Neuromuscular DiseasesNCT02208687
Effectiveness and Cost-effectiveness of the Energetic Program
A study testing Energetic in people with Neuromuscular Diseases, run by Radboud University Medical Center at 1 site in Netherlands.
Trial summary
Fatigue is present in at least 60% of the patients with a muscle disease and can be the most disabling symptom. In combination with other impairments, this often results in low levels of physical activity and decreased social participation, leading to large societal costs. Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Neuromuscular Diseases
- What is being tested?
- Energetic
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 53 participants
- Where
- 1 siteNetherlands
- Study dates
- Aug 2014to May 2017
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- formal diagnosis of muscular disease, either FascioScapuloHumeral Dystrophy (FSHD), Inclusion Body Myositis (IBM), Mitochondrial Myopathy (MM) or any other;
- being severely fatigued
- being cardiopulmonary stable and capable of aerobic training (as determined using a submaximal cycling exercise test with ECG (electrocardiography) and advice from a consultant cardiologist and pulmonologist);
- being motivated, committed to the program, and 'ready to change' which is discussed with the patient during the screening by a rehabilitation physician and an occupational therapist; to this end, motivational interviewing will be used (including a advantages/disadvantages matrix; a visual analogue scale (VAS) to rate the importance of participation in de program; and a VAS to rate the confidence a patient has that participation in the program is feasible)
- being able to formulate at least 3 individual participation goals during the interview with the occupational therapist.
Who cannot join
- active depression or other psychiatric disorder as indicated by a consultant psychologist or by the medical history,
- pregnancy,
- severe co-morbid condition,
- having participated in the Energetic program before
- a travel distance perceived as too burdensome
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Energetic, a Self Management Group Program Aimed at Reconditioning and Social Participation in Persons With a Muscle Disease; a Multicentre Randomized Controlled Trial.
Fatigue is present in at least 60% of the patients with a muscle disease and can be the most disabling symptom. In combination with other impairments, this often results in low levels of physical activity and decreased social participation, leading to large societal costs. Energetic is a self-management group program aimed at improving participation and physical endurance in these patients. Our hypothesis is that Energetic results in improved participation and improved physical endurance, less experienced fatigue and better quality of life compared to usual care, without increasing health care costs.
- Conditions
- Neuromuscular Diseases
- Being tested
- Energetic, Control group
- Keywords
- Social Participation, Fatigue, Self-Management, Rehabilitation, Physical therapy, Occupational therapy, Group intervention, Exercise
- Medical subject headings
- Neuromuscular Diseases, Fatigue, Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EnergeticBehavioural
Physiotherapy and occupational therapy aimed at reconditioning and social participation.
Control groupOther
Usual care
| Study group | Role | What they receive |
|---|---|---|
| Energetic | Experimental | Self management group program aimed at reconditioning and social participation Receives: Behavioral: Energetic |
| Control group | Other | Usual care Receives: Other: Control group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Canadian Occupational Performance Measure (COPM)
Perceived activity performance. Three months will be the primary analysis. Effects at follow up will be measured at 6 and 12 months (see secondary outcome measures) (patient)
Measured: 3 months
Secondary outcomes (29)
Canadian Occupational Performance Measure (COPM-satisfaction)
Perceived satisfaction with performance (patient)
Measured: 3 months
Canadian Occupational Performance Measure (COPM-satisfaction)
Perceived satisfaction with performance (patient)
Measured: 6 months
Canadian Occupational Performance Measure (COPM-satisfaction)
Perceived satisfaction with performance (patient)
Measured: 15 months
Canadian Occupational Performance Measure (COPM-performance)
Perceived performance in activities. Is primary outcome measure at 3 months, but data of 6 and 15 months follow up wil be used in a secondary analysis. (patient)
Measured: 6 months
Canadian Occupational Performance Measure (COPM-performance)
Perceived performance in activities. Is primary outcome measure at 3 months, but data of 6 and 15 months follow up wil be used in a secondary analysis. (patient)
Measured: 15 months
Activity Card Sort (ACS)
Participation measure:% retained activities.(patient)
Measured: 3 months
Activity Card Sort (ACS)
Participation measure:% retained activities.(patient)
Measured: 6 months
Activity Card Sort (ACS)
Participation measure:% retained activities.(patient)
Measured: 15 months
Six Minutes Walking Test (6MWT)
physical endurance, sub-max test. (patient)
Measured: 3 months
Six Minutes Walking Test (6MWT)
physical endurance, sub-max test. (patient)
Measured: 6 months
Six Minutes Walking Test (6MWT)
physical endurance, sub-max test. (patient)
Measured: 15 months
Health care cost
Evaluation health care cost (patient)
Measured: 3 months
Health care cost
Evaluation health care cost (patient)
Measured: 6 months
Health care cost
Evaluation health care cost (patient)
Measured: 15 months
Checklist Individual Strength subscale fatigue (CIS-fatigue)
Impact of fatigue (patient)
Measured: 3 months
Checklist Individual Strength subscale fatigue (CIS-fatigue)
Impact of fatigue (patient)
Measured: 6 months
Checklist Individual Strength subscale fatigue (CIS-fatigue)
Impact of fatigue (patient)
Measured: 15 months
Health-related Quality of Life: Short Form 36 (SF-36)
Quality of life, used for evaluation of cost effectiveness (patient)
Measured: 3 months
Health-related Quality of Life: Short Form 36 (SF-36)
Quality of life, used for evaluation of cost effectiveness (patient)
Measured: 6 months
Health-related Quality of Life: Short Form 36 (SF-36)
Quality of life, used for evaluation of cost effectiveness (patient)
Measured: 15 months
General Self-Efficacy Scale
Evaluation of the perceived self-efficacy (patient)
Measured: 3 months
General Self-Efficacy Scale
Evaluation of the perceived self-efficacy (patient)
Measured: 6 months
General Self-Efficacy Scale
Evaluation of the perceived self-efficacy (patient)
Measured: 15 months
Hospital Anxiety and Depression Scale (HADS)
Anxiety and depression (patient)
Measured: 3 months
Hospital Anxiety and Depression Scale (HADS)
Anxiety and depression (patient)
Measured: 6 months
Hospital Anxiety and Depression Scale (HADS)
Anxiety and depression (patient)
Measured: 15 months
Zarit Burden Inventory (ZBI)
Perceived caregiver burden (caregiver)
Measured: 3 months
Zarit Burden Inventory (ZBI)
Perceived caregiver burden (caregiver)
Measured: 6 months
Zarit Burden Inventory (ZBI)
Perceived caregiver burden (caregiver)
Measured: 15 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Aug 2014 (estimated)
- Study startAug 2014
- Primary completionNov 2016
- Study completionMay 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Neuromuscular DiseasesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 53 participants (actual)
Sponsor and investigators
- Lead sponsor
- Radboud University Medical Center
- Sponsor type
- University, hospital or other
- Collaborators
- ZonMw: The Netherlands Organisation for Health Research and Development, Revalidatiefonds Nederland, Center of expertise Sneller herstel
- Responsible party
- Sponsor
- Investigators
- Edith Cup, dr., Principal investigator, Radboudumc, department Rehabilitation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02208687
- Sponsor's protocol ID
- 2014/077
- Status last verified
- Apr 2016
- First submitted
- 4 Aug 2014
- Last updated
- 7 Nov 2017
- Results posted
- No
- Data monitoring committee
- No
Publications
Veenhuizen Y, Satink T, Graff MJ, Geurts AC, Groothuis JT, van Engelen BG, Nijhuis-van der Sanden MW, Cup EH. Mixed methods evaluation of a self-management group programme for patients with neuromuscular disease and chronic fatigue. BMJ Open. 2021 Aug 25;11(8):e048890. doi: 10.1136/bmjopen-2021-048890.
PubMed 34433601Veenhuizen Y, Cup EHC, Jonker MA, Voet NBM, van Keulen BJ, Maas DM, Heeren A, Groothuis JT, van Engelen BGM, Geurts ACH. Self-management program improves participation in patients with neuromuscular disease: A randomized controlled trial. Neurology. 2019 Oct 29;93(18):e1720-e1731. doi: 10.1212/WNL.0000000000008393. Epub 2019 Sep 30.
PubMed 31570565Veenhuizen Y, Cup EH, Groothuis JT, Hendriks JC, Adang EM, van Engelen BG, Geurts AC. Effectiveness and cost-effectiveness of a self-management group program to improve social participation in patients with neuromuscular disease and chronic fatigue: protocol of the Energetic study. BMC Neurol. 2015 Apr 19;15:58. doi: 10.1186/s12883-015-0314-4.
PubMed 25913823
Study at a glance
From the registry record, last updated by the sponsor on 7 Nov 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Energetic, a Self Management Group Program Aimed at Reconditioning and Social Participation in Persons With a Muscle Disease; a Multicentre Randomized Controlled Trial.
- ClinicalTrials.gov ID
- NCT02208687
- Acronym / sponsor ID
- 2014/077
- Conditions
- Neuromuscular Diseases
- Keywords
- Social Participation, Fatigue, Self-Management, Rehabilitation, Physical therapy, Occupational therapy, Group intervention, Exercise
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 53 participants (actual)
- Lead sponsor
- Radboud University Medical CenterUniversity, hospital or other
- Collaborators
- ZonMw: The Netherlands Organisation for Health Research and Development, Revalidatiefonds Nederland, Center of expertise Sneller herstel
- Study start
- Aug 2014
- Primary completion
- Nov 2016 (actual)
- Study completion
- May 2017 (actual)
- First posted
- 5 Aug 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Fatigue is present in at least 60% of the patients with a muscle disease and can be the most disabling symptom. In combination with other impairments, this often results in low levels of physical activity and decreased social participation, leading to large societal costs. Energetic is a self-management group program aimed at improving participation and physical endurance in these patients. Our hypothesis is that Energetic results in improved participation and improved physical endurance, less experienced fatigue and better quality of life compared to usual care, without increasing health care costs.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Energetic | Experimental | Behavioral: EnergeticSelf management group program aimed at reconditioning and social participation |
| Control group | Other | Other: Control groupUsual care |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- formal diagnosis of muscular disease, either FascioScapuloHumeral Dystrophy (FSHD), Inclusion Body Myositis (IBM), Mitochondrial Myopathy (MM) or any other;
- being severely fatigued
- being cardiopulmonary stable and capable of aerobic training (as determined using a submaximal cycling exercise test with ECG (electrocardiography) and advice from a consultant cardiologist and pulmonologist);
- being motivated, committed to the program, and 'ready to change' which is discussed with the patient during the screening by a rehabilitation physician and an occupational therapist; to this end, motivational interviewing will be used (including a advantages/disadvantages matrix; a visual analogue scale (VAS) to rate the importance of participation in de program; and a VAS to rate the confidence a patient has that participation in the program is feasible)
- being able to formulate at least 3 individual participation goals during the interview with the occupational therapist.
Key exclusion criteria (5 listed)
- active depression or other psychiatric disorder as indicated by a consultant psychologist or by the medical history,
- pregnancy,
- severe co-morbid condition,
- having participated in the Energetic program before
- a travel distance perceived as too burdensome
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EnergeticPhysiotherapy and occupational therapy aimed at reconditioning and social participation. | Behavioural | Energetic |
| Control groupUsual care | Other | Control group |
Primary outcome
Canadian Occupational Performance Measure (COPM)
Time frame: 3 months
Perceived activity performance. Three months will be the primary analysis. Effects at follow up will be measured at 6 and 12 months (see secondary outcome measures) (patient)
29 secondary outcomes
Canadian Occupational Performance Measure (COPM-satisfaction)
Time frame: 3 months
Canadian Occupational Performance Measure (COPM-satisfaction)
Time frame: 6 months
Canadian Occupational Performance Measure (COPM-satisfaction)
Time frame: 15 months
Canadian Occupational Performance Measure (COPM-performance)
Time frame: 6 months
Canadian Occupational Performance Measure (COPM-performance)
Time frame: 15 months
Activity Card Sort (ACS)
Time frame: 3 months
Activity Card Sort (ACS)
Time frame: 6 months
Activity Card Sort (ACS)
Time frame: 15 months
Six Minutes Walking Test (6MWT)
Time frame: 3 months
Six Minutes Walking Test (6MWT)
Time frame: 6 months
Six Minutes Walking Test (6MWT)
Time frame: 15 months
Health care cost
Time frame: 3 months
Health care cost
Time frame: 6 months
Health care cost
Time frame: 15 months
Checklist Individual Strength subscale fatigue (CIS-fatigue)
Time frame: 3 months
Checklist Individual Strength subscale fatigue (CIS-fatigue)
Time frame: 6 months
Checklist Individual Strength subscale fatigue (CIS-fatigue)
Time frame: 15 months
Health-related Quality of Life: Short Form 36 (SF-36)
Time frame: 3 months
Health-related Quality of Life: Short Form 36 (SF-36)
Time frame: 6 months
Health-related Quality of Life: Short Form 36 (SF-36)
Time frame: 15 months
General Self-Efficacy Scale
Time frame: 3 months
General Self-Efficacy Scale
Time frame: 6 months
General Self-Efficacy Scale
Time frame: 15 months
Hospital Anxiety and Depression Scale (HADS)
Time frame: 3 months
Hospital Anxiety and Depression Scale (HADS)
Time frame: 6 months
Hospital Anxiety and Depression Scale (HADS)
Time frame: 15 months
Zarit Burden Inventory (ZBI)
Time frame: 3 months
Zarit Burden Inventory (ZBI)
Time frame: 6 months
Zarit Burden Inventory (ZBI)
Time frame: 15 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Nov 2017.
- Derived from this study: PubMed 34433601Veenhuizen Y, Satink T, Graff MJ, Geurts AC, Groothuis JT, van Engelen BG, Nijhuis-van der Sanden MW, Cup EH. Mixed methods evaluation of a self-management group programme for patients with neuromuscular disease and chronic fatigue. BMJ Open. 2021 Aug 25;11(8):e048890. doi: 10.1136/bmjopen-2021-048890.
- Derived from this study: PubMed 31570565Veenhuizen Y, Cup EHC, Jonker MA, Voet NBM, van Keulen BJ, Maas DM, Heeren A, Groothuis JT, van Engelen BGM, Geurts ACH. Self-management program improves participation in patients with neuromuscular disease: A randomized controlled trial. Neurology. 2019 Oct 29;93(18):e1720-e1731. doi: 10.1212/WNL.0000000000008393. Epub 2019 Sep 30.
- Derived from this study: PubMed 25913823Veenhuizen Y, Cup EH, Groothuis JT, Hendriks JC, Adang EM, van Engelen BG, Geurts AC. Effectiveness and cost-effectiveness of a self-management group program to improve social participation in patients with neuromuscular disease and chronic fatigue: protocol of the Energetic study. BMC Neurol. 2015 Apr 19;15:58. doi: 10.1186/s12883-015-0314-4.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Edith Cup, dr. principal investigator
Radboudumc, department Rehabilitation
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Energetic in people with Neuromuscular Diseases, run by Radboud University Medical Center at 1 site in Netherlands.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 7 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Canadian Occupational Performance Measure (COPM) (time frame: 3 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02208687, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Nov 2017; AzTrials last refreshed its copy on 30 Oct 2026.