AzTrials
AzTrials

Functional Abdominal Pain DisordersNCT02873078

Internet-Delivered CBT for Children With Functional Abdominal Pain Disorders

A study testing Internet-delivered Cognitive behavior therapy in people with Functional Abdominal Pain Disorders, run by Karolinska Institutet at 1 site in Sweden.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This randomized controlled study aims to evaluate the efficacy of exposure-based Internet-delivered cognitive behavior therapy for children 8-12 years with Functional Abdominal Pain Disorders. Read more about this study

Who is it for?
Ages 8 to 12 years
Conditions the study is for
Functional Abdominal Pain Disorders
What is being tested?
Internet-delivered Cognitive behavior therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
91 participants
Where
1 siteSweden
Study dates
Aug 2016to Jan 2018
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 8 to 12 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Children 8-12 years with either irritable bowel syndrome, functional dyspepsia or functional abdominal pain - not otherwise specified diagnosed according to Rome-III or Rome-IV criteria.
  • Psychopharmacological medication stable for at least a month if medicating.
  • Child and at least one parent speaking and writing swedish.
  • Access to computer with Internet connection.

Who cannot join

  • Severe somatic disorder and/or if the child fulfills criteria of other disorder that better explains the abdominal symptoms.
  • Severe psychiatric or social problems that needs other care.
  • Ongoing psychological treatment.
  • School absenteeism more than 40 %.

Trial locations and contacts

1 site in 1 country.

Sweden1 site
  • Child and Adolescent Psychiatry in Stockholm

    Stockholm, 11330

Other trials in Sweden

About this study

Official title: Internet-Delivered Cognitive Behavior Therapy for Children With Functional Abdominal Pain Disorders - a Randomized Controlled Trial

This randomized controlled study aims to evaluate the efficacy of exposure-based Internet-delivered cognitive behavior therapy for children 8-12 years with Functional Abdominal Pain Disorders. The children participate along with their parents, who will also receive specific modules with information on how to support their children in the treatment. Predictors and mediators for treatment effects will be studied as well as the cost effectiveness of the intervention.

Being tested
Internet-delivered Cognitive behavior therapy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Internet-delivered Cognitive behavior therapyBehavioural

    The treatment is delivered via an online platform and is based on interventions for adults, adolescents and children tested in previous trials. Therapists are CBT-psychologists och students in clinical psychology under supervision.

Study groups in NCT02873078
Study groupRoleWhat they receive
Internet-delivered CBTExperimentalChildren and parents will receive 10 weekly modules of cognitive behavior therapy (CBT). Parents will also receive 10 weekly modules. Main components in the children's modules are exposure for abdominal symptoms, feared stimuli and situations in which the children are afraid of having symptoms. The parental receive information on how they can support their children in the treatment and how to reinforce health y behaviors and decrease attention to pain behaviors. Therapist support is provided through written messages within the secure platform.
Receives: Behavioral: Internet-delivered Cognitive behavior therapy
Waiting listNo interventionThis is a wait-list control where the children and parents are allowed to carry on with any contacts within the health-care system, exempt for psychological treatments.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. PedsQL Gastro

    Change in gastrointestinal symptoms measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

Secondary outcomes (41)
  1. Faces Pain Rating Scale

    Change in pain intensity measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  2. Faces Pain Rating Scale

    Change in pain intensity measured with a self-rating scale weekly during treatment for mediation analyses.

    Measured: Weekly during treatment (treatment week 1-9).

  3. Faces Pain Rating Scale rated by parents

    Change in child's pain intensity measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  4. Faces Pain Rating Scale rated by parents

    Change in pain intensity measured with a self-rating scale weekly during treatment for mediation analyses.

    Measured: Weekly during treatment (treatment week 1-9).

  5. PedsQL Gastro rated by parents

    Change in child gastrointestinal symptoms measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  6. PedsQL Gastro rated by parents

    Change in child gastrointestinal symptoms measured with a self-rating scale weekly during treatment for mediation.

    Measured: Weekly during treatment (treatment week 1-9).

  7. Pediatric quality of life inventory (PedsQL QOL)

    Change in quality of life measured measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  8. Pediatric quality of life inventory (PedsQL QOL) rated by parents

    Change in child quality of life measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  9. Painfree days

    Change in pain free days measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  10. Painfree days

    Change in pain free days measured with a self-rating scale weekly during treatment for mediation analyses.

    Measured: Weekly during treatment (treatment week 1-9)

  11. Painfree days rated by parents

    Change in child's pain free days measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  12. Painfree days rated by parents

    Change in child's pain free days measured with a self-rating scale weekly during treatment for mediation analyses.

    Measured: Weekly during treatment (treatment week 1-9)

  13. IBS-Behavioral responses questionnaire (IBS-BRQ)

    Change in childs behavioral responses to abdominal symptoms measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  14. IBS-Behavioral responses questionnaire (IBS-BRQ)

    Change in child's behavioral responses to abdominal symptoms measured with a self-rating scale weekly during treatment for mediation analyses.

    Measured: Weekly during treatment (treatment week 1-9)

  15. IBS-Behavioral responses questionnaire (IBS-BRQ) parental version

    Change in child's behavioral responses to abdominal symptoms measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  16. IBS-Behavioral responses questionnaire (IBS-BRQ) parental version

    Change in child's behavioral responses to abdominal symptoms measured with a self-rating scale weekly during treatment for mediation analyses.

    Measured: Weekly during treatment (treatment week 1-9)

  17. Spence Children Anxiety Scale - short version (SCAS-S)

    Change in child's anxiety symptoms measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  18. Spence Children Anxiety Scale - short version (SCAS-S) rated by parents

    Change in child's anxiety symptoms measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  19. Child Depression Inventory - short version (CDI-S)

    Change in child's depressive symptoms measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  20. Visceral Sensitivity Index

    Change in visceral sensitivity measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  21. Visceral Sensitivity Index

    Change in visceral sensitivity measured with a self-rating scale weekly during treatment for mediation analyses.

    Measured: Weekly during treatment (treatment week 1-9)

  22. Client Satisfactory Questionnaire (CSQ)

    Client satisfaction rated measured with a self-rating scale

    Measured: At week 10

  23. Client Satisfactory Questionnaire (CSQ) rated by parents

    Client satisfaction rated measured with a self-rating scale

    Measured: At week 10

  24. Subjective Assessment Questionnaire (SAQ)

    Subjective change in symptoms measured with a self-rating scale

    Measured: At week 10

  25. Subjective Assessment Questionnaire (SAQ) rated by parents

    Subjective change in the child's symptoms measured with a self-rating scale by the parents.

    Measured: At week 10

  26. Rome-IV questionnaire

    Change in diagnostic status of functional abdominal pain disorder measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  27. Kidscreen

    Change in quality of life for use in economic evaluation measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  28. School absenteeism rated by parents

    Change in child's school absenteeism measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  29. School absenteeism rated by parents

    Change in child's school absenteeism measured with a self-rating scale weekly during treatment for mediation analyses.

    Measured: Weekly during treatment (treatment week 1-9)

  30. Pain Catastrophizing Scale, parental version (PCS-P)

    Change in parental catastrophizing of the child's symptoms measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  31. Pain Catastrophizing Scale, parental version (PCS-P)

    Change in parental catastrophizing of the child's symptoms measured with a self-rating scale weekly during treatment for mediation analyses.

    Measured: Weekly during treatment (treatment week 1-9)

  32. Children´s Somatization Inventory (CSI 24) rated by parents

    Change in child's somatization symptoms measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  33. Adverse events (AE)

    Adverse events during treatment measured with a self-rating scale by the parents.

    Measured: At week 10

  34. Working Alliance Inventory (WAI) short version

    Working alliance in first three weeks of treatment measured with a self-rating scale by the parents.

    Measured: At week 4

  35. The treatment credibility scale rated by parents.

    Treatment credibility measured with a self-rating scale by the parents.

    Measured: At week 2

  36. Trimbos and Institute of Technology Cost Questionnaire for Psychiatry (TIC-P) rated by parents

    Costs associated with the disorder measured with a self-rating scale by the parents.

    Measured: Baseline, at weeks 3, 7, 10 and at 9 months

  37. General health questionnaire (GHQ-12) rated by parents

    Change in general health measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  38. Generalised anxiety disorder assessment (GAD 7) rated by parents

    Change in parental anxiety symptoms measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  39. Adult responses to children's symptoms (ARCS) rated by parents

    Change in parental responses to child's symptoms measured with a self-rating scale from baseline to 10 weeks, from baseline to 9 months, and from baseline to 15 months for analysis of effect.

    Measured: Baseline to 10 weeks, baseline to 9 months, baseline to 15 months

  40. Adult responses to children's symptoms (ARCS) rated by parents

    Change in parental responses to child's symptoms measured with a self-rating scale weekly during treatment for mediation analyses.

    Measured: Weekly during treatment (treatment week 1-9)

  41. PedsQL Gastro

    Change in gastrointestinal symptoms measured with a self-rating scale weekly during treatment for mediation analyses.

    Measured: Weekly during treatment (treatment week 1-9).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Aug 2016 (estimated)
  2. Study startAug 2016
  3. Primary completionJan 2018
  4. Study completionJan 2018

Resources

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
None (open label)
Enrolment
91 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02873078
Sponsor's protocol ID
RCT ICBT FAPD
Status last verified
Sep 2020
First submitted
9 Aug 2016
Last updated
16 Sep 2020
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Lalouni M, Ljotsson B, Bonnert M, Ssegonja R, Benninga M, Bjureberg J, Hogstrom J, Sahlin H, Simren M, Feldman I, Hedman-Lagerlof E, Serlachius E, Olen O. Clinical and Cost Effectiveness of Online Cognitive Behavioral Therapy in Children With Functional Abdominal Pain Disorders. Clin Gastroenterol Hepatol. 2019 Oct;17(11):2236-2244.e11. doi: 10.1016/j.cgh.2018.11.043. Epub 2018 Nov 28.

    PubMed 30502501

Questions about this trial

What is this clinical trial studying?

A study testing Internet-delivered Cognitive behavior therapy in people with Functional Abdominal Pain Disorders, run by Karolinska Institutet at 1 site in Sweden.

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 4 inclusion and 4 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 16 Sep 2020. 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 Sweden. 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?

PedsQL Gastro (time frame: Baseline to 10 weeks, baseline to 9 months, baseline to 15 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 NCT02873078, which also lists 1 linked publication.

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 16 Sep 2020; AzTrials last refreshed its copy on 7 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in