About this trial
This proof-of-concept study aims to evaluate the feasibility, acceptability, and potential benefits of a novel multimodal approach: the micro-choice-based intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
Have insufficient proficiency in German to complete study-related questionnaires
Lack the cognitive capacity to understand study procedures (e.g. due to dementia)
Present with severe medical conditions that may interfere with participation (e.g., advanced organ failure, uncontrolled inflammatory or autoimmune diseases, or severe psychiatric disorders)
Have active cancer or are currently undergoing cancer treatment
Trial design
Single group
Treatments tested in this trial
Micro-choice-based intervention
BehavioralThe intervention consists of three phases: (1) a preparation phase including a preparatory webinar about the concept of micro-choices; active decision to participate; (2) a concentrated four-day group intervention based on the micro-choice model, delivered by an interdisciplinary team (psychosomatics, internal medicine, physiotherapy, occupational therapy); and (3) a follow-up phase over three weeks, during which participants are supported in integrating behavioral changes into everyday life through digital self-monitoring and an individual follow-up consultation
Treatment groups
Trial outcomes
Primary outcomes
Retention rate
defined as the percentage of participants who complete all phases of the study. To assess this, the investigators will evaluate: * Dropout rates at different phases of the study: preparation, concentrated intervention and follow up * Completion rates within each phase to identify potential barriers to adherence and engagement
Secondary outcomes
Patient satisfaction
Patient satisfaction will be assessed using the ZUF-8 (Fragebogen zur Messung der Patientenzufriedenheit), the validated German version of the Client Satisfaction Questionnaire (CSQ-8). Items are answered on a 4-point scale. Scores are summed across items once. Some items are reverse scored. Total scores range from 8 to 32, with the higher number indicating greater satisfaction.
Fatigue
Fatigue is assessed by the 11-item Chalder Fatigue Scale (46), e.g. by asking "Do you have difficulty concentrating?". Items are answered on a 4-point scale ranging from 0 = "Better than usual" to 3 = "much worse than usual".
Somatic Symptom Severity
The Patient Health Questionnaire (PHQ-15; 34) assesses somatic symptom severity during the past 4 weeks. Patients are asked how impaired they felt by their symptoms, e.g. back pain. Items are answered on a 3-point scale ranging from 0 = "not bothered at all" to 2 = "bothered a lot".
Somatic Distress
The Somatic Symptom Disorder Questionnaire (SSD-12; 35) assesses psychological features of somatic disorders, e.g. catastrophizing thoughts and health anxiety, e.g. with the statement "I think that my physical symptoms are signs of a serious illness". Items are answered on a 5-point scale ranging from 0 = "never" to 4 = "very often".
Sponsors and contacts
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University Hospital, Basel, Switzerland
Lead sponsor
Kämpf- Bötschi Stiftung
Collaborator
propatient Forschungsstiftung
Collaborator