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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03148600
Registration number
NCT03148600
Ethics application status
Date submitted
20/04/2017
Date registered
11/05/2017
Titles & IDs
Public title
Rehabilitation After Ileo-anal Pouch Surgery
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Scientific title
Behavioural Treatment Following Ileo-Anal Pouch Formation:
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Secondary ID [1]
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HREC/16/SVHM/214
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Universal Trial Number (UTN)
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Trial acronym
RAP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Colonic Pouches
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Physical Therapy Modalities
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Biofeedback
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
BEHAVIORAL - Pelvic floor and bowel behavioural training
Other interventions - Standard arm
Active comparator: Intervention arm - Pelvic floor and bowel behavioural training programme provided by physiotherapists over 2- 6 sessions within the 6 months following ileostomy closure for patients with an ileo-anal pouch
Placebo comparator: Standard arm - Standard post-operative nursing and medical care provided in hospital clinic
BEHAVIORAL: Pelvic floor and bowel behavioural training
Physiotherapist-led pelvic floor muscle and bowel behavioural training
Other interventions: Standard arm
Standard medical and nursing care
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Intervention code [1]
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BEHAVIORAL
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Colo Rectal Functional Outcome Score (COREFO)
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Assessment method [1]
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Between group comparison of outcome score - total and each of 5 domains
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Timepoint [1]
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6 and 12 months following ileostomy reversal
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Secondary outcome [1]
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Pouch Dysfunction score
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Assessment method [1]
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Comparison of scores between groups
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Timepoint [1]
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1,3,6 and 12 months following ileostomy closure
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Secondary outcome [2]
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Quality of Life Short-Form 36 (SF-36)
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Assessment method [2]
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Quality of life SF-36 compared between groups - mental health domain, physical health domain and total score
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Timepoint [2]
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Baseline, 3,6 and 12 months following ileostomy closure
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Secondary outcome [3]
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Quality of Life EQ-5D
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Assessment method [3]
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Scores from the EQ-5D will be compared between groups and quality adjusted life years (QALY) will be derived from EQ-5D.
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Timepoint [3]
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Baseline,3,6 and 12 months following ileostomy closure
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Secondary outcome [4]
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Inflammatory Bowel Disease Questionnaire (IBDQ)
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Assessment method [4]
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Disease specific quality of life score comparing groups
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Timepoint [4]
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Baseline,3,6 and 12 months following ileostomy closure
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Secondary outcome [5]
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Hospital Anxiety and Depression Scale (HADs)
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Assessment method [5]
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Psychological well being scores for anxiety and depression comparing groups
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Timepoint [5]
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Baseline,3,6 and 12 months following ileostomy closure
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Secondary outcome [6]
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Brief Illness Perception Questionnaire
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Assessment method [6]
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Between group comparison of cognitive and emotional perceptions of illness
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Timepoint [6]
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Baseline,3,6 and 12 months following ileostomy closure
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Secondary outcome [7]
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Brief Cope
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Assessment method [7]
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Between group comparison of coping styles and ability to cope with stress
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Timepoint [7]
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Baseline,3,6 and 12 months following ileostomy closure
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Secondary outcome [8]
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New General Self-Efficacy Scale
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Assessment method [8]
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Between group comparison of confidence in ability to perform tasks and achieve goals
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Timepoint [8]
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Baseline,3,6 and 12 months following ileostomy closure
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Eligibility
Key inclusion criteria
* Proven (documented) history of Ulcerative Colitis or Familial Adenomatous Polyposis
* Proctocolectomy and awaiting ileo-anal pouch formation or have had ileo-anal pouch created and are waiting for stoma reversal or have had stoma reversal within the last 60 days
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Primary sclerosing cholangitis
* Significant medical or psychiatric comorbidity that in the opinion of the investigators would interfere with bowel function or adherence to the protocol
* Clinically significant narcotic or substance abuse that in the opinion of the investigators would interfere with bowel function or adherence to the protocol
* Recognised eating disorder
* Non- English speaking or illiterate
* Pregnancy
* Current participant in another trial
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
20/04/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/12/2024
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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St Vincent's Hospital - Fitzroy
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Recruitment hospital [2]
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Alfred Health - Prahran
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Recruitment postcode(s) [1]
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3065 - Fitzroy
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Recruitment postcode(s) [2]
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3181 - Prahran
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Funding & Sponsors
Primary sponsor type
Other
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Name
St Vincent's Hospital Melbourne
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Multi-centre, assessor-blinded, randomised controlled trial comparing physiotherapist-led behavioural intervention (including pelvic floor muscle training) to standard care, in the management of post-operative ileo-anal pouch patients.
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Trial website
https://clinicaltrials.gov/study/NCT03148600
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Michael A Kamm, MBBS,PhD
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Address
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St Vincent's Hospital Melbourne
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Angela J Khera, BAppSc
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Address
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Country
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Phone
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+61 419 110 756
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03148600