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This study will evaluate, in a primary care setting, the effectiveness of a brief self-management behavioral treatment in patients with medically unexplained chronic fatigue. The hypothesis will be tested that fatigue self-management will yield improvements in fatigue,functioning, and distress in comparison to the two control conditions: standard medical care alone or standard medical care plus an attention control symptom monitoring condition.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Behavioral Self-Management | Experimental | Cognitive-behavioral self-management |
|
| Symptom Monitoring | Active Comparator |
| |
| Standard Medical Care | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cognitive-behavioral self-management | Behavioral | Graded activity, pacing, stress reduction, low effort pleasant activities, cognitive coping skills. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Fatigue Severity Scale | 3 months, 6 months, 15 months |
| Measure | Description | Time Frame |
|---|---|---|
| Beck Anxiety Inventory | 3 months, 6 months, 15 months | |
| Beck Depression Inventory | 3 months, 6 months, 15 months | |
| SF-36 physical function subscale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Fred Friedberg, PhD | Stony Brook University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stony Brook University | Stony Brook | New York | 11794 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25421363 | Derived | Meng H, Friedberg F, Castora-Binkley M. Cost-effectiveness of chronic fatigue self-management versus usual care: a pilot randomized controlled trial. BMC Fam Pract. 2014 Nov 25;15:184. doi: 10.1186/s12875-014-0184-7. | |
| 23922399 | Derived | Friedberg F, Napoli A, Coronel J, Adamowicz J, Seva V, Caikauskaite I, Ngan MC, Chang J, Meng H. Chronic fatigue self-management in primary care: a randomized trial. Psychosom Med. 2013 Sep;75(7):650-7. doi: 10.1097/PSY.0b013e31829dbed4. Epub 2013 Aug 6. |
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| ID | Term |
|---|---|
| D015673 | Fatigue Syndrome, Chronic |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D004679 | Encephalomyelitis |
| D000090862 | Neuroinflammatory Diseases |
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| Symptom monitoring | Behavioral | Daily symptom via web diary |
|
| 3 months, 6 months, 15 months |
| Global Impression of Change Rating | 3 months, 6 months, 15 months |
| D009422 | Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |