Psychological Intervention for Fatigue in Inflammatory Bowel Diseases

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-70
SponsorUniversitaire Ziekenhuizen KU Leuven

About this trial

The investigators would like to evaluate the effect of a multicomponent psychological treatment on fatigue as a symptom of patients with inflammatory bowel diseases (IBD). The intervention will be a combined program consisting of a psychological intervention (Acceptance and Commitment Therapy) and a behavioral intervention (implementation of frequent short naps and graded increase of physical activity). Next to the hypothesized effect on fatigue, the investigators will also measure the effect on fatigability, IBD related disability, anxiety, depression, stress, disease acceptance and perceived control as well as (biomarkers of) disease activity.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Voluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any screening procedures

Males and females 18-70 years old.

Patients with a diagnosis of ulcerative colitis (UC), Crohn's disease (CD), inflammatory bowel disease type unclassified (IBDU) based on radiology, endoscopy and/or histology

Patients with a disease duration of more than one year

Disqualifiers

Patients that initiated new IBD medication (steroids, mesalamine, thiopurines, methotrexate, biologicals or small molecules) in the past three months prior to screening

Patients with objective signs of active disease (CRP<10mg/L or faecal calprotectin <250µg/g) at screening

Participation in an interventional Study with an investigational medicinal product (IMP) or device at screening

Patients with planned surgery at screening

Trial design

Design model

Crossover

Treatments tested in this trial

  • Multicomponent psychological intervention

    Behavioral

    The multicomponent intervention starts with 8 sessions of ACT (Acceptance and commitment therapy) once a week. After four weeks, patients start with graded activity and frequent napping. After eight weeks in the intervention period, patients will have consults with an IBD psychologist every two weeks. The intervention period is 14 weeks in total.

  • Early start

    Behavioral

    Patients in the early group immediately start with the multicomponent psychological intervention

  • Late start (after 28 weeks)

    Behavioral

    Patients in the late intervention group will wait 28 weeks before starting the intervention

Treatment groups

155 Participants
are divided into 2 treatment groups
Group A: Early intervention groupOther 2 interventions
Group B: Late intervention groupOther 2 interventions

Trial outcomes

Primary outcomes

1

FACIT fatigue scale

The percentage of participants achieving a ≥20% improvement on the Functional Assessment of Chronic Illness Therapy (FACIT) Fatigue Scale (indicating reduced fatigue) between baseline and week 14.

Time frame
14 weeks

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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