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The Living With a Long-Term Condition Study (LTC)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT06072287
Recruitment Status : Recruiting
First Posted : October 10, 2023
Last Update Posted : October 12, 2023
Sponsor:
Information provided by (Responsible Party):
King's College London

Brief Summary:

Psychological distress (anxiety and depression) is common in and experienced differently by people living with long-term health conditions (LTCs). Being able to measure whether psychological distress is related to living with a LTC would allow researchers and clinicians to provide interventions specifically tailored to the challenges of living with a LTC and therefore provide the most appropriate support for these patients. Such a measure would also be useful in research to identify the presence of illness-related distress in different patient groups. This project will therefore create a new measure of illness-related distress that has applications for both research and clinical practice. This will involve the psychometric validation of the new illness-related distress measure to test how valid and reliable the measure is.

The aim of the project is to provide initial validation of the Illness Related Distress Scale in a community sample, recruited through online platforms. The objective of the study is to gather initial validity and reliability data for the scale.


Condition or disease Intervention/treatment
Asthma Atrial Fibrillation Cancer Cerebrovascular Disorders Stroke CKD Copd Fibromyalgia Pain Heart Diseases Heart Disease Chronic Dementia Diabetes Epilepsy Heart Failure High Blood Pressure Hypertension Hiv AIDS IBD IBS Liver Diseases Long COVID Lupus Erythematosus Multiple Sclerosis Obesity Osteoarthritis Arthritis Rheumatoid Arthritis Osteoporosis Parkinson Disease Sickle Cell Disease Hepatitis Endometriosis PCOS Neurological Disorder POTS - Postural Orthostatic Tachycardia Syndrome MND (Motor Neurone DIsease) Cystic Fibrosis Migraine Spondylitis Celiac Disease Hidradenitis Suppurativa Eczema ME/CFS Diagnostic Test: Living with LTC Questionnaire

Detailed Description:

Background: see brief summary

Project information:

This study will be conducted online with participants from the UK. A series of standardised questionnaires will be used alongside the new questionnaire.

Participants will be those who self-select to complete our survey by responding to advertisements. The invitation will include a link to the Qualtrics survey which includes the Participant Information Sheet, Eligibility Screening, Consent Form and Baseline Questionnaire.

After completing eligibility screening and consent, participants will complete the baseline questionnaire which will include brief demographics (highest education level, long-term condition diagnoses, ethnicity age and gender), the new measure we are testing (the Illness Related Distress Scale), as well as the Patient Health Questionnaire (PHQ-8), Generalised Anxiety Disorder Scale (GAD-7), the Work and Social Adjustment Scale (WSAS). The baseline questionnaire will only include the Inflammatory Bowel Disease Distress Scale (IBD-DS) and Diabetes Distress Scale (DDS) if participants indicate that they have a diagnosis of the relevant condition.

At 1 week follow-up, participants will be sent a Qualtrics link to complete our 1-week follow-up questionnaire which will include the new Illness-Related Distress Scale only.

Participants:

We are aiming to recruit 600-700 participants for the study.

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Study Type : Observational
Estimated Enrollment : 600 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Testing the Reliability and Validity of a New Measure for Illness-related Distress.
Actual Study Start Date : June 28, 2023
Estimated Primary Completion Date : December 31, 2023
Estimated Study Completion Date : January 10, 2024


Group/Cohort Intervention/treatment
Participants
Participants will answer two short questionnaires, 1 week apart.
Diagnostic Test: Living with LTC Questionnaire
A questionnaire that will ask about demographic information, mental wellbeing and distress related to chronic illness.




Primary Outcome Measures :
  1. Illness-related distress [ Time Frame: Week 0 and Week 1 ]
    31 item questionnaire developed by the research team designed to assess illness-related distresss.


Secondary Outcome Measures :
  1. Depression [ Time Frame: Week 0 ]
    Eight-item Patient Health Questionnaire - 8 (PHQ-8) Minimum=0, maximum=24, with higher scores indicating greater depression.

  2. Anxiety [ Time Frame: Week 0 ]
    Seven-item Generalised Anxiety Disorder Scale (GAD-7). Minimum=0, maximum=21, with higher scores indicating greater anxiety.

  3. Functional impairment [ Time Frame: Week 0 ]
    Five-item Work and Social Adjustment Scale (WSAS). Minimum=0, maximum=50, with higher scores indicating greater functional impairment.

  4. Diabetes Related Distress Scale [ Time Frame: Week 0 ]
    Diabetes Related Distress Scale (DDS-17), a 17 item self-report diabetes related distress questionnaire. Minimum=17, maximum=102, with higher scores indicating greater distress.

  5. IBD Distress Scale [ Time Frame: Week 0 ]
    IBD Distress Scale, a 28 item self-report IBD related distress questionnaire. Minimum=29, maximum=145, with higher scores indicating greater distress.

  6. Cognitive and Behavioural Responses to Symptoms [ Time Frame: Week 0 ]
    Cognitive Behavioural Responses to Symptoms Questionnaire, 40 item self-report questionnaire consisting of seven subscales with items scored on a 5 point scale. Higher scores correspond with stronger presence of the specific cognitive/behavioural response. The seven subscales refer to 1) fear avoidance, 2) catastrophising, 3) damage beliefs, 4) embarassment avoidance 5) symptom focussing 6) all-or-nothing behaviour and 7) avoidance/resting behaviour.



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Sampling Method:   Non-Probability Sample
Study Population
Adults in the UK with a diagnosis of a Long-Term Condition or chronic illness.
Criteria

Inclusion Criteria:

  • Over the age of 18
  • Self-reported diagnosis of a Long-Term Condition
  • UK resident
  • Possession of an email address to enable all study procedures
  • Sufficient command of written and spoken English to understand study procedures

Exclusion Criteria:

  • Under the age of 18
  • Not living in the UK
  • No self-reported diagnosis of an LTC
  • Inability to complete questionnaires in English

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06072287


Contacts
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Contact: Natasha Seaton, MSc 0207 188 1189 LTC-study@kcl.ac.uk
Contact: Natasha Seaton, MSc 0207 188 1189 natasha.seaton@kcl.ac.uk

Locations
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United Kingdom
King's College London Recruiting
London, United Kingdom, SE1 9RT
Contact: Natasha Seaton, MSc    0207 188 1189    natasha.seaton@kcl.ac.uk   
Contact       LTC-Study@kcl.ac.uk   
Sub-Investigator: Annie Jones, PhD         
Sub-Investigator: Emma Jenkinson, MSc         
Principal Investigator: Rona Moss-Morris, PhD         
Sub-Investigator: Joanna Hudson, PhD         
Sub-Investigator: Natasha Seaton, MSc         
Sponsors and Collaborators
King's College London
Investigators
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Principal Investigator: Rona Moss-Morris, PhD King's College London
Study Director: Annie Jones, PhD King's College London
Study Director: Emma Jenkinson, MSc King's College London
Study Director: Natasha Seaton, MSc King's College London
Additional Information:
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Responsible Party: King's College London
ClinicalTrials.gov Identifier: NCT06072287    
Other Study ID Numbers: HR/DP-22/23-36320
First Posted: October 10, 2023    Key Record Dates
Last Update Posted: October 12, 2023
Last Verified: September 2023
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by King's College London:
mental health
depression
anxiety
chronic illness
Additional relevant MeSH terms:
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Multiple Sclerosis
Motor Neuron Disease
Amyotrophic Lateral Sclerosis
Spondylitis
Hidradenitis Suppurativa
Arthritis
Osteoporosis
Fibromyalgia
Cystic Fibrosis
Liver Diseases
Celiac Disease
Parkinson Disease
Nervous System Diseases
Cerebrovascular Disorders
Postural Orthostatic Tachycardia Syndrome
Endometriosis
Hypertension
Atrial Fibrillation
Heart Diseases
Tachycardia
Anemia, Sickle Cell
Hidradenitis
Vascular Diseases
Cardiovascular Diseases
Digestive System Diseases
Joint Diseases
Musculoskeletal Diseases
Pathologic Processes
Rheumatic Diseases
Parkinsonian Disorders