Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Haukeland University Hospital | OTHER |
Not provided
Not provided
Not provided
Not provided
The health care is faced by a growing challenge in the years to come: increasing age and chronic morbidity raising the costs, combined with decreased work participation. Among the conditions on the rise, we find anxiety/depression, musculoskeletal conditions, type 2 diabetes and chronic obstructive pulmonary disease. Recently, the rise of the Corona pandemic has yielded another group of (primarily young) patients with decreased work capacity, the post-Covid syndrome sufferers.
The aim of the present study is to establish, describe and summarize the experiences with a novel approach to rehabilitation for five of the most costly conditions; 1) low back pain, 2) chronic obstructive pulmonary disease, 3) type 2 diabetes mellitus, 4) mixed anxiety/depression and 5) post-Covid fatigue.
The concentrated interdisciplinary rehabilitation is characterised by three phases;
The concentrated intervention:
The core intervention is based on trans-diagnostic features of the highly successful 4-day intervention for Obsessive Compulsive Disorder, namely:
Main outcomes will be
Secondary outcomes will be
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low back pain | Other | Adults with chronic low back pain and at least 4 months of decreased work participation. Intervention as for all groups but with the use of GLADRyg back rehabilitation principles. |
|
| Chronic Obstructive Pulmonary Disease (COPD) | Other | Adults with COPD (FEV1<80%). Intervention as for all groups but with added pulmonary rehabilitation focus. |
|
| Diabetes type 2 | Other | Adults with type 2 diabetes and diabetes-related challenges including dysglycaemia, diabetic complications and/or weight issues. Intervention as for all groups but with added focus on how to make useful microchoices in terms of lifestyle. |
|
| Mixed anxiety/depression | Other | Young adults (18-35 years) with mixed anxiety/depression. Intervention as for all groups but with added focus on "acceptance and commitment therapy", behavioral analysis, metacognitive therapy and physical activity. |
|
| Post COVID-19 | Other |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interdisciplincary concentrated group rehabilitation | Other | All arms receive a concentrated interdisciplinary rehabilitation with similar focus and structure: Three phases:
The core intervention is based on the concentrated rehabilitation format:
|
| Measure | Description | Time Frame |
|---|---|---|
| Completion rates | Percentage of participants who are eligible for participation, who complete the 1 year programme | 12 months |
| Patient satisfaction | The Client Satisfaction Questionnaire (CSQ-8) is an 8-item questionnaire that measures patient satisfaction with health services, where the items are rated from 1 (very low satisfaction) to 4 (very high satisfaction). The total score ranges from 8-32, with higher scores indicating higher degree of satisfaction. The CSQ-8 has good psychometric properties, with high internal consistency (Cronbach's α = .93), and high inter-item correlation. | 1 week post treatment and 12 months |
| Changes to cognitive and emotional perception of illness | Changes (absolute levels and %) in cognitive and emotional representations of illness before, 3, 6 and 12 months after the intervention, as measured through the generic questionnaire The Brief Illness Perception Questionnaire (Brief IPQ). This is a 9-item questionnaire designed to assess cognitive and emotional representations of illness. Questions are graded from 1 to 10. The last item deals with perceived cause of illness, in which respondents list the perceived three most important causal factors in their illness. For this questionnaire, the general word 'illness' can be replaced by the name of a particular illness. The word 'treatment' in the treatment control item can be replaced by a particular treatment such as 'surgery' or 'physiotherapy'. | Baseline, 3, 6 and 12 months |
| Changes in level of patient activation | Changes (absolute levels and %) in patient activation before, 3, 6 and 12 months after the intervention, as measured through the generic questionnaire Patient Activation Measure (PAM-13). This is the shortened version developed by Hibbard et al in 2005. Each question replied categorically as either disagree strongly, disagree, agree, agree strongly or N/A. These are further scored and summarized, yielding a 0-100 score, where higher score indicates higher degree of patient activation. The questionnaire is widely used, with high internal consistency (Cronbach's α = .91). |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in level of functioning | Changes (absolute levels and %) in level of everyday function before, 3, 6 and 12 months after the intervention, as measured through the generic questionnaire Work and Social Adjustment Scale (WSAS). This short (6 item) questionnaire allows participants to grade their level of functioning on a 9-point scale, ranging from severly impaired to not impaired. The scale is widely used, and according to studies provide high internal consistencies ranging from Cronbach's α 0.70 to 0.94. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Eirik Søfteland, PhD | Contact | +47 56 12 60 66 | eirik.softeland.med@helse-bergen.no | |
| Sissel Børve | Contact | +47 56 12 60 66 | sissel@helseihardanger.no |
| Name | Affiliation | Role |
|---|---|---|
| Eirik Søfteland, PhD | Helse i Hardanger | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Helse i Hardanger | Recruiting | Øystese | 5610 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41813046 | Derived | Njoten KL, Magnussen LH, Haugstvedt A, Jurgensen M, Kvale G, Frisk B. Exploring experiences following participation in a concentrated micro-choice-based rehabilitation programme for long covid: a focus group study. BMJ Open. 2026 Mar 11;16(3):e105215. doi: 10.1136/bmjopen-2025-105215. | |
| 41703525 | Derived | Borsheim C, Maeland S, Softeland E, Hystad SW, Kvale G, Tunset A, Odegaard-Olsen O, Hartvigsen J, Kadar T. Short-term outcomes of a micro-choice-based intervention for chronic low back pain: a quasi-experimental study. BMC Musculoskelet Disord. 2026 Feb 17;27(1):238. doi: 10.1186/s12891-026-09635-x. |
Not provided
Not provided
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Feb 7, 2022 |
Not provided
Five groups of patients will be enrolled in this project, all in parallell, no randomization
Not provided
Not provided
Not provided
Not provided
Adults who have persistant fatigue and/or dyspnea following infection with COVID-19.
|
|
| Baseline, 3, 6 and 12 months |
| Baseline, 3, 6 and 12 months |
| 38745158 | Derived | Wilhelmsen-Langeland A, Bortveit T, Jurgensen M, Softeland E, Hystad SW, Kvale G. Concentrated transdiagnostic and cross-disciplinary micro-choice based group treatment for patients with depression and with anxiety leads to lasting improvements after 12 months: a pilot study. BMC Psychiatry. 2024 May 14;24(1):361. doi: 10.1186/s12888-024-05786-0. |
| 38200486 | Derived | Kvale G, Softeland E, Jurgensen M, Wilhelmsen-Langeland A, Haugstvedt A, Hystad SW, Odegaard-Olsen OT, Aarli BB, Rykken S, Frisk B. First trans-diagnostic experiences with a novel micro-choice based concentrated group rehabilitation for patients with low back pain, long COVID, and type 2 diabetes: a pilot study. BMC Med. 2024 Jan 11;22(1):12. doi: 10.1186/s12916-023-03237-3. |
| 36287602 | Derived | Frisk B, Njoten KL, Aarli B, Hystad SW, Rykken S, Kjosas A, Softeland E, Kvale G. A Novel Concentrated, Interdisciplinary Group Rehabilitation Program for Patients With Chronic Obstructive Pulmonary Disease: Protocol for a Nonrandomized Clinical Intervention Study. JMIR Res Protoc. 2022 Oct 26;11(10):e40700. doi: 10.2196/40700. |
| 36058925 | Derived | Kvale G, Wilhelmsen-Langeland A, Jurgensen M, Hystad SW, Ost LG, Softeland E, Bortveit T. Concentrated transdiagnostic and cross-disciplinary group treatment for patients with depression and with anxiety: a pilot study. BMC Psychiatry. 2022 Sep 5;22(1):587. doi: 10.1186/s12888-022-04229-y. |
| Feb 8, 2022 |
| Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D017116 | Low Back Pain |
| D029424 | Pulmonary Disease, Chronic Obstructive |
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
Not provided
Not provided