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| ID | Type | Description | Link |
|---|---|---|---|
| H133B080025 | Other Grant/Funding Number | NIDRR |
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The proposed project will evaluate the efficacy of a telephone-delivered self-management (T-SM) intervention for reducing the impact of secondary conditions in persons with multiple sclerosis (MS), including chronic pain, fatigue, depression, and cognitive impairment. It is hypothesized that if the effects of these conditions are reduced, study participants will demonstrate improved participation in the community and improved employment outcomes. This project is important because the majority of persons with MS experience one or more of the following secondary conditions: fatigue, pain, depression, and cognitive impairment. These secondary conditions are not always readily apparent and constitute what has been described by our Rehabilitation Research and Training Center as "hidden disabilities." Secondary conditions such as pain, depression, fatigue, and cognitive impairment frequently not only cause distress in their own right but also affect employment, participation, and quality of life. Having more than one often compounds the effect; the effect of all may be greater than the sum of each individually (e.g. depression can worsen fatigue, and cognitive impairment can worsen depression).
It is critical that this constellation of secondary symptoms be addressed using state of the art techniques based on self-management training and that intervention effects be documented with carefully controlled treatment efficacy studies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Self-management Intervention | Experimental | Telephone based self management intervention targeted at pain, fatigue, depression, and cognitive difficulties. |
|
| Education | Active Comparator | Education about pain, fatigue, depression, and cognitive difficulties in multiple sclerosis. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Self-management intervention | Behavioral | Brief counseling technique, self-management, |
|
| Measure | Description | Time Frame |
|---|---|---|
| PHQ 9 | Baseline, 5 weeks, 10 weeks, 6 months, and 12 months | |
| Brief Pain Inventory | Baseline, 5 weeks, 10 weeks, 6 months, and 12 months | |
| Modified Fatigue Impact Scale | Baseline, 5 weeks, 10 weeks, 6 months, 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| PROMIS Depression Short Form | Baseline, 5 weeks, 10 weeks, 6 months, 12 months | |
| PROMIS Pain Impact Short Form | Baseline, 5 weeks, 10 weeks, 6 months, 12 months | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dawn Ehde, PhD | University of Washington | Principal Investigator |
| George Kraft, MD | University of Washington | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Washington | Seattle | Washington | 98195 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42423672 | Derived | Phillips Reindel KM, Bell AS, Goldberg EL, Green C, Watson ST, Ehde DM. Exploring social moderators of telehealth treatment outcomes for adults with multiple sclerosis: A secondary analysis of a randomized controlled trial. Rehabil Psychol. 2026 Jul 9. doi: 10.1037/rep0000686. Online ahead of print. | |
| 33196779 | Derived |
| Label | URL |
|---|---|
| Webpage for MS Rehabilitation Research and Training Center | View source |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Sep 11, 2019 | |
| Reset | Oct 1, 2019 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Sep 11, 2019 | Oct 1, 2019 |
| ID | Term |
|---|---|
| D009103 | Multiple Sclerosis |
| D010146 | Pain |
| D005221 | Fatigue |
| D003863 | Depression |
| ID | Term |
|---|---|
| D020278 | Demyelinating Autoimmune Diseases, CNS |
| D020274 | Autoimmune Diseases of the Nervous System |
| D009422 | Nervous System Diseases |
| D003711 | Demyelinating Diseases |
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| ID | Term |
|---|---|
| D004522 | Educational Status |
| ID | Term |
|---|---|
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
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| Education | Behavioral | Educational information about pain, fatigue, depression, and cognitive difficulties in multiple sclerosis. |
|
| PROMIS Fatigue Short Form |
| Baseline, 5 weeks, 10 weeks, 6 months, 12 months |
| Knowles LM, Arewasikporn A, Kratz AL, Turner AP, Alschuler KN, Ehde DM. Early Treatment Improvements in Depression Are Associated With Overall Improvements in Fatigue Impact and Pain Interference in Adults With Multiple Sclerosis. Ann Behav Med. 2021 Aug 23;55(9):833-843. doi: 10.1093/abm/kaaa102. |
| 29337024 | Derived | Ehde DM, Arewasikporn A, Alschuler KN, Hughes AJ, Turner AP. Moderators of Treatment Outcomes After Telehealth Self-Management and Education in Adults With Multiple Sclerosis: A Secondary Analysis of a Randomized Controlled Trial. Arch Phys Med Rehabil. 2018 Jul;99(7):1265-1272. doi: 10.1016/j.apmr.2017.12.012. Epub 2018 Jan 11. |
| 26254948 | Derived | Ehde DM, Elzea JL, Verrall AM, Gibbons LE, Smith AE, Amtmann D. Efficacy of a Telephone-Delivered Self-Management Intervention for Persons With Multiple Sclerosis: A Randomized Controlled Trial With a One-Year Follow-Up. Arch Phys Med Rehabil. 2015 Nov;96(11):1945-58.e2. doi: 10.1016/j.apmr.2015.07.015. Epub 2015 Aug 6. |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |