Internet based self-help randomized trial for motor Functional Neurological Disorder (SHIFT)

Neurology
Jeannette M GelauffMarina A J Tijssen

Abstract

To determine if self-rated health of patients with motor Functional Neurological Disorder can be improved by unguided internet-based self-help and education. In this non-blinded randomised controlled trial, patients were 1:1 allocated unbiased to an unguided education and self-help website in addition to usual care, or usual care only. Patients over 17 years of age with a functional motor symptom which caused distress or disability were included. The primary outcome was self-rated health on the Clinical Global Improvement (CGI) scale, at three and six months. Secondary outcomes were severity of motor symptoms, other physical and psychiatric symptoms, physical functioning, quality of life, work and social adjustment, illness beliefs and satisfaction with care. 186 patients were randomised, with a follow-up rate of 87% at 6 months. There was no difference in improvement of self-rated health at three months (44% vs 40%, p=0.899) or six months (42% vs 43%, p=0.435). Secondary outcomes did not differ between groups with a threshold of p<0.01. Satisfaction was high, with 86% of patients recommending the website to other patients. We found no significant effect of the intervention added to usual care on self-rated health or secondary ...Continue Reading

Associated Clinical Trials

References

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Citations

Jan 23, 2021·Clinical Medicine : Journal of the Royal College of Physicians of London·Karina BennettJon Stone
Mar 17, 2021·Journal of Neurology, Neurosurgery, and Psychiatry·David L PerezW Curt LaFrance

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