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Interstitial CystitisNCT05155384

Biopsychosocial and Conventional Approach in Bladder Pain Syndrome

A study testing Pain Neuroscience Education, Relaxation exercises and Cognition target exercise in people with Interstitial Cystitis and Bladder Pain Syndrome, run by Hacettepe University at 3 sites in Turkey (Türkiye).

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 The sponsor has not verified this record for over two years, so it may be out of date.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

The aim of the present study is to compare the effects of biopsychosocial and conventional approach on symptom severity, pain parameters (pain intensity and pain cognitions), disability, psychological distress and quality of life in patients who are suffering from bladder pain syndrome/interstitial cystitis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Interstitial Cystitis, Bladder Pain Syndrome
What is being tested?
Pain Neuroscience Education, Relaxation exercises and Cognition target exercise
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
3 sitesTurkey (Türkiye)
Study dates
12 Nov 2021to 15 Oct 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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosed with Bladder Pain Syndrome/Interstitial Cystitis
  • with chronic symptoms (more than 6 months)
  • Bladder pain severity in the last week should be at least 3/10 according to the Visual Analogue Scale (VAS)
  • Stable medication schedule
  • Individuals over the age of 18 (individuals over 65 years of age with a Mini Mental Test score ≥ 24) voluntarily to participate in the study will be included.

Who cannot join

  • Acute disease state (with ongoing urinary tract infection, active vaginitis, active Herpes infection)
  • Stones in the bladder, ureter, or urethra in the last 3 months
  • Having an ulcer appearance on cystoscopy
  • For women: during pregnancy and/or breastfeeding
  • Previous history of urological and/or pelvic malignancy
  • Congenital anomaly of the upper and/or lower urinary tract
Show all 10Show fewer
  • who have started a new drug treatment in the last 3 months, or undergoing implantation operation of neuromodulation devices
  • Diagnosed with opioid dependence
  • Neurogenic bladder dysfunction or concomitant neurologic conditions
  • Not cooperating with assessment and/or treatment, and illiterate individuals

Trial locations and contacts

3 sites in 1 country.

Ceren Gursen, PhD contact

+905380644120

cerengursen@yahoo.com

Turkey (Türkiye)3 sites, 3 recruiting
  • Hacettepe University, Faculty of Physical Therapy and Rehabilitation

    Ankara, 06100

    Ceren Gursen, Phd, +905380644120, cerengursen@yahoo.com

    Naside Mangir Bolat, PhD

    Recruiting
  • Hacettepe University, Faculty of Physical Therapy and Rehabilitation

    Ankara, 06100

    Ceren Gursen, PhD, +905380644120, cerengursen@yahoo.com

    Recruiting
  • Hacettepe University

    Ankara, 06100

    Ceren Gursen, PhD, +905380644120, cerengursen@yahoo.com

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: Comparison of Biopsychosocial and Conventional Approach in the Treatment of Bladder Pain Syndrome/Interstitial Cystitis

The aim of the present study is to compare the effects of biopsychosocial and conventional approach on symptom severity, pain parameters (pain intensity and pain cognitions), disability, psychological distress and quality of life in patients who are suffering from bladder pain syndrome/interstitial cystitis. The study is designed as a randomized clinical trial including two parallel arms.

Individuals who meet the inclusion criteria and agree to participate will be randomly assigned into one of the two research arms: biopsychosocial approach group or conventional approach group. A biopsychosocial approach, which is a holistic approach that includes pain neuroscience education, relaxation training and cognitive exercises, will be applied to the patients in the first research arm for the treatment of chronic pain symptoms. For the patients in the second research arm, a conventional approach including pelvic floor stretching exercises and Transcutaneous Electrical Nerve Stimulation (TENS) will be applied for the treatment of chronic pain complaints. Treatments will be lasted for a total of six weeks, with two sessions per week. Participants will be evaluated at the baseline (before treatments) and at the end of the 6th week (after treatments). In the evaluations, information about the demographic and physical characteristics, medical and surgical background, medications and lifestyle characteristics (water, tea, coffee, alcohol, cigarette consumption, the presence constipation and physical activity level) of the individuals will be recorded. For primary or secondary outcome measures, Interstitial Cystitis Symptom and Problem Index, Visual Analog Scale, Pain Catastrophizing Scale, Pain Self-Efficacy Questionnaire, 3-day voiding diary, Pain Disability Index, Hospital Anxiety and Depression Scale, and Short Form-36 will be used. The present study is planned to be carried out with a total of 60 individuals, 30 for each study group based on a sample size analysis.

After reaching required sample for the present study, in patients with bladder pain syndrome/interstitial cystitis, the effects of biopsychosocial and conventional approach on symptom and problem severity, pain parameters, disability, psychological status and quality of life will be analyzed using (2*2) two-way ANOVA.

Being tested
Pain Neuroscience Education, Relaxation exercises, Cognition target exercise, Pelvic floor stretching exercises, Transcutaneous electrical nerve stimulation
Keywords
chronic pain, pain neuroscience education, Bladder Pain Syndrome, Interstitial Cystitis
Medical subject headings
Cystitis, Interstitial, Chronic Pain

What participants receive

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

  • Pain Neuroscience EducationOther

    main topics of pain neuroscience education; neurophysiology of the nervous system, protective mechanism of pain, acute pain formation and chronic pain, factors that increase/reduce pain, central sensitization mechanism, neuroplasticity and treatment strategies in chronic pain.

  • Relaxation exercisesOther

    Relaxation exercises are a training based on deep relaxation techniques and visual imagery. Relaxation exercises will be applied at the end of the training sessions.

  • Cognition target exerciseOther

    Cognition target exercises are a time-based approach that is not symptom-conditioned (not based on fatigue or pain). It includes functional and dynamic exercises.

  • Pelvic floor stretching exercisesOther

    Pelvic floor stretching exercises; consists of stretching exercises involving the pelvic floor muscles and surrounding group muscles (such as piriformis, hamstring, adductor group muscles and lumbar extensors).

  • Transcutaneous electrical nerve stimulationDevice

    It will be used with superficial electrodes attached to the suprapubic region of the patients for 20 minutes in each session.

Study groups in NCT05155384
Study groupRoleWhat they receive
biopsychosocial model-based treatmentExperimentalBiopsychosocial model-based management will be applied including pain neuroscience education, functional exercises, and relaxation training.
Receives: Other: Pain Neuroscience Education; Other: Relaxation exercises; Other: Cognition target exercise
Conventional physiotherapyActive comparatorConventional physiotherapy will be applied including standard exercises and electrical stimulation.
Receives: Other: Pelvic floor stretching exercises; Device: Transcutaneous electrical nerve stimulation

What is being measured

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

  1. severity of symptoms

    The Interstitial Cystitis Symptom and Problem Index will be used to assess the severity of symptoms. This scale consists of two separate parts as symptom and problem index, both of which are four questions. Participants will be asked to fill in both parts.

    Measured: change in severity of symptoms from baseline up to end of 6th week

Secondary outcomes (6)
  1. severity of pain

    Pain severity will be evaluated with the Visual Analogue Scale (VAS). Considering the last week, the patients will be asked to mark the severity of pain on a 10-centimeter (cm) straight line, with the starting end as "no pain" and the ending end as "unbearable pain". It will be calculated in cm by measuring the starting tip and the part marked by the patient.

    Measured: change in severity of pain from baseline up to end of 6th week

  2. Pain cognitions

    Pain Catastrophizing Scale and Pain Self-Efficacy Questionnaire will be used to assess individuals' cognitions about pain (catastrophizing and self-efficacy).

    Measured: change in pain cognitions from baseline up to end of 6th week

  3. urinary symptoms

    A 3-day voiding diary will be used to evaluate Urinary Symptoms. On this chart, they are asked to record the time they urinate, the amount of urine, the presence of urinary incontinence, the amount and type of fluid consumed.

    Measured: change in urinary symptoms from baseline up to end of 6th week

  4. severity of disability

    The Pain Disability Index will be used to question the impact of individuals' daily life due to their pain and the resulting disability.

    Measured: change in severity of disability from baseline up to end of 6th week

  5. psychological distress

    The Hospital Anxiety and Depression Scale will be used to evaluate the psychological distress of individuals. The questionnaire has two sub-dimensions, depression and anxiety.

    Measured: change in psychological distress from baseline up to end of 6th week

  6. quality of life of the patients

    Quality of Life will be assessed using the SF-36 scale. Short Form-36 will be used for evaluations. This questionnaire consists of eight different sub-parameters (physical function, physical role difficulty, general health status, pain status, energy/fatigue, social function, emotional role difficulty, and emotional well-being).

    Measured: change in quality of life from baseline up to end of 6th week

Timeline

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

  1. First posted13 Dec 2021
  2. Study start12 Nov 2021
  3. Primary completion15 Oct 2022 (estimated)
  4. Study completion15 Oct 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
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05155384
Sponsor's protocol ID
KA- 21109
Status last verified
Dec 2021
First submitted
10 Dec 2021
Last updated
3 Jan 2022
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • O'Leary MP, Sant GR, Fowler FJ Jr, Whitmore KE, Spolarich-Kroll J. The interstitial cystitis symptom index and problem index. Urology. 1997 May;49(5A Suppl):58-63. doi: 10.1016/s0090-4295(99)80333-1.

    PubMed 9146003
  • Von Korff M, Jensen MP, Karoly P. Assessing global pain severity by self-report in clinical and health services research. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3140-51. doi: 10.1097/00007632-200012150-00009. No abstract available.

    PubMed 11124730
  • Suren M, Okan I, Gokbakan AM, Kaya Z, Erkorkmaz U, Arici S, Karaman S, Kahveci M. Factors associated with the pain catastrophizing scale and validation in a sample of the Turkish population. Turk J Med Sci. 2014;44(1):104-8. doi: 10.3906/sag-1206-67.

    PubMed 25558568
  • Nicholas MK. The pain self-efficacy questionnaire: Taking pain into account. Eur J Pain. 2007 Feb;11(2):153-63. doi: 10.1016/j.ejpain.2005.12.008. Epub 2006 Jan 30.

    PubMed 16446108
  • Pollard CA. Preliminary validity study of the pain disability index. Percept Mot Skills. 1984 Dec;59(3):974. doi: 10.2466/pms.1984.59.3.974. No abstract available.

    PubMed 6240632
  • Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361-70. doi: 10.1111/j.1600-0447.1983.tb09716.x.

    PubMed 6880820
  • Ware JE Jr. SF-36 health survey update. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3130-9. doi: 10.1097/00007632-200012150-00008. No abstract available.

    PubMed 11124729
  • Fitzgerald MP, Anderson RU, Potts J, Payne CK, Peters KM, Clemens JQ, Kotarinos R, Fraser L, Cosby A, Fortman C, Neville C, Badillo S, Odabachian L, Sanfield A, O'Dougherty B, Halle-Podell R, Cen L, Chuai S, Landis JR, Mickelberg K, Barrell T, Kusek JW, Nyberg LM; Urological Pelvic Pain Collaborative Research Network. Randomized multicenter feasibility trial of myofascial physical therapy for the treatment of urological chronic pelvic pain syndromes. J Urol. 2013 Jan;189(1 Suppl):S75-85. doi: 10.1016/j.juro.2012.11.018.

    PubMed 23234638
  • Yazici Ilhan H, Ozgul S, Akbayrak T, Mangir N, Guloren G, Gursen C. Effects of functional versus conventional Physiotherapy-Based pain management on symptoms, psychological outcomes, and quality of life in women with Bladder Pain Syndrome: A Randomized Controlled Trial. Physiother Theory Pract. 2026 Aug 16:1-15. doi: 10.1080/09593985.2026.2715733. Online ahead of print.

    PubMed 42604487

Questions about this trial

What is this clinical trial studying?

A study testing Pain Neuroscience Education, Relaxation exercises and Cognition target exercise in people with Interstitial Cystitis and Bladder Pain Syndrome, run by Hacettepe University at 3 sites in Turkey (Türkiye).

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 10 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 3 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Turkey (Türkiye). 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?

Contact Ceren Gursen, PhD (+905380644120, cerengursen@yahoo.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

severity of symptoms (time frame: change in severity of symptoms from baseline up to end of 6th week). 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 NCT05155384, which also lists 9 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 3 Jan 2022.

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