Concentrated Cross-disciplinary Group Intervention for Common Health Complaints (Including Post COVID-19 Fatigue)

  • STATUS
    Recruiting
  • End date
    May 1, 2024
  • participants needed
    1000
  • sponsor
    Helse i Hardanger
Updated on 24 July 2022
anxiety
fatigue
back pain
low back pain

Summary

The health care is faced by a growing challenge in the years to come: increasing age and chronic morbidity raising the costs, combined with decreased work participation. Among the conditions on the rise, we find anxiety/depression, musculoskeletal conditions, type 2 diabetes and chronic obstructive pulmonary disease. Recently, the rise of the Corona pandemic has yielded another group of (primarily young) patients with decreased work capacity, the post-Covid syndrome sufferers.

The aim of the present study is to establish, describe and summarize the experiences with a novel approach to rehabilitation for five of the most costly conditions; 1) low back pain, 2) chronic obstructive pulmonary disease, 3) type 2 diabetes mellitus, 4) mixed anxiety/depression and 5) post-Covid fatigue.

The concentrated interdisciplinary rehabilitation is characterised by three phases;

  1. Pre-intervention preparation (1-2 months): with the aim to mobilize the patients' resources for change
  2. Concentrated group intervention (2-5 days): interdisciplinary team - individually tailored training (further described below)
  3. Post-intervention follow-up (1 year): digital follow-up with the aim of integrate the changes into everyday living

The concentrated intervention:

The core intervention is based on trans-diagnostic features of the highly successful 4-day intervention for Obsessive Compulsive Disorder, namely:

  • Initiate treatment when the patient is ready for change
  • Focus on the behavioral patterns which maintain the disorder and help the patient to identify situations where they can choose to break the pattern ("micro-choices").
  • Assist the patient when they practice breaking the patterns. This may pertain to how they do physical training or to the way they walk, sit, eat, talk, take their medication and sleep, or to how they engage in social activities or take care of others.
  • Use long sessions to ensure that they face a broad range of potential micro-choices
  • Work side-by side with others going through an analogous pattern of change
  • Prepare them for taking responsibility for integrating the change into every-day living

Main outcomes will be

  1. Completion rates
  2. Patient satisfaction
  3. Changes to perception of illness
  4. Patient activation

Secondary outcomes will be

  1. Level of functioning
  2. Qualitative description of participants' experiences

Details
Condition Mixed Anxiety Depression, Diabetes Mellitus, Type 2, Low Back Pain, Chronic Obstructive Pulmonary Disease, COVID-19
Treatment Interdisciplincary concentrated group rehabilitation
Clinical Study IdentifierNCT05234281
SponsorHelse i Hardanger
Last Modified on24 July 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Competent to consent
Motivated to participate throughout the project
Digital competence

Exclusion Criteria

Medical conditions that could preclude proper participation
Unable to take care of everyday needs (nursing requirements)
Cognitive failure
Clear my responses

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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