Development and Evaluation of a Web-based Programme on Relapse Managem
Development and Evaluation of an Interactive Web-based Programme on Relapse Management for People With Multiple Sclerosis - a Randomized Controlled Trial With Mixed Methods Process Evaluation
What it found
A paper reports the results; we have not read it yet. See Papers below.
What was tested
Treatment tested
- web-based intervention programme
Compared with
- web-based information material offered via the same platform (broca®) in addition to usual care
What it measured
Main measures
Assessment of change in relapse treatment (relapses not treated or treated with oral steroids).
Telephone interview at month 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36 after patient inclusion and after final patient reaches month 12
Relapses
Other measures (11)
Annual relapse rate
Telephone interview at month 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36 after patient inclusion and after final patient reaches month 12
RelapsesRelapse Risk Knowledge
Month 3 and 12 after patient inclusion
RelapsesPlanned Behaviour in MS Scale (PBMS relapse)
Month 3 and 12 after patient inclusion
RelapsesControl Preference Scale relapse (CPS relapse)
Month 3 after patient inclusion
RelapsesPatient Activation Measure (PAM)
Baseline, month 3, 12, 24, 30, 36 after patient inclusion and after final patient reaches month 12
Impairment in the Expanded Disability Status Scale (EDSS)
Baseline and month 12 after patient inclusion
Disability progressionUnited Kingdom Neurological Disability Scale (UNDS)
Telephone interview at Baseline, month 12, 15, 18, 21, 24, 27, 30, 33, 36 after patient inclusion and after the final patient reaches month 12
VisionThinking and memoryFatigueBladder, bowel and sexual functionPainMood and sleepHamburg Quality of life in MS Scale (HAQUAMS)
Baseline and month 12 after patient inclusion
Quality of life (reported by participants)EQ-5D
Baseline, month 3, 12, 24, 30, 36 after patient inclusion and after the final patient reaches month 12
Quality of life (reported by participants)Hospital Anxiety and Depression Scale (HADS)
Baseline and month 12 after patient inclusion
Mood and sleep
Who could take part
Relapsing MS · 18 to 65
Show the full criteria
Inclusion criteria
* signed informed consent * clinically isolated syndrom, suspected or diagnosed relapsing remitting MS * at least 1 relapse in the last year and/or at least 2 relapses in the last 2 years * access to the internet and ability to use websites
Exclusion criteria
* primary progressive MS * secondary progressive MS * acute relapse * severe visual impairment * severe psychiatric disorder (judged based on clinical impression) * allergic hypersensitivity to corticosteroids * participation in the EBSIMS training programme (the relapse management training programme was offered in Hamburg and Bad Segeberg)
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 will evaluate a web-based relapse management programme, which is easily accessible for people with multiple sclerosis. The trial is accompanied by a mixed-methods process evaluation and a health economic evaluation. It is expected that the programme will positively change patients' relapse management and strengthen their autonomy and participation.
Papers
Results
Evaluation of an interactive web-based programme on relapse management for people with multiple sclerosis (POWER@MS2): study protocol for a process evaluation accompanying a randomised controlled trial.BMJ Open · 2021
Results
Development and evaluation of an interactive web-based decision-making programme on relapse management for people with multiple sclerosis (POWER@MS2)-study protocol for a randomised controlled trial.Trials · 2021
Results
Wenzel L, Heesen C, Peper J, Grentzenberg K, Fasshauer E, Scheiderbauer J, Thale F, Meyer B, Kopke S, Rahn AC. An interactive web-based programme on relapse management for people with multiple sclerosis (POWER@MS2) - development, feasibility, and pilot testing of a complex intervention. Front Neurol. 2022 Sep 23;13:914814. doi: 10.3389/fneur.2022.914814. eCollection 2022.Background
Kopke S, Kasper J, Muhlhauser I, Nubling M, Heesen C. Patient education program to enhance decision autonomy in multiple sclerosis relapse management: a randomized-controlled trial. Mult Scler. 2009 Jan;15(1):96-104. doi: 10.1177/1352458508095921. Epub 2008 Oct 9.Background
Kopke S, Richter T, Kasper J, Muhlhauser I, Flachenecker P, Heesen C. Implementation of a patient education program on multiple sclerosis relapse management. Patient Educ Couns. 2012 Jan;86(1):91-7. doi: 10.1016/j.pec.2011.03.013. Epub 2011 Apr 19.Background
Heesen C, Kasper J, Segal J, Kopke S, Muhlhauser I. Decisional role preferences, risk knowledge and information interests in patients with multiple sclerosis. Mult Scler. 2004 Dec;10(6):643-50. doi: 10.1191/1352458504ms1112oa.Background
Ajzen I. The theory of planned behaviour: reactions and reflections. Psychol Health. 2011 Sep;26(9):1113-27. doi: 10.1080/08870446.2011.613995.Background
Kopke S, Kern S, Ziemssen T, Berghoff M, Kleiter I, Marziniak M, Paul F, Vettorazzi E, Pottgen J, Fischer K, Kasper J, Heesen C. Evidence-based patient information programme in early multiple sclerosis: a randomised controlled trial. J Neurol Neurosurg Psychiatry. 2014 Apr;85(4):411-8. doi: 10.1136/jnnp-2013-306441. Epub 2013 Oct 8.Background
Hawkins RP, Kreuter M, Resnicow K, Fishbein M, Dijkstra A. Understanding tailoring in communicating about health. Health Educ Res. 2008 Jun;23(3):454-66. doi: 10.1093/her/cyn004. Epub 2008 Mar 17.Background
Kasper J, Kopke S, Fischer K, Schaffler N, Backhus I, Solari A, Heesen C. Applying the theory of planned behaviour to multiple sclerosis patients' decisions on disease modifying therapy--questionnaire concept and validation. BMC Med Inform Decis Mak. 2012 Jul 2;12:60. doi: 10.1186/1472-6947-12-60.
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History
Started
Feb 2020
Main results due
Apr 2023
Finished
May 2023