A randomised controlled trial of nurse facilitated self-help treatment for patients in primary care with chronic fatigue syndrome

ISRCTN ISRCTN74156610
DOI https://doi.org/10.1186/ISRCTN74156610
Secondary identifying numbers G0200212
Submission date
18/05/2001
Registration date
18/05/2001
Last edited
29/06/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr Alison Wearden
Scientific

School of Psychological Sciences
Coupland 1 Building
Oxford Road
Manchester
M13 9PL
United Kingdom

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Home
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleA randomised controlled trial of nurse facilitated self-help treatment for patients in primary care with chronic fatigue syndrome: the FINE trial (Fatigue Intervention by Nurses Evaluation)
Study acronymFINE
Study hypothesis1. Is pragmatic rehabilitation, delivered at home by nurses to CFS patients recruited from primary care, a clinically effective intervention in terms of reduced disability and fatigue when compared with treatment as usual delivered through the primary care team?
2. Is pragmatic rehabilitation, delivered at home by nurses to CFS patients recruited from primary care, a cost effective intervention when compared with treatment as usual delivered through the primary care team?
3. Is supportive listening, delivered at home by nurses to CFS patients recruited from primary care, a clinically effective intervention in terms of reduced disability and fatigue when compared with treatment as usual delivered through the primary care team?
4. Is supportive listening, delivered at home by nurses to CFS patients recruited from primary care, a cost effective intervention when compared with treatment as usual delivered through the primary care team?

Can we demonstrate that the active component of pragmatic rehabilitation operates in addition to a non-specific treatment effect due to contact with a supportive therapist?
Ethics approval(s)Not provided at time of registration
ConditionChronic fatigue syndrome (CFS)
Intervention1. Pragmatic rehabilitation
2. Supportive listening
3. Treatment as usual by GP
Intervention typeOther
Primary outcome measureThe primary outcome measures will be patient-rated to avoid observer bias, and will be supplemented with an objective measure of the patient’s exercise tolerance. These will be:
1. Score on the physical functioning scale of the SF-36
2. Cost-effectiveness using the Euroquol
3. The score on the 11-item Fatigue Scale
Secondary outcome measures1. A timed step-test to provide an objective measure of the patient’s exercise tolerance and cardiovascular fitness
2. Scores on the HAD to provide measures of depression and anxiety
3. A brief four-item sleep scale
Overall study start date21/06/2004
Overall study end date25/07/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants360
Participant inclusion criteriaPatients 18 and over, who fulfil the Oxford criteria for CFS (Sharpe et al. 1991) [Prior to Feb'2005 the criteria was the Fukuda criteria], and who have a principal complaint of fatigue. Patients must score 4 or more on the 11-item Chalder fatigue scale, and 70% or less on the SF-36 physical functioning scale.
Participant exclusion criteria1. Patients whose fatigue is explained by any active medial condition
2. Patients with schizophrenia, bipolar disorder, dementia, eating disorder, substance abuse, morbid obesity
3. Patients with current suicidal ideation
4. Patients with anti-social, borderline or paranoid personality disorder
5. Patients who cannot read or write English sufficiently well to participate
6. Patients who are incapable of giving informed consent
Recruitment start date21/06/2004
Recruitment end date25/07/2008

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University of Manchester
Manchester
M13 9PL
United Kingdom

Sponsor information

University of Manchester (UK)
University/education

Research Office
Oxford Road
Manchester
M13 9PL
England
United Kingdom

Phone +44 (0)161 275 2227
Email john.rogers@manchester.ac.uk
ROR logo "ROR" https://ror.org/027m9bs27

Funders

Funder type

Research council

Medical Research Council (MRC) (UK) (G0200212)
Government organisation / National government
Alternative name(s)
Medical Research Council (United Kingdom), UK Medical Research Council, MRC
Location
United Kingdom

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 07/04/2006 Yes No
Results article results of qualitative study 23/02/2010 Yes No
Results article results of randomised controlled trial 23/04/2010 Yes No
Results article results of patient engagement 01/04/2011 Yes No
Results article results 22/12/2011 Yes No
Results article results 01/09/2012 Yes No
Results article results 18/01/2013 Yes No
Results article results 14/12/2015 Yes No

Editorial Notes

29/06/2016: Publication reference added.