outcome measure1. Fatigue (measured with the CIS-Fatigue severity)
2. Disabilities (measured with the SIP total score and SF-36 subscale 'physical functioning')
3. The CIS-f, SIP and SF-36 are used in two assessments, a baseline and a post-treatment (or post waiting list) assessment
4. Determine the effect of the treatment - the difference in CIS-f, SIP and SF-36 scores between baseline and post-treatment for the treatment condition is compared with the difference scores of the waiting list condition
Secondary outcome measuresPsychological distress measured with the SCL-90 (symptom checklist 90)
Overall study start date01/02/2006
Completion date01/09/2007

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants196
Key inclusion criteria1. Greater than 18 years old
2. Being able to speak and read Dutch
3. Meeting the 1994 research criteria for CFS as formulated by the US Center for Disease Control
4. Severely fatigued (having a CIS-fatigue severity score of greater than or equal to 35)
5. Severely disabled (weighted total score on the Sickness Impact Profile of greater than or equal to 700)
6. Being motivated for treatment of CFS
7. Given written informed consent for participation in the study
Key exclusion criteria1. Patient does not meet the herefore mentioned inclusion criteria
2. Patient is currently engaged in a legal procedure concerning disability-related financial benefits
Date of first enrolment01/02/2006
Date of final enrolment01/09/2007

Locations

Countries of recruitment

  • Netherlands

Study participating centre

University Medical Centre St. Radboud
Nijmegen
6500 HB
Netherlands

Sponsor information

University Medical Centre St. Radboud (The Netherlands)
Hospital/treatment centre

P.O. Box 9101
Nijmegen
6500 HB
Netherlands

Phone +31 (0)24 3611111
Email info@ozi.umcn.nl
ROR logo "ROR" https://ror.org/05wg1m734

Funders

Funder type

Hospital/treatment centre

University Medical Centre St. Radboud (Netherlands)

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 01/10/2008 Yes No
Results article results 01/09/2013 Yes No