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| ID | Type | Description | Link |
|---|---|---|---|
| National MS Society | Other Grant/Funding Number | National MS Society |
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| Name | Class |
|---|---|
| National Multiple Sclerosis Society | OTHER |
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As many as 50% of MS patients prematurely discontinue their disease modifying medications. For this study, we will develop a telephone-based talk therapy intervention and then conduct a randomized controlled trial. Patients will be assigned to either 5 weekly 20 minute telephone sessions of psychotherapy or a brief education control condition. We hypothesize that patients undergoing phone therapy will be more likely to indicate they are interested in resuming taking disease modifying medications than patients given brief education and treatment as usual.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Brief Education | Active Comparator | Patients receive a brief educational packet along with treatment as usual |
|
| MI-CBT Treatment | Experimental | Patients receive five 20 minute phone sessions of motivational interviewing/cognitive behavioral therapy weekly along with a brief educational packet. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Motivational Interviewing-Cognitive Behavioral Therapy | Behavioral | A telephone based talk therapy discussing pros and cons of medication use in MS. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Adherence Treatment Survey | Whether the patient indicates if he/she decided to re-initiate disease modifying therapies on a "yes"/"no" question. | 10 weeks after enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Adherence Treatment Survey | Whether the patient reports that he/she plans to discuss disease modifying therapies with a care provider on a "yes"/"no" question. | 10 weeks after enrollment |
| Adherence Treatment Survey |
| Measure | Description | Time Frame |
|---|---|---|
| Motivation/Readiness Questionnaire | Whether there is increased self-reported motivation to take disease modifying therapies on a 1-10 likert-type scale. | 10 weeks post-enrollment |
| Motivation/Readiness Questionnaire |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jared M Bruce, Ph.D. | University of Missouri, Kansas City | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Missouri-Kansas City | Kansas City | Missouri | 64110 | United States | ||
| Kessler Rehabillitation Institute |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26563147 | Derived | Bruce J, Bruce A, Lynch S, Strober L, O'Bryan S, Sobotka D, Thelen J, Ness A, Glusman M, Goggin K, Bradley-Ewing A, Catley D. A pilot study to improve adherence among MS patients who discontinue treatment against medical advice. J Behav Med. 2016 Apr;39(2):276-87. doi: 10.1007/s10865-015-9694-6. Epub 2015 Nov 12. |
| Label | URL |
|---|---|
| Clinical Neuropsychology Lab Research | View source |
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| ID | Term |
|---|---|
| D020529 | Multiple Sclerosis, Relapsing-Remitting |
| D009103 | Multiple Sclerosis |
| 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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| Brief Education | Behavioral | Give patients a pamphlet discussing pros and cons of disease modifying therapies |
|
Whether the patient reports that he/she plans to discuss disease modifying therapies with a care provider on a "yes"/"no" question.
| 5 weeks after enrollment |
| Adherence Treatment Survey | Whether the patient indicates if he/she decided to re-initiate disease modifying therapies on a "yes"/"no" question. | 5 weeks after enrollment |
Whether there is an increase in self-reported motivation to take disease modifying therapies on a 1-10 likert-type scale.
| 5 weeks post-enrollment |
| West Orange |
| New Jersey |
| 07052 |
| United States |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |