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Trial registered on ANZCTR
Registration number
ACTRN12607000268448
Ethics application status
Approved
Date submitted
4/05/2007
Date registered
18/05/2007
Date last updated
18/05/2007
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of an Online Fatigue Self-management Group Intervention for Adults with Chronic Neurological Conditions
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Scientific title
Effectiveness of an online fatigue self-management program on well-being, fatigue and activity participation in adults with fatigue secondary to chronic neurological conditions in comparison with an online support group and a no intervention group
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Fatigue secondary to Multiple Sclerosis, Parkinson's disease (PD), Cerebral Palsy, chronic fatigue syndrome and Post-polio syndrome
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Condition category
Condition code
Neurological
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Dementias
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Neurological
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Multiple sclerosis
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Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Information Only Group: To exclude the possibility that "attention" accounts for improvement, this group of participants will receive information once per week via the Internet. They will be able to read the information about how to manage fatigue. The education information will be posted once per week. The length of this group will be 7 weeks.
Fatigue Management online intervention group: This 7-week intervention will follow the published protocol outlined in Managing fatigue (Packer et al., 1995). Each session is highly structured and includes an education session, practice activities, discussions and homework assignment. All teaching content, worksheets, and homework assignments are provided online. Based on self-efficacy theory (Bandura, 1997) each session incorporates strategies known to increase confidence in the ability to engage in specific behaviours. Also participants can share information, express their ideas or feelings and offer advice or support to one another. The intervention will be run by facilitators who have been trained.
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Intervention code [1]
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Rehabilitation
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Comparator / control treatment
No Intervention (control) Group: Participants in this group will receive no intervention but will complete all the tests. Face to face interventions are offered as usual care in some locations for people with MS, however, participants in this study cannot travel/attend these sessions. Hence for this group no intervention is usual care. For those other than with MS, the usual care is no intervention.
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Control group
Active
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Outcomes
Primary outcome [1]
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The Fatigue Impact Scale
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Assessment method [1]
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Timepoint [1]
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At baseline, after completion of the intervention and 3 months later
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Primary outcome [2]
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The Personal Wellbeing Index
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Assessment method [2]
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Timepoint [2]
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At baseline, after completion of the intervention and 3 months later
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Primary outcome [3]
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The Australian version of Activity Card
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Assessment method [3]
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Timepoint [3]
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At baseline, after completion of the intervention and 3 months later
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Secondary outcome [1]
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The Generalised self-efficacy scale
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Assessment method [1]
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Timepoint [1]
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At baseline, after completion of the intervention and 3 months later
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Secondary outcome [2]
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The 11-item Duke Social Support Index
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Assessment method [2]
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Timepoint [2]
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At baseline, after completion of the intervention and 3 months later
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Secondary outcome [3]
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The Depression Anxiety Stress Scale
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Assessment method [3]
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Timepoint [3]
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At baseline, after completion of the intervention and 3 months later
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Eligibility
Key inclusion criteria
Confirmed diagnosis of multiple sclerosis, cerebral palsy, Parkinson's disease, chronic fatigue syndrome or post-polio syndrome (letter from their physicians);Access to the internet three times per week for at least one hour;A Fatigue Severity Scale score of 4 or higher (i.e. moderate-to-high fatigue impact).
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Minimum age
20
Years
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Maximum age
No limit
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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
Previous participation in 'Fatigue Management' face-to-face self-management group intervention; orPoor cognitive ability (Greater than 9 on the Memory Orientation Concentration Test
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Study design
Purpose of the study
Educational / counselling / training
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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)
Allocation concealment will be employed. Enrollment and pre-test data collection will occur prior to randomization. Central, block randomization will be done via computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Restricted randomization using blocking. For each block the sequence will be done using a randomization table created by computer software
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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
Parallel
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Other design features
blinding is not possible in education based interventions which require active participation of participants and therapists
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
18/05/2007
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Actual
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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
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Sample size
Target
135
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Accrual to date
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Final
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Curtin University
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Address [1]
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Country [1]
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Funding source category [2]
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Name [2]
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Lottery West
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Address [2]
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Country [2]
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Funding source category [3]
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Charities/Societies/Foundations
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Name [3]
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MS Society WA
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Address [3]
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Country [3]
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Primary sponsor type
University
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Name
Curtin University
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Address
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Country
Australia
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Secondary sponsor category [1]
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Charities/Societies/Foundations
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Name [1]
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Multiple Sclerosis Society, Western Australia
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Address [1]
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Curtin University of Technology
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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10/01/2006
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Ethics approval number [1]
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OT-2005-14
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Ethics committee name [2]
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Multiple Sclerosis Society of WA
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Ethics committee address [2]
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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Approval date [2]
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Ethics approval number [2]
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Summary
Brief summary
Self-management interventions assist people with chronic conditions to manage their symptoms and retain a higher level of quality of life and activity participation. New ways to deliver self-management interventions are needed to overcome existing barriers, particularly for those who have difficulty accessing services due to geographical location, ethnicity, physical problems, limited literacy level, or who lack the confidence to be partners in their own care. Also, despite the fact that a growing population are living with neurological conditions in community, there are few studies focusing on self-management for neurological conditions. Online interventions have been shown to be successful in transferring information to individuals with chronic conditions; therefore online self-management interventions may be a reasonable way to bridge the gap between needs of individuals with chronic conditions and traditional health services. However, the role of the Internet in self-management of chronic conditions has received little attention in the literature. Based on Australian information, there is strong evidence that individuals have the ability to access the Internet. This study, then, will employ a Randomized Clinical Trial to evaluate the effectiveness of an online fatigue self-management group intervention and compare it with an online support group and a control group in a sample of adults with chronic neurological conditions.
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Trial website
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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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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 public queries
Name
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Setareh Ghahari
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Address
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Curtin Univeristy
Kent Street
GPO Box U1987
Perth WA 6845
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Country
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Australia
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Phone
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+61 8 92661790
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Fax
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+61 8 92663636
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Tanya L. Packer
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Address
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Curtin Univeristy
Kent Street
GPO Box U1987
Perth WA 6845
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Country
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Australia
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Phone
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+61 8 92663621
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Fax
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+61 8 92663636
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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