MedPath

A RCT of Telephone-supported ACT in MS

Phase 3
Conditions
Multiple Sclerosis
Registration Number
NCT02596633
Lead Sponsor
University of Nottingham
Brief Summary

This study will investigate the feasibility of running a randomised controlled trial (RCT) of a psychotherapy called "Acceptance and Commitment Therapy (ACT)", delivered in a self-help format with additional telephone support from a therapist, for people with Multiple Sclerosis (MS) and low mood.

Detailed Description

A large proportion of people with Multiple Sclerosis (MS) suffer from emotional problems, therefore a large percentage of people with MS would be eligible to take part in a study offering a psychotherapeutic component to address these issues.

Acceptance and Commitment Therapy (ACT) has been found to be effective for mood problems, and been successfully used in self-help format, but no study has thus-far examined potential for use as an effective intervention in this (MS) population.

People will MS and low mood will be recruited from a neurology outpatient clinic. They will be randomized to either receive treatment as usual, or an ACT self-help book with 8 supportive telephone calls from a trainee clinical psychologist. Measures of anxiety, depression, quality of life and physical health will be administered at baseline, post-intervention and six month follow up. A sub sample of 10 participants will be interviewed to find out their view on taking part in the study.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Diagnosis of MS. Over 7 on the Hospital Anxiety and Depression Scale
Exclusion Criteria
  • Already receiving psychotherapy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Feasibility of the telephone-support calls, measured with telephone-interviews.At post-intervention, which is the specific time point when participants report to the researchers that they have finished their self-help books and support calls, or exactly 12 weeks after randomisation for those in the treatment-as-usual arm

A sub-sample of participants will be interviewed over the phone to assess their views on the telephone support calls.

Feasibility of randomisation, measured with telephone-interviews.At post-intervention, which is the specific time point when participants report to the researchers that they have finished their self-help books and support calls, or exactly 12 weeks after randomisation for those in the treatment-as-usual arm

A sub-sample of participants will be interviewed over the phone to assess their views on how they were randomised.

Feasibility of the self-help book, measured with telephone-interviews.At post-intervention, which is the specific time point when participants report to the researchers that they have finished their self-help books and support calls, or exactly 12 weeks after randomisation for those in the treatment-as-usual arm

A sub-sample of participants will be interviewed over the phone to assess their views on the self-help book.

Feasibility of recruitment, measured with telephone-interviews.At post-intervention, which is the specific time point when participants report to the researchers that they have finished their self-help books and support calls, or exactly 12 weeks after randomisation for those in the treatment-as-usual arm

A sub-sample of participants will be interviewed over the phone to assess their views on their recruitment into the trial.

Feasibility of psychometric assessment, measured with telephone-interviews.At post-intervention, which is the specific time point when participants report to the researchers that they have finished their self-help books and support calls, or exactly 12 weeks after randomisation for those in the treatment-as-usual arm

A sub-sample of participants will be interviewed over the phone to assess their views on the battery of psychometric assessments.

Secondary Outcome Measures
NameTimeMethod
Effectiveness in reducing anxiety, as measured using online psycho-metrics.At post-intervention (12 weeks after randomisation) and 6 months after randomisation

Effectiveness will be assessed using quantitative measures which will be completed by participants online.

Effectiveness in reducing physical health problems, as measured using online psycho-metrics.At post-intervention (12 weeks after randomisation) and 6 months after randomisation

Effectiveness will be assessed using quantitative measures which will be completed by participants online.

Effectiveness in increasing quality of life, as measured using online psycho-metrics.At post-intervention (12 weeks after randomisation) and 6 months after randomisation

Effectiveness will be assessed using quantitative measures which will be completed by participants online.

Effectiveness in reducing depression, as measured using online psycho-metrics.At post-intervention (12 weeks after randomisation) and 6 months after randomisation

Effectiveness will be assessed using quantitative measures which will be completed by participants online.

MedPath

Empowering clinical research with data-driven insights and AI-powered tools.

© 2025 MedPath, Inc. All rights reserved.