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Women's HealthNCT03663075

Effect of Group Education and Individual Counselling on Mental Health and Quality of Life in 45-60 Year Old Women

A study testing Group information (GI) and Structured person-centered support (PCS) in people with Women's Health and Quality of Life, run by Vastra Gotaland Region 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
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Trial summary

Background: Stress-related ill health is today the most common cause of long-term sick leave in women in the middle of life and a common cause of visits to primary health care. Objective: To implement and investigate the effect of education in group and/or individually held in primary health care clinics embracing… Read more about this study

Who is it for?
Ages 40 to 60 years, women only
Conditions the study is for
Women's Health, Quality of Life, Mental Health
What is being tested?
Group information (GI) and Structured person-centered support (PCS)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
370 participants
Where
1 siteSweden
Study dates
24 Sep 2018to 6 Nov 2020
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 40 to 60 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • The woman has at least one possible stress related problem such as depression, anxiety, gastrointestinal disturbance, unexplained muscular pain or cardiovascular illness such as hypertension or coronary heart disease.
  • The woman have not been on sick leave for more than 30 days during the preceding 60 days.
  • The woman can easily understand and communicate freely in the Swedish language.
  • The woman does not have severe mental illness such as schizophrenia, other psychosis or known neuropsychiatric disorder. The woman is not in terminal palliative care.
  • The woman does not have severe depression (MADRS scores >20 or express suicidal ideation)

Who cannot join

  • The woman do not wish to continue participation

Trial locations and contacts

1 site in 1 country.

Sweden1 site
  • Research and Development Unit

    Borås, Västra Götaland County, 503 38

Other trials in Sweden

About this study

Official title: The Effect of Group and Individual Counseling on Mental Health, Quality of Life and Sick Leave in 45-60 Year Old Women With Stress Related Symptoms - A Randomized Controlled Trial

Background:

Stress-related ill health is today the most common cause of long-term sick leave in women in the middle of life and a common cause of visits to primary health care.

Read more

Objective:

To implement and investigate the effect of education in group and/or individually held in primary health care clinics embracing aspects of mental health, quality of life, sick leave and the needs women aged 45-60 with stress-related symptoms have.

Method The study is a randomized controlled trial with a two-factor design. The study evaluates both group information (GI) and structured person-centered support (PCS) and possible interaction effects between these two treatment modalities. The group education consists of four information sessions discussing myths around menopause, physiology, local estrogen deficiency symptoms, women's cardiovascular health, stress-related ill health, mental health, relationships, sexuality, lust and possible treatment options. In addition, conversations about insight into obstacles and resources, coping strategies and behavioral changes will be included. The individually structured person-centered support comprises of five meetings consisting of dialogue on symptoms of stress-related ill health, physiology and coping strategies. Participants will be block randomized into four groups; GI, PCS, GI+PCS or control.

Expected result Implementation of group and individual support calls is expected to improve health for women seeking primary care care. The results are expected to increase the knowledge of how women's health is affected by short-term care in primary care through reduced sick leave days, reduced care needs, return to work and increased quality of life. The result may improve existing primary care routines for women, and if needed, for a more individualized care contact and support.

Read the detailed description

Background:

Stress-related ill health is today the most common cause of long-term sick leave in women in the middle of life and a common cause of visits to primary health care. Women seem to suffer more than men in the same age group. Few evidence based treatment options exist and none of them has a proven effect on return to work.

Objective:

To implement and investigate the effect of education in group and/or individually held in primary health care clinics embracing aspects of mental health, quality of life, sick leave and the needs women aged 45-60 with stress-related symptoms have.

Method The study is a randomized controlled trial with a two-factor design. The study evaluates both group information (GI) and structured person-centered support (PCS) and possible interaction effects between these two treatment modalities. The group education consists of four information sessions discussing myths around menopause, physiology, local estrogen deficiency symptoms, women's cardiovascular health, stress-related ill health, mental health, relationships, sexuality, lust and possible treatment options. In addition, conversations about insight into obstacles and resources, coping strategies and behavioral changes will be included. The individually structured person-centered support comprises of five meetings consisting of dialogue on symptoms of stress-related ill health, physiology and coping strategies. Participants will be block randomized into four groups; GI, PCS, GI+PCS or control.

Expected result Implementation of group and individual support calls is expected to improve health for women seeking primary care care. The results are expected to increase the knowledge of how women's health is affected by short-term care in primary care through reduced sick leave days, reduced care needs, return to work and increased quality of life. The result may improve existing primary care routines for women, and if needed, for a more individualized care contact and support.

Being tested
Group information (GI), Structured person-centered support (PCS)
Medical subject headings
Psychological Well-Being

What participants receive

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

  • Group information (GI)Behavioural

    The group education consists of four information sessions discussing myths and myths around menopause, physiology, local estrogen deficiency symptoms, women's cardiovascular health, stress-related ill health, mental health, relationships, sexuality, lust and possible treatment options. In addition, conversations about insight into obstacles and resources, coping strategies and behavioral changes will be included.

  • Structured person-centered support (PCS)Behavioural

    The individually structured person-centered support comprises of five meetings consisting of dialogue on symptoms of stress-related ill health, physiology and coping strategies.

Study groups in NCT03663075
Study groupRoleWhat they receive
Group 1ExperimentalThis group will receive the intervention Group information (GI).
Receives: Behavioral: Group information (GI)
Group 2ExperimentalThis group will receive the intervention Group information (GI) followed by Structured person-centered support (PCS)
Receives: Behavioral: Group information (GI); Behavioral: Structured person-centered support (PCS)
Group 3ExperimentalThis group will receive the intervention Structured person-centered support (PCS)
Receives: Behavioral: Structured person-centered support (PCS)
Group 4No interventionThis is a control group.

What is being measured

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

  1. Short term effect of group education (GI) on change in quality of life

    What is the effect of group education (GI) on quality of life (measured by change in scores in SF36 from baseline to 6 months after completed intervention)

    Measured: Change from baseline to six months after completed intervention

Secondary outcomes (23)
  1. Short term effect of Structured person-centered support (PCS) on change in days on sick leave

    What is the effect of Structured person-centered support (PCS) on change in number of days on sick leave. (At baseline the number of days on sick leave up until present time is stated by women currently being on sick leave. At the 6 month follow the same information is retrieved is retrieved. The change is the difference between these measurements.)

    Measured: Change from baseline to six months after completed intervention

  2. Short term effect of Structured person-centered support (PCS) on change in depressive mood

    What is the effect of Structured person-centered support (PCS) on depressive mood (measured by change in scores in MADRS from baseline to 6 months after completed intervention)

    Measured: Change from baseline to six months after completed intervention

  3. Short term effect of Structured person-centered support (PCS) on change in quality of life

    What is the effect of Structured person-centered support (PCS) on quality of life (measured by change in scores in SF36 from baseline to 6 months after completed intervention)

    Measured: Change from baseline to six months after completed intervention

  4. Short term effect of Structured person-centered support (PCS) on stress levels

    What is the effect of Structured person-centered support (PCS) on stress levels (measured by change in scores in PSS-14 from baseline to 6 months after completed intervention)

    Measured: Change from baseline to six months after completed intervention

  5. Short term effect of group education (GI) on change in days on sick leave

    What is the effect of group education (GI) on change in number of days on sick leave. (At baseline the number of days on sick leave up until present time is stated by women currently being on sick leave. At the 6 month follow the same information is retrieved is retrieved. The change is the difference between these measurements.)

    Measured: Change from baseline to six months after completed intervention

  6. Short term effect of group education (GI) on change in depressive mood

    What is the effect of group education (GI) on depressive mood (measured by change in scores in MADRS from baseline to 6 months after completed intervention)

    Measured: Change from baseline to six months after completed intervention

  7. Short term effect of group education (GI) on stress levels

    What is the effect of group education (GI) on stress levels (measured by change in scores in PSS-14 from baseline to 6 months after completed intervention).

    Measured: Change from baseline to six months after completed intervention

  8. Long term effect of Structured person-centered support (PCS) on change in days on sick leave

    What is the effect of Structured person-centered support (PCS) on change in number of days on sick leave. (At baseline the number of days on sick leave up until present time is stated by women currently being on sick leave. At the 12 month follow the same information is retrieved is retrieved. The change is the difference between these measurements.)

    Measured: Change from baseline to 12 months after completed intervention

  9. Long term effect of Structured person-centered support (PCS) on change in depressive mood

    What is the effect of Structured person-centered support (PCS) on depressive mood (measured by change in scores in MADRS from baseline to 12 months after completed intervention)

    Measured: Change from baseline to 12 months after completed intervention

  10. Long term effect of Structured person-centered support (PCS) on change in quality of life

    What is the effect of Structured person-centered support (PCS) on quality of life (measured by change in scores in SF36 from baseline to 12 months after completed intervention)

    Measured: Change from baseline to 12 months after completed intervention

  11. Long term effect of Structured person-centered support (PCS) on stress levels

    What is the effect of Structured person-centered support (PCS) on stress levels (measured by change in scores in PSS-14 from baseline to 12 months after completed intervention)

    Measured: Change from baseline to 12 months after completed intervention

  12. Long term effect of group education (GI) on change in days on sick leave

    What is the effect of group education (GI) on change in number of days on sick leave. (At baseline the number of days on sick leave up until present time is stated by women currently being on sick leave. At the 12 month follow the same information is retrieved is retrieved. The change is the difference between these measurements.)

    Measured: Change from baseline to 12 months after completed intervention

  13. Long term effect of group education (GI) on change in depressive mood

    What is the effect of group education (GI) on depressive mood (measured by change in scores in MADRS from baseline to 12 months after completed intervention)

    Measured: Change from baseline to 12 months after completed intervention

  14. Long term effect of group education (GI) on change in quality of life

    What is the effect of group education (GI) on quality of life (measured by change in scores in SF36 from baseline to 12 months after completed intervention)

    Measured: Change from baseline to 12 months after completed intervention

  15. Long term effect of group education (GI) on stress levels

    What is the effect of group education (GI) on stress levels (measured by change in scores in PSS-14 from baseline to 12 months after completed intervention).

    Measured: Change from baseline to 12 months after completed intervention

  16. Short term effect of group education (GI) on levels of anxiety

    What is the effect of group education (GI) on stress levels (measured by change in scores in HAD from baseline to 6 months after completed intervention).

    Measured: Change from baseline to 6 months after completed intervention

  17. Long term effect of group education (GI) on levels of anxiety

    What is the effect of group education (GI) on stress levels (measured by change in scores in HAD from baseline to 12 months after completed intervention).

    Measured: Change from baseline to 12 months after completed intervention

  18. Short term effect of Structured person-centered support (PCS) on levels of anxiety

    What is the effect of Structured person-centered support (PCS) on stress levels (measured by change in scores in HAD from baseline to 6 months after completed intervention).

    Measured: Change from baseline to 6 months after completed intervention

  19. Long term effect of Structured person-centered support (PCS) on levels of anxiety

    What is the effect of Structured person-centered support (PCS) on stress levels (measured by change in scores in HAD from baseline to 12 months after completed intervention).

    Measured: Change from baseline to 12 months after completed intervention

  20. Short term effect of Structured person-centered support (PCS) on visits to primary health care

    What is the effect of Structured person-centered support (PCS) on visits to primary health care (women are asked at baseline if they had to visit the primary health care center during the preceding two months. The same question is asked at 6 months. The measurement is the change in proportion of women who visited the primary health care center).

    Measured: Change from baseline to 6 months after completed intervention

  21. Long term effect of Structured person-centered support (PCS) on visits to primary health care

    What is the effect of Structured person-centered support (PCS) on visits to primary health care (women are asked at baseline if they had to visit the primary health care center during the preceding two months. The same question is asked at 12 months. The measurement is the change in proportion of women who visited the primary health care center).

    Measured: Change from baseline to 12 months after completed intervention

  22. Short term effect of group education (GI) on visits to primary health care

    What is the effect of group education (GI) on visits to primary health care (women are asked at baseline if they had to visit the primary health care center during the preceding two months. The same question is asked at 6 months. The measurement is the change in proportion of women who visited the primary health care center).

    Measured: Change from baseline to 6 months after completed intervention

  23. Long term effect of group education (GI) on visits to primary health care

    What is the effect of group education (GI) on visits to primary health care (women are asked at baseline if they had to visit the primary health care center during the preceding two months. The same question is asked at 12 months. The measurement is the change in proportion of women who visited the primary health care center).

    Measured: Change from baseline to 12 months after completed intervention

Timeline

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

  1. First posted10 Sep 2018
  2. Study start24 Sep 2018
  3. Primary completion26 Feb 2020
  4. Study completion6 Nov 2020

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
Factorial
Model description
Two factor design evaluating two separate treatment modalities
Masking
None (open label)
Enrolment
370 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03663075
Sponsor's protocol ID
U1111-1219-6542
Status last verified
Nov 2020
First submitted
29 Aug 2018
Last updated
22 Jun 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The descriptive data provided will be summary data for each group. The investigators will not show data from single participants.

Publications

  • Rindner L, Nordeman L, Stromme G, Hange D, Gunnarsson R, Rembeck G. Effect of group education and person-centered support in primary health care on mental health and quality of life in women aged 45-60 years with symptoms commonly associated with stress: a randomized controlled trial. BMC Womens Health. 2023 Mar 24;23(1):128. doi: 10.1186/s12905-023-02221-6.

    PubMed 36964526

Questions about this trial

What is this clinical trial studying?

A study testing Group information (GI) and Structured person-centered support (PCS) in people with Women's Health and Quality of Life, run by Vastra Gotaland Region 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 5 inclusion and 1 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 22 Jun 2023. 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?

Short term effect of group education (GI) on change in quality of life (time frame: Change from baseline to six months after completed intervention). 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 NCT03663075, 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 22 Jun 2023.

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