Comparing specialist medical care with specialist medical care plus the Lightning Process for chronic fatigue syndrome or myalgic encephalomyelitis (CFS/ME): study protocol for a randomised controlled trial (SMILE Trial).

Comparing specialist medical care with specialist medical care plus the Lightning Process for chronic fatigue syndrome or myalgic encephalomyelitis (CFS/ME): study protocol for a randomised controlled trial (SMILE Trial).
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DOI:
10.1186/1745-6215-14-444
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发表时间:
2013-12-26
期刊:
影响因子:
2.5
通讯作者:
Montgomery A
Montgomery A
中科院分区:
医学4区
文献类型:
--
作者:
Crawley E;Mills N;Hollingworth W;Deans Z;Sterne JA;Donovan JL;Beasant L;Montgomery A

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慢性疲劳综合征或肌痛性脑脊髓炎(CFS/ME)是一种相对常见且潜在严重的疾病,治疗的证据基础有限。儿科CFS/ME的专科治疗采用国家健康与临床卓越研究所(NICE)推荐的干预措施,包括认知行为疗法、分级运动疗法和活动管理。Lightning Process®(LP)是一种源自骨疗、生活指导和神经语言编程的商标干预措施,以小组会议的形式在连续三天内提供。虽然每年有超过250名患有儿童自闭症/自闭症的儿童参加自理课程,但并无有关其成效或成本效益的研究报告。这项务实的随机对照试验是在英格兰西南部的一家儿科CFS/ME专科服务机构进行的。12至18岁的儿童和患有慢性阻塞性肺病/多发性硬化症(n = 80-112)的儿童和年轻人将被随机分配到专科医疗或专科医疗加LP。主要结果将是身体功能(SF-36物理功能简写)和疲劳(Chalder疲劳量表)。这项研究将告诉我们,与单独使用SMC相比,将LP添加到SMC中是否有效和具有成本效益。这项研究还将提供关于执行LP和SMC的详细信息。当前对照试验ISRCTN81456207(2012年7月31日)。
Chronic fatigue syndrome or myalgic encephalomyelitis (CFS/ME) is a relatively common and potentially serious condition with a limited evidence base for treatment. Specialist treatment for paediatric CFS/ME uses interventions recommended by National Institute for Health and Clinical Excellence (NICE) including cognitive behavioural therapy, graded exercise therapy and activity management. The Lightning Process® (LP) is a trademarked intervention derived from osteopathy, life-coaching and neuro-linguistic programming, delivered over three consecutive days as group sessions. Although over 250 children with CFS/ME attend LP courses each year, there are no reported studies on the effectiveness or cost-effectiveness. This pragmatic randomised controlled trial is set within a specialist paediatric CFS/ME service in the south west of England. Children and young people with CFS/ME (n = 80 to 112), aged 12 to 18 years old will be randomised to specialist medical care (SMC) or SMC plus the LP. The primary outcome will be physical function (SF-36 physical function short form) and fatigue (Chalder Fatigue Scale). This study will tell us whether adding the LP to SMC is effective and cost-effective compared to SMC alone. This study will also provide detailed information on the implementation of the LP and SMC. Current Controlled Trials ISRCTN81456207 (31 July 2012).
DOI: 10.1016/j.brat.2012.08.005
发表时间: 2012-11-01
影响因子: 4.1
作者:
Lloyd, Samantha;Chalder, Trudie;Rimes, Katharine A.
通讯作者: Rimes, Katharine A.
DOI: 10.1016/0168-8510(96)00822-6
发表时间: 1996-07-01
期刊: HEALTH POLICY
影响因子: 3.3
作者:
Brooks, R
通讯作者: Brooks, R
DOI: 10.2165/00019053-199304050-00006
发表时间: 1993-11-01
期刊: PHARMACOECONOMICS
影响因子: 4.4
作者:
REILLY, MC;ZBROZEK, AS;DUKES, EM
通讯作者: DUKES, EM
DOI: 10.1016/s1054-139x(03)00372-0
发表时间: 2004-07-01
影响因子: 7.6
作者:
Jones, JF;Nisenbaum, R;Reeves, WC
通讯作者: Reeves, WC
DOI: 10.1017/s003329170999153x
发表时间: 2010-08-01
影响因子: 6.9
作者:
Chalder, T.;Deary, V.;Walwyn, R.
通讯作者: Walwyn, R.