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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03177044
Registration number
NCT03177044
Ethics application status
Date submitted
1/06/2017
Date registered
6/06/2017
Titles & IDs
Public title
Behavioural Treatment for Functional Bowel Symptoms in Inflammatory Bowel Disease
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Scientific title
Behavioural Treatment for Functional Bowel Symptoms in Inflammatory Bowel Disease
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Secondary ID [1]
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HREC/17/SVHM/92
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Universal Trial Number (UTN)
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Trial acronym
LIBERATE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Inflammatory Bowel Diseases
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Functional Gastrointestinal Disorders
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
BEHAVIORAL - Behavioural treatment
Experimental: Behavioural treatment - 2 to 6 sessions of bowel behavioural training with a pelvic floor physiotherapist
BEHAVIORAL: Behavioural treatment
2 to 6 sessions of behavioural training with a pelvic floor physiotherapist
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Intervention code [1]
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BEHAVIORAL
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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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Patient rating of improvement in symptoms
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Assessment method [1]
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Proportion of patients achieving a rating of 'moderately improved' or 'substantially improved' on a 7 point Likert scale ranging from 'substantially worse' to 'substantially improved'
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Timepoint [1]
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At study completion, up to 12 weeks
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Secondary outcome [1]
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Change in Personal assessment of Constipation Symptoms (PAC-SYM) score
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Assessment method [1]
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12 constipation symptoms each rated on a 5 point Likert scale (0=symptom absent to 4 = very severe.
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Timepoint [1]
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From baseline to study completion (up to 12 weeks) and at 1 year
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Secondary outcome [2]
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Change in St Marks Faecal Incontinence Score
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Assessment method [2]
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Faecal incontinence symptom score ranging from 0-24
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Timepoint [2]
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From baseline to study completion (up to 12 weeks) and at 1 year
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Secondary outcome [3]
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Change in Inflammatory Bowel disease questionnaire (IBDQ) score
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Assessment method [3]
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Disease specific quality of life instrument with 32 questions covering 4 domains - bowel symptoms, systemic symptoms, emotional function, social function
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Timepoint [3]
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From baseline to study completion (up to 12 weeks) and at 1 year
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Secondary outcome [4]
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Change in Short Form -36 (SF-36) score
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Assessment method [4]
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Generic quality of life score
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Timepoint [4]
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From baseline to study completion (up to 12 weeks) and at 1 year
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Secondary outcome [5]
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Change in Hospital Anxiety and Depression Score (HADS)
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Assessment method [5]
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14 item questionnaire indicating presence of anxiety or depression
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Timepoint [5]
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From baseline to study completion (up to 12 weeks) and at 1 year
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Secondary outcome [6]
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Change in Brief Illness Perception Questionnaire score
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Assessment method [6]
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9 item questionnaire designed to assess cognitive and emotional perception of illness
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Timepoint [6]
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From baseline to study completion (up to 12 weeks) and at 1 year
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Secondary outcome [7]
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Change in Brief Cope score
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Assessment method [7]
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28 item questionnaire assessing patients' strategies for coping with stress
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Timepoint [7]
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From baseline to study completion (up to 12 weeks) and at 1 year
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Secondary outcome [8]
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Change in Inflammatory Bowel Disease Self-efficacy scale (IBD-SES)
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Assessment method [8]
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Disease specific scale with 29 items assessing how well patients believe they are managing their disease
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Timepoint [8]
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From baseline to study completion (up to 12 weeks) and at 1 year
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Secondary outcome [9]
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Change in Euro-Qol (EQ-5D)
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Assessment method [9]
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Generic quality of life tool to calculate quality adjusted life years (QALYs)
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Timepoint [9]
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From baseline to study completion (up to 12 weeks) and at 1 year
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Eligibility
Key inclusion criteria
* Proven history of inflammatory bowel disease
* Clinical evidence of mild, stable disease or remission
* Mayo score = 4, Harvey Bradshaw index = 7
* Bothersome lower bowel symptoms of any of the following: frequency, urgency, incontinence, difficult evacuation, constipation
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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
* 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
* Previous pelvic floor physiotherapy
* Current participant in another trial
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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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
Completed
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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
1/06/2017
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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
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Actual
31/12/2021
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Sample size
Target
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Accrual to date
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Final
35
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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 postcode(s) [1]
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3065 - Fitzroy
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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
The primary aim of the project is to investigate whether a behavioural training programme improves troublesome bowel symptoms, that people with inflammatory bowel disease continue to have, despite their disease being controlled by medication. The other aim is to determine if there are factors which influence how well the training programme works. People attending an Inflammatory Bowel Disease clinic in a tertiary hospital, with bothersome bowel symptoms despite disease control, will be asked to join the study. This involves 2 to 6 sessions with a pelvic floor trained physiotherapist over a period of 6 months with further follow up at 12 months..
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Trial website
https://clinicaltrials.gov/study/NCT03177044
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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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Address
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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 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/NCT03177044