Effectiveness and Cost-Effectiveness Analysis of Mind-Body Interventions in a Multi-Disciplinary Clinic for Frequent Attendees Suffering From Medically Unexplained Symptoms (MUS)
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 15
- 试验地点
- 1
- 主要终点
- Health Related Quality of Life
研究概览
简要总结
The purpose of this study is to check the medical efficacy and economic benefits of multidisciplinary care in patients with unexplained medical complaints and consume medical services frequently.
详细描述
Background:
Somatic or "medically unexplained" symptoms and syndromes are common and are seen by physicians across almost every medical specialty. In many instances, these phenomena can cause a great deal of pain and frustration, restrict function and reduce patients' quality of life. Despite their frequency and severity, medical personnel often experience a great deal of difficulty in coping with such complaints and patients may be shuttled from specialist to specialist, often with little or no symptomatic relief and at a great deal of expense to the medical system. Many researchers now believe that these seemingly unrelated and "unexplained" conditions in fact share common psycho-physiological mechanisms, such as being catalyzed as a result of trauma or excessive stress, being mediated by the limbic system and affecting inhibitory sensory pathways.
Purpose of the study:
Testing the efficacy and cost-efficiency of a holistic multidisciplinary treatment methodology for medically unexplained symptoms (MUS).
Stages of the Study:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Men or women
- •Age 18 or higher
- •Treated at the Functional Neurology clinic at Soroka UMC
排除标准
- •patients with chronic illness such as cancer, dialysis patients, or any other severe identified illness
- •patients who do not speak Hebrew
- •bedridden patients
- •Schizophrenia, dementia and other severe mental illness
研究组 & 干预措施
Intervention Group for Prospective Study
Intervention: Medical and psychological treatment at the Soroka UMC "functional neurology" outpatient clinic. Treatment will be conducted by a multidisciplinary staff. Patients will undergo an initial meeting with a neurologist and afterwards will be directed to other members of the team (psychologist, physical therapist) on a case by case basis.
干预措施: Medical and Psychological treatment (Other)
No Intervention
Patient records will be analyzed via Clalit Health Service electronic records. No additional intervention will occur
结局指标
主要结局
Health Related Quality of Life
时间窗: 6 months
Changes in the Short Form 36 Health Survey (SF-36)
次要结局
- Cost-effectiveness(12 months)
- Locus of Control(6 months)
- Anxiety(6 months)
- Depression(6 months)
- Catastrophization(6 months)
- Existence of Symptoms(6 months)
- Pain Symptoms and Functioning(6 months)
- Patient Satisfaction with Medical Care(6 months)