Effect of a Stress Reduction and Lifestyle Modification Programme on the Quality of Life of Crohn's Disease Patients

NCT ID: NCT05182645

Last Updated: 2022-11-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-01

Study Completion Date

2022-03-31

Brief Summary

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Patients with crohn's disease often suffer significant limitations to their quality of life, which are also conditioned by particular stress and psychosocial accompanying symptoms of the disease. A multimodal program for stress-reduction and lifestyle-modification has been shown to be effective in promoting the quality of life in patients with uncreative colitis. The study will examine the promotion of the quality of life of patients with crohn's disease and the positive Influence on stress, psychological symptoms and physiological parameters.

Detailed Description

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40 patients with ulcerative colitis will be randomized in an Intervention group and a control group for 10 weeks. The primary outcome is the feasibility of the study, the intervention and the examinations. The Secondary outcomes are disease-specific quality of life, disease-activity, stress, psychological symptoms, inflammatory parameters, disease activity parameters, bowel parameter and the microbiome. As qualitative parameters, the influence of the disease on everyday life and the experience/ impact/ implementability of the programme will be investigated. Lastly, undesirable events will be recorded.

Conditions

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Crohn Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Waiting Control Group Design
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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lifestyle-modification

Once a week for 10 weeks with a circumference of 60 hours with mindfulness-based stress reduction and further process of the Mind / body medicine.

Group Type EXPERIMENTAL

lifestyle-modification

Intervention Type BEHAVIORAL

The group intervention is carried out once a week for 10 weeks for a total of 60 hours with elements of mindfulness-based stress reduction (MBSR) and further process of the mind / body medicine. In this project, this program will be adapted to the specific needs of crohn's disease patients.

waiting control group

A unique education unit within the scope of 3 hours on the influence of lifestyle factors on the disease and self-help materials for the independent training. After the follow-up measurement opportunity to participate in the program.

Group Type ACTIVE_COMPARATOR

waiting control group

Intervention Type BEHAVIORAL

Participants in this group receive a one-time education unit within the scope of 3 hours on the influence of lifestyle factors on the disease, also self-help materials for independent training offered. Following the follow-up measure also this group is given the opportunity to participate in the multimodal stress reduction- and lifestyle modification program.

Interventions

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lifestyle-modification

The group intervention is carried out once a week for 10 weeks for a total of 60 hours with elements of mindfulness-based stress reduction (MBSR) and further process of the mind / body medicine. In this project, this program will be adapted to the specific needs of crohn's disease patients.

Intervention Type BEHAVIORAL

waiting control group

Participants in this group receive a one-time education unit within the scope of 3 hours on the influence of lifestyle factors on the disease, also self-help materials for independent training offered. Following the follow-up measure also this group is given the opportunity to participate in the multimodal stress reduction- and lifestyle modification program.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* age between 18 and 75 years
* Presence of a confirmed diagnosis of Crohn's disease
* In remission (not longer than 12 months, or mild to moderate clinical activity (HBI \< 16)
* Medication that has been stable for at least 3 months, regardless of whether glucocorticoids, immunosuppressive drugs, azathioprine, or other drug treatments according to MBMCrohn - Version 1.0 from 06.12.2019 Page 7 Guideline
* Signed declaration of consent

Exclusion Criteria

* infectious or refractory Crohn's disease with severe course
* Complete colectomy
* Severe psychological illness (e.g. depression requiring treatment, addiction, schizophrenia)
* Severe comorbid somatic disease (e.g. diabetes mellitus, oncological disease)
* Pregnancy
* Participation in stress reduction programmes or clinical studies on psychological interventions
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sozialstiftung Bamberg

OTHER

Sponsor Role collaborator

University of Wuerzburg

OTHER

Sponsor Role collaborator

Wuerzburg University Hospital

OTHER

Sponsor Role collaborator

Bavarian State Ministry of Health and Care

OTHER_GOV

Sponsor Role collaborator

Jost Langhorst

OTHER

Sponsor Role lead

Responsible Party

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Jost Langhorst

Clinical Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jost Langhorst, Prof.

Role: STUDY_DIRECTOR

Sozialstiftung Bamberg

Locations

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Sozialstiftung Bamberg, Klinik für Intergrative Medizin

Bamberg, Bavaria, Germany

Site Status

Countries

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Germany

References

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Tiles-Sar N, Neuser J, de Sordi D, Baltes A, Preiss JC, Moser G, Timmer A. Psychological interventions for treatment of inflammatory bowel disease. Cochrane Database Syst Rev. 2025 Apr 17;4(4):CD006913. doi: 10.1002/14651858.CD006913.pub3.

Reference Type DERIVED
PMID: 40243391 (View on PubMed)

Schlee C, Uecker C, Oznur O, Bauer N, Langhorst J. Participants' perspectives on a multimodal stress management and comprehensive lifestyle modification program for patients with Crohn's disease-A qualitative interview study. PLoS One. 2024 Nov 13;19(11):e0313127. doi: 10.1371/journal.pone.0313127. eCollection 2024.

Reference Type DERIVED
PMID: 39536026 (View on PubMed)

Mekes-Adamczyk A, Gausmann N, Oznur O, Pfuhlmann K, Dziobaka J, Buer J, Langhorst J, Westendorf AM. Lifestyle Intervention Modulates the CD4+ T Cell Profile in the Blood of Crohn's Disease Patients. Inflamm Bowel Dis. 2025 Jan 6;31(1):200-209. doi: 10.1093/ibd/izae154.

Reference Type DERIVED
PMID: 39102712 (View on PubMed)

Bauer N, Loffler C, Oznur O, Uecker C, Keil T, Langhorst J. Mind-body-medicine and comprehensive lifestyle-modification in patients with Crohn's disease-Feasibility of a randomized controlled trial under pandemic circumstances. Front Integr Neurosci. 2022 Aug 23;16:960301. doi: 10.3389/fnint.2022.960301. eCollection 2022.

Reference Type DERIVED
PMID: 36081609 (View on PubMed)

Other Identifiers

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19096

Identifier Type: -

Identifier Source: org_study_id

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