MedPath

Digital Treatment of Irritable Bowel Syndrome (IBS)

Not Applicable
Active, not recruiting
Conditions
IBS - Irritable Bowel Syndrome
Interventions
Behavioral: Module 1
Behavioral: Module 2
Behavioral: Module 3
Behavioral: Module 4
Behavioral: Module 5
Registration Number
NCT06117865
Lead Sponsor
Haukeland University Hospital
Brief Summary

The aim of this work is to identify whether the digital treatment program Mage-tarmskolen has an effect on patients with IBS. Our secondary objectives is to address multiple aspects of digital treatmtent success of the different modules. The patients will be randomized to one of four arms and will be delivered different kinds of digital treatment. All patients will have access to ask questions to a registered dietitian. Primary end point is the proportion of patients with treatment success in the low FODMAP, behavioral therapy or both groups, versus the patient education group (sham). Treatment effect is defined as an improvement of 50 points or more on the IBS severity scoring system at 3 months after treatment start compared to the score before treatment.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
728
Inclusion Criteria
  • Diagnosed with IBS in the primary or secondary healthcare service.
  • Patients aged 18-70 years with IBS defined by the Rome IV criteria: Recurrent abdominal pain, on average at least 1 day per week during the previous 3 months, that is associated with two or more of the following: i) Defecation, either increased pain or pain relief, ii) Change in stool frequency, iii) Change in stool form (appearance)
  • All participants >50 years: Colonoscopy within the last 5 years prior to study entry excluding other pathology
  • Bank-ID and access to tablet, PC or smart phone.
  • No known presence of: symptomatic endometriosis, Diabetes type 1 and 2, Malignant disease (excluding basalioma),
  • No history of: severe psychiatric disorder, alcohol or drug abuse, inflammatory bowel disease, microscopic colitis, diverticulitis or ileus, major abdominal surgery (except appendectomy, cholecystectomy, caesarean section, and hysterectomy)
  • No "red flags'' indicating severe undiagnosed disease: Night sweats (Repeated episodes of extreme perspiration that may soak nightclothes or bedding), Unintentional weight loss (≥ 4.5 kilograms, or 5% of normal body weight) over less than 6 months without knowing the reason, or blood in stool
  • Not pregnant
  • Ability to comply with protocol requirements
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Behavioral therapyModule 4-
Low FODMAP-dietModule 5-
Combined treatmentModule 5Low FODMAP-diet and behavioral therapy
Patient educationModule 2-
Combined treatmentModule 1Low FODMAP-diet and behavioral therapy
Patient educationModule 1-
Low FODMAP-dietModule 2-
Low FODMAP-dietModule 3-
Combined treatmentModule 3Low FODMAP-diet and behavioral therapy
Patient educationModule 3-
Behavioral therapyModule 2-
Behavioral therapyModule 3-
Behavioral therapyModule 1-
Low FODMAP-dietModule 1-
Combined treatmentModule 2Low FODMAP-diet and behavioral therapy
Combined treatmentModule 4Low FODMAP-diet and behavioral therapy
Primary Outcome Measures
NameTimeMethod
IBS-SSS3 months after treatment start

Treatment success is defined as an improvement of ≥50 points on the IBS severity scoring system (IBS-SSS) at 3 months after treatment start, compared to the score before treatment

Secondary Outcome Measures
NameTimeMethod
HADS3 months after treatment start

≥3-point decrease in HADS at 3 months compared to the score before treatment.

IBS-QOL3 months after treatment start

≥10-point increase in the IBS-Qualiy of Life (IBS-QoL) at 3 months compared to the score before treatment.

Trial Locations

Locations (1)

Haukeland University Hospital

🇳🇴

Bergen, Vestlandet, Norway

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