Development and Evaluation of a Web-based Lifestyle Intervention for EmPOWERment in Early Multiple Sclerosis (POWER@MS1) - a Randomized Controlled Trial and Mixed-methods Process Evaluation

CompletedNot a drug-phase studyEarly (CIS/RIS)NCT03968172

What it found

Paper found, not read

A paper reports the results; we have not read it yet. See Papers below.

What was tested

Treatment tested

  • EBBC programme

Compared with

  • Control group programme

What it measured

Main measures

  • Occurrence of new lesions on T2-weighted images on MRI scans

    Change in the number of lesions on T2-weighted images from immediately after patient inclusion (month 0), to month 3, 6, 12, 18 (follow-up) and 24 (follow-up) after patient inclusion

    MRI lesions
  • Time to a second relapse

    Change in relapse status from baseline (no endpoint), to month 1, 3, 6, 12, 18 (follow-up), and 24 (follow-up) after patient inclusion

    Relapses

Other measures (18)

  • Risk Knowledge (RiKno10)

    Month 3 after patient inclusion

  • Control Preference Scale (CPS)

    Month 12 after patient inclusion, as well as after reaching the primary endpoint

  • Immunotherapy Decision Satisfaction Questionnaire

    After reaching the primary endpoint

    Quality of life (reported by participants)
  • Immunotherapy Status Questionnaire

    Baseline (no endpoint), month 1, 3, 6, 12, 18 (follow-up), 24 (follow-up) after patient inclusion

  • Patient Activation Measure (PAM)

    Baseline and month 12 after patient inclusion

  • Coping self-efficacy (CSE) scale

    Baseline and month 12 after patient inclusion

  • Changes in Perceived Empowerment Questionnaire

    Month 12 after patient inclusion

  • Credibility/Expectancy Questionnaire

    4 weeks after patient inclusion (month 1)

  • Readiness to Change (stage assessment) based on the Health Action Process Approach (HAPA)

    Baseline, month 3 and 12 after patient inclusion

    Physical function
  • Impairment in the Expanded Disability Status Scale (EDSS)

    Baseline and month 12 after patient inclusion

    Disability progression

Who could take part

Early (CIS/RIS) · 18 to 65

Show the full criteria

Inclusion criteria

* signed informed consent * clinically isolated syndrome (CIS), suspected or confirmed MS for less than 12 months * at least two MS-typical lesions on T2-weighted images on MRI scans * MS typical cerebrospinal fluid (CSF) finding with detection of oligoclonal bands * access to the internet and ability to use websites

Exclusion criteria

* corticosteroid therapy within 4 weeks prior to study inclusion * substantial psychiatric disorder (based on clinical impression) * severe cognitive deficit affecting information uptake (based on clinical impression) * pregnancy * claustrophobia

As registered. Criteria can change, so ask the trial team or your neurologist.

About this trial

In the sponsor's words

This randomized controlled trial with an accompanying process evaluation investigates the hypothesis that behavioural and web-based information on immunotherapy decisions, disease management and lifestyle can change patient behaviour resulting in reduced inflammatory disease activity in multiple sclerosis.

Papers

Loading reviews and guidelines…

History

    1. Started

      Jul 2019

    2. Main results due

      Apr 2023

    3. Finished

      Apr 2023

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