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Multiple SclerosisCoreDISTpNCT05057338

Functions, Physical Activity and Employment for Individuals With MS: A Pilot Feasibility Study

A study testing CoreDISTparticipation in people with Multiple Sclerosis, run by Nordlandssykehuset HF at 2 sites in Norway.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Multiple Sclerosis (MS) is a chronic disease affecting young adults. Impaired balance, walking, reduced physical activity and participation in employment are common, however, less integrated in the health care. Read more about this study

Who is it for?
Ages 18 to 68 years
Conditions the study is for
Multiple Sclerosis
What is being tested?
CoreDISTparticipation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
2 sitesNorway
Study dates
27 Aug 2021to 30 Aug 2022
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 68 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosed with MS (Mc Donald's criteria), Expanded Disability Status Scale ≤3.5 (no disability-fully ambulatory with moderate disability), ≥18 years, being employed. By these criteria the study will include individuals most accessible for the intervention and who have the best prospects to maintain/improve balance, walking, physical activity and participation in employment.

Who cannot join

  • Retired, pregnancy at enrolment, exacerbation within two weeks prior to enrolment and other serious conditions compromising balance, walking or work capacity.

Trial locations and contacts

2 sites in 1 country.

Norway2 sites
  • Bodø Municipality

    Bodø

  • Physiotherapy department, Nordlandssykehuset HF

    Bodø

Other trials in Norway

About this study

Official title: Innovative Follow-up Across Health Care Levels to Optimize Functions, Physical Activity and Employment for Individuals With MS: A Pilot Feasibility Study

Multiple Sclerosis (MS) is a chronic disease affecting young adults. Impaired balance, walking, reduced physical activity and participation in employment are common, however, less integrated in the health care. The researchers have developed a multidisciplinary intervention and pathway delivered across health care levels targeting the promotion of balance, walking, physical activity and participation in employment. The research team will perform a pilot feasibility Randomized Controlled Trial (RCT) and interviews to investigate the feasibility of the new intervention compared to a standard care for individuals with lower levels of disability.

Read the detailed description

The study addresses core elements in the health services for individuals with MS, constituting approximately 11000 in Norway. The two-armed pilot feasibility-RCT will be performed across the MS-outpatient (MS-OP) clinic, Nordland Hospital Trust, Bodø (NLSH), and in two surrounding municipalities, including 30 employed participants who will be followed for 10-weeks. The new intervention and pathway, CoreDISTparticipation, builds on GroupCoreDIST, which is previously found effective short and long term compared to standard care. CoreDISTparticipation consists of three phases: a) at the MS-OP clinic, in addition to the regular consultations, the patient will have a structured digital conversation with the MS-nurse addressing work related issues and a session with a physiotherapist exploring possibilities for change in balance and walking; b) in the municipality, a physiotherapist will continue exploration of improvements, followed by four weeks of GroupCoreDIST for 60 minutes, 2 times per week supplemented with home exercise programs focusing on balance, walking and physical activity. The participants will have access to exercise programs on videos through an open website at Nord University to digitally support home training.

To promote participation in employment, a structured digital meeting between each patient, the MS-nurse, the patient's employer, and the physiotherapist (who leads the group trainings) will take place in phase b; followed by phase c) which include four weeks of outdoor group based exercises and physical activity led by a physiotherapist, for 60 minutes, 2 times per week supplemented with the same home exercise programs as in phase b.

Evaluation of employment and physical activity will be conducted using an evaluation form.

The control group will receive usual consultations at the MS-OP clinic, as well as a session with a physiotherapist at the MS-OP clinic, exploring possibilities for change in balance and walking. In the municipality the control group will follow standard care (their usual follow-up).

The research team will examine feasibility, preliminary between-group differences regarding balance, walking, physical activity level, health related quality of life and barriers in employment, as well as the users' experiences with participation in the CoreDISTparticipation.

Being tested
CoreDISTparticipation, Standard care
Keywords
Multiple sclerosis, Physiotherapy, neurology, MS nurse, coordination of care, balance, walking, physical activity, employment
Medical subject headings
Multiple Sclerosis, Motor Activity

What participants receive

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

  • CoreDISTparticipationBehavioural

    CoreDISTparticipation is a thorough intervention that contains coordination of services (physiotherapy, MS-nursing and work adaptations) between the MS-OP clinic and the municipality aiming to improve function, physical activity and employment in individuals with MS.

  • Standard careBehavioural

    The standard care group will follow regular consultations at the MS-outpatient clinic including a session with the physiotherapist. Furthermore, this group will follow usual care in the municipality which might include other forms of physiotherapy or physical activity. These will be registered.

Study groups in NCT05057338
Study groupRoleWhat they receive
CoreDISTparticipationExperimentala) at the MS-OP clinic, in addition to the regular consultations, the patient will have a structured digital conversation with the MS-nurse addressing work related issues and a session with a physiotherapist exploring possibilities for change in balance and walking; b) in the municipality, a physiotherapist will continue exploration of improvements, followed by four weeks of GroupCoreDIST focusing on balance, walking and physical activity and conducted in groups of 3-5 individuals with MS and led by a physiotherapist. To promote participation in employment, a structured digital meeting between each patient, the MS-nurse, the patient's employer, and the physiotherapist will take place; followed by c) four weeks of outdoor group based exercises and physical activity led by a physiotherapist, complemented with an evaluation form regarding employment and physical activity.
Receives: Behavioral: CoreDISTparticipation
Standard careActive comparatorThe control group will receive the usual consultations at the MS-OP clinic including exploration of possibilities for change in balance and walking together with physiotherapist at the MS-OP clinic. The control group will furthermore follow standard care (their usual follow-up) in the municipality.
Receives: Behavioral: Standard care

What is being measured

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

  1. MS Work Difficulties Questionnaire-23

    How frequently individuals with MS perceive psychological/cognitive (11 items)-, physical (8 items)- and external barriers (4 items) related to their current or most recent job, and is scored by a five point scale (best score 0). (Recently translated to Norwegian).

    Measured: Baseline

  2. Six-Minutes Walk Test

    Walking distance within six minutes

    Measured: Baseline

  3. MS Work Difficulties Questionnaire-23

    How frequently individuals with MS perceive psychological/cognitive (11 items)-, physical (8 items)- and external barriers (4 items) related to their current or most recent job, and is scored by a five point scale (best score 0). (Recently translated to Norwegian).

    Measured: 5 weeks post-test

  4. Six-Minutes Walk Test

    Walking distance within six minutes

    Measured: 5 weeks post-test

  5. MS Work Difficulties Questionnaire-23

    How frequently individuals with MS perceive psychological/cognitive (11 items)-, physical (8 items)- and external barriers (4 items) related to their current or most recent job, and is scored by a five point scale (best score 0). (Recently translated to Norwegian).

    Measured: 10 week post-test

  6. Six-Minutes Walk Test

    Walking distance within six minutes

    Measured: 10 week post-test

Secondary outcomes (37)
  1. Trunk Impairment Scale Norwegian Version

    Dynamic sitting balance, 6 items, top score 16.

    Measured: Baseline

  2. Mini Balance Evaluation Systems Test

    Pro-and reactive balance, dual task and involving sit to stand, standing and walking, 14 items on a 3 point with a top score of 28

    Measured: Baseline

  3. Force Platform

    The force platform measures control in standing: symmetry/asymmetry of weight bearing with eyes open/closed, postural sway of center of pressure, and weight transfer which all together will present an outcome for standing balance.

    Measured: Baseline

  4. Activity monitors outcome 1

    The monitors measure Physical activity levels (inactive, light, moderate, vigorous) within 7 days

    Measured: Baseline

  5. Activity monitors outcome 2

    The monitors measure number of steps within 7 days

    Measured: Baseline

  6. European Quality of Life 5-Dimension-3 Level

    Self-perceived health related quality of life regarding five domains, each with three items, and a Visual Analog Scale (0-100) recording perceived health.

    Measured: Baseline

  7. Multiple Sclerosis Walking Scale-12

    Limitations in walking due to MS on 12 items with a scale 1-5, best score 12

    Measured: Baseline

  8. Multiple Sclerosis Impact Scale-29

    Self-perceived physical (13 items) and psychological (9 items) impact due to MS on health related quality of life recorded by a five point scale (best score 29)

    Measured: baseline

  9. Weight

    Self reported weight by kilogram

    Measured: baseline

  10. Height

    Self reported height by centimetre

    Measured: baseline

  11. age

    Self reported age by years

    Measured: baseline

  12. Social status

    Self reported social status; married, cohabitant, living alone

    Measured: baseline

  13. Type of multiple sclerosis

    Self reported main types: relapsing remitting, primary progressive, secondary progressive

    Measured: baseline

  14. Year of diagnosis multiple sclerosis

    Self reported by year

    Measured: baseline

  15. Medications

    Self reported by type of medications

    Measured: baseline

  16. Expanded disability status scale

    Self reported or from journal functional status at last yearly control by a neurologist

    Measured: baseline

  17. Occupation

    Self reported

    Measured: baseline

  18. Percentage of work

    Self reported percentage of work the previous month

    Measured: baseline

  19. Length of education

    Self reported choices: elementary school; high school; bachelor; masters degree; Doctor of philosophy degree

    Measured: baseline

  20. Trunk Impairment Scale Norwegian Version

    Dynamic sitting balance, 6 items, top score 16.

    Measured: 5 weeks post-test

  21. Mini Balance Evaluation Systems Test

    Pro-and reactive balance, dual task and involving sit to stand, standing and walking, 14 items on a 3 point with a top score of 28

    Measured: 5 weeks post-test

  22. Force Platform

    The force platform measures control in standing: symmetry/asymmetry of weight bearing with eyes open/closed, postural sway of center of pressure, and weight transfer which all together will present an outcome for standing balance.

    Measured: 5 weeks post-test

  23. Activity monitors outcome 1

    The monitors measure Physical activity levels (inactive, light, moderate, vigorous) within 7 days

    Measured: 5 weeks post-test

  24. Activity monitors outcome 2

    The monitors measure number of steps within 7 days

    Measured: 5 weeks post-test

  25. European Quality of Life 5-Dimension-3 Level

    Self-perceived health related quality of life regarding

    Measured: 5 weeks post-test

  26. Multiple Sclerosis Walking Scale-12

    Limitations in walking due to MS on 12 items with a scale 1-5, best score 12

    Measured: 5 weeks post-test

  27. Multiple Sclerosis Impact Scale-29

    Self-perceived physical (13 items) and psychological (9 items) impact due to MS on health related quality of life recorded by a five point scale (best score 29)

    Measured: 5 weeks post-test

  28. Percentage of work

    Self reported percentage of work

    Measured: 5 weeks post-test

  29. Trunk Impairment Scale Norwegian Version

    Dynamic sitting balance, 6 items, top score 16.

    Measured: 10 weeks post-test

  30. Mini Balance Evaluation Systems Test

    Pro-and reactive balance, dual task and involving sit to stand, standing and walking, 14 items on a 3 point with a top score of 28

    Measured: 10 weeks post-test

  31. Force Platform

    The force platform measures control in standing: symmetry/asymmetry of weight bearing with eyes open/closed, postural sway of center of pressure, and weight transfer which all together will present an outcome for standing balance.

    Measured: 10 weeks post-test

  32. Activity monitors outcome 1

    The monitors measure Physical activity levels (inactive, light, moderate, vigorous) within 7 days

    Measured: 10 weeks post-test

  33. Activity monitors outcome 2

    The monitors measure number of steps within 7 days

    Measured: 10 weeks post-test

  34. European Quality of Life 5-Dimension-3 Level

    Self-perceived health related quality of life regarding

    Measured: 10 weeks post-test

  35. Multiple Sclerosis Walking Scale-12

    Limitations in walking due to MS on 12 items with a scale 1-5, best score 12

    Measured: 10 weeks post-test

  36. Multiple Sclerosis Impact Scale-29

    Self-perceived physical (13 items) and psychological (9 items) impact due to MS on health related quality of life recorded by a five point scale (best score 29)

    Measured: 10 weeks post-test

  37. Percentage of work

    Self reported percentage of work

    Measured: 10 weeks post-test

Timeline

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

  1. First posted27 Sep 2021
  2. Study start27 Aug 2021
  3. Primary completion31 Dec 2021 (estimated)
  4. Study completion30 Aug 2022 (estimated)

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
Model description
RCT with two arms: intervention group and control group.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05057338
Sponsor's protocol ID
CoreDISTparticipation
Acronym
CoreDISTp
Status last verified
Sep 2021
First submitted
27 Aug 2021
Last updated
27 Sep 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Arntzen EC, Braaten T, Fikke HK, Normann B. Feasibility of a new intervention addressing group-based balance and high-intensity training, physical activity, and employment in individuals with multiple sclerosis: a pilot randomized controlled trial. Front Rehabil Sci. 2024 Jan 8;4:1258737. doi: 10.3389/fresc.2023.1258737. eCollection 2023.

    PubMed 38259873

Questions about this trial

What is this clinical trial studying?

A study testing CoreDISTparticipation in people with Multiple Sclerosis, run by Nordlandssykehuset HF at 2 sites in Norway.

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 1 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: status not confirmed, as of the sponsor's last update on 27 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Norway. 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?

Results are not available in the source record.

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?

MS Work Difficulties Questionnaire-23 (time frame: Baseline). The study lists 6 primary outcomes in all. 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 NCT05057338, 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 27 Sep 2021.

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