Unique ID issued by UMIN | UMIN000049167 |
---|---|
Receipt number | R000056005 |
Scientific Title | Development of Psycho-social Support Program for Patients and Caregivers of Myotonic Dystrophy Type 1 |
Date of disclosure of the study information | 2022/10/11 |
Last modified on | 2025/04/11 14:17:34 |
Development of Psycho-social Support Program for Patients and Caregivers of Myotonic Dystrophy Type 1
DM Psycho-social Support Study
Development of Psycho-social Support Program for Patients and Caregivers of Myotonic Dystrophy Type 1
DM Psycho-social Support Study
Japan |
Myotonic dystrophy type 1
Neurology |
Others
YES
Myotonic dystrophy type 1 (DM1) is a rare disease with autosomal dominant inheritance with a relatively common occurrence among muscular dystrophies. Its symptoms are diverse and include muscle weakness, myotonia, gastrointestinal and cardiopulmonary symptoms, dysphagia, problems in vision and hearing, endocrine symptoms, cognitive dysfunction including apathy, pain, daytime sleepiness and fatigue. For this reason, in order to improve the patient's life prognosis and QOL a multidisciplinary approach involving medical care, physiotherapy, diet therapy, rehabilitation and psycho-social support is necessary in DM1 care. However, due to the strong impact from the severity of physical symptoms, psycho-social aspect of care is often overlooked. We conducted a preliminary survey on QOL of the patients and caregiver burden (Endo et al., 2019; Kurauchi et al., 2019). Based on the results, we developed a psycho-social support program which aims to improve patient's felt symptoms and caregiver's caregiving burden through increasing activity of the patient by utilizing occupational therapy approach and through psychoeducation of self-care. This study is a single-group interventional study to examine the effects of the program.
Safety,Efficacy
Confirmatory
Activity and Participation: Frenchay Activities Index
Fatigue: Fatigue Severity Scale
Daytime Sleepiness: Epworth Sleepiness Scale
QOL: SF-12v2
Apathy: Apathy Evaluation Scale Caregiver version
Cognitive ability: Mini Mental State Examination
Caregiving burden: Zarit Caregiver Burden Short version
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Educational,Counseling,Training
Behavior,custom |
Patients and caregivers receive from interventional staffs the support program sessions (approximately 10 sessions) which each lasts for an hour, with a frequency of once a week to once a month.
18 | years-old | <= |
Not applicable |
Male and Female
1) Patients and caregivers who are able to fully understand the contents of the informed consent document and from whom written consent is obtained before participation.
2) Both patient and caregiver agree to participate in the study.
3) Patients and caregivers aged 18 or older at the time of informed consent.
4) Patients who are diagnosed with DM1 by genetic testing (DMPK gene).
5) Patients who are able to move independently by walking or using an assistive device/wheelchair.
6) A caregiver is defined as "a family member, relative, partner, or friend who lives with the patient, who is not in a caregiving profession, and who reduces the patient's burden due to illness regardless of the level of care provided".
1) If either the patient or caregiver is unwilling to participate in the study.
2) If patient has intake of antipsychotics and/or mood stabilizers.
3) If there was a change in dosage of antidepressants, anti-anxiety drugs, sleeping pills, Modafinil, and Ritalin in the past 12 months. However, intake of as-needed anxiolytics and sleeping pills are allowed.
4) If the caregiver is in caregiving profession.
5) Other cases in which the principal investigator or research co-investigator determines that the participant is not suitable for study participation.
20
1st name | Makiko |
Middle name | |
Last name | Endo |
National Center of Neurology and Psychiatry
Hospital, Clinical Research Unit
187-0031
4-1-1 Ogawahigashi-cho, Kodaira, Tokyo
042-341-2711
endo@ncnp.go.jp
1st name | Makiko |
Middle name | |
Last name | Endo |
National Center of Neurology and Psychiatry
Hospital, Clinical Research Unit
187-0031
4-1-1 Ogawahigashi-cho, Kodaira, Tokyo
042-341-2711
endo@ncnp.go.jp
National Center of Neurology and Psychiatry
MEXT (Japan)
Japanese Governmental office
National Hospital Organization, Aomori Hospital
Ethics Committee, National Center of Neurology and Psychiatry
4-1-1 Ogawahigashi-cho, Kodaira, Tokyo
042-341-2711
ml_rinri-jimu@ncnp.go.jp
NO
2022 | Year | 10 | Month | 11 | Day |
Unpublished
16
No longer recruiting
2022 | Year | 08 | Month | 05 | Day |
2022 | Year | 08 | Month | 05 | Day |
2022 | Year | 10 | Month | 01 | Day |
2025 | Year | 03 | Month | 31 | Day |
2024 | Year | 10 | Month | 31 | Day |
2025 | Year | 01 | Month | 31 | Day |
2022 | Year | 10 | Month | 09 | Day |
2025 | Year | 04 | Month | 11 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000056005