Protocol for a partially nested randomized controlled trial to evaluate the effectiveness of the Scleroderma Patient-centered Intervention Network Support Group Leader EDucation (SPIN-SSLED) Program.


Journal

Trials
ISSN: 1745-6215
Titre abrégé: Trials
Pays: England
ID NLM: 101263253

Informations de publication

Date de publication:
12 Dec 2019
Historique:
received: 30 07 2019
accepted: 23 09 2019
entrez: 14 12 2019
pubmed: 14 12 2019
medline: 21 8 2020
Statut: epublish

Résumé

Some people with rare diseases rely on peer-led support groups for disease-specific education and emotional and practical support. Systemic sclerosis (SSc), or scleroderma, is a rare autoimmune connective tissue disease. Many people with SSc cannot access support groups, and, when support groups exist, they may not be sustained due to challenges that could be addressed via leader training. The Scleroderma Patient-centered Intervention Network (SPIN), along with SSc patient organization partners, developed a training program for SSc patient support group leaders, the Scleroderma Support group Leader EDucation (SPIN-SSLED) Program. We recently completed a feasibility trial in which we successfully delivered the program to two groups of support group leaders who reported a high level of satisfaction with the program and its delivery. The primary objective of the full-scale SPIN-SSLED trial is to evaluate the effect of the program on support group leaders' self-efficacy for carrying out their leadership role. Secondary objectives include evaluating effects on leader burnout, leader satisfaction (participation efficacy), and emotional distress. The SPIN-SSLED trial is a pragmatic randomized controlled trial (RCT) in which 180 support group leaders will be randomly allocated to training groups of 6 participants each or to a waitlist control. We will use a partially nested RCT design to reflect dependence between individuals in training groups, but not in the waitlist control. Participants allocated to the training program will receive the 13-module SPIN-SSLED Program, delivered via webinar over the course of 3 months in weekly 60-90-min sessions. The primary outcome is leader self-efficacy, measured by the Scleroderma Support Group Leader Self-efficacy Scale post-intervention. Secondary outcomes are leader self-efficacy at 3 months post-intervention, and leader burnout, volunteer job satisfaction (participation efficacy), and emotional distress post-intervention and at 3 months post-intervention. The SPIN-SSLED trial will test whether a training program for SSc patient support group leaders increases the self-efficacy of group leaders to carry out leadership tasks. The program has the potential to significantly improve the effectiveness and sustainability of existing SSc support groups, to increase the number of available support groups, and to be adapted for other chronic diseases. ClinicalTrials.gov, NCT03965780. Registered on 29 May 2019.

Sections du résumé

BACKGROUND BACKGROUND
Some people with rare diseases rely on peer-led support groups for disease-specific education and emotional and practical support. Systemic sclerosis (SSc), or scleroderma, is a rare autoimmune connective tissue disease. Many people with SSc cannot access support groups, and, when support groups exist, they may not be sustained due to challenges that could be addressed via leader training. The Scleroderma Patient-centered Intervention Network (SPIN), along with SSc patient organization partners, developed a training program for SSc patient support group leaders, the Scleroderma Support group Leader EDucation (SPIN-SSLED) Program. We recently completed a feasibility trial in which we successfully delivered the program to two groups of support group leaders who reported a high level of satisfaction with the program and its delivery. The primary objective of the full-scale SPIN-SSLED trial is to evaluate the effect of the program on support group leaders' self-efficacy for carrying out their leadership role. Secondary objectives include evaluating effects on leader burnout, leader satisfaction (participation efficacy), and emotional distress.
METHODS/DESIGN METHODS
The SPIN-SSLED trial is a pragmatic randomized controlled trial (RCT) in which 180 support group leaders will be randomly allocated to training groups of 6 participants each or to a waitlist control. We will use a partially nested RCT design to reflect dependence between individuals in training groups, but not in the waitlist control. Participants allocated to the training program will receive the 13-module SPIN-SSLED Program, delivered via webinar over the course of 3 months in weekly 60-90-min sessions. The primary outcome is leader self-efficacy, measured by the Scleroderma Support Group Leader Self-efficacy Scale post-intervention. Secondary outcomes are leader self-efficacy at 3 months post-intervention, and leader burnout, volunteer job satisfaction (participation efficacy), and emotional distress post-intervention and at 3 months post-intervention.
DISCUSSION CONCLUSIONS
The SPIN-SSLED trial will test whether a training program for SSc patient support group leaders increases the self-efficacy of group leaders to carry out leadership tasks. The program has the potential to significantly improve the effectiveness and sustainability of existing SSc support groups, to increase the number of available support groups, and to be adapted for other chronic diseases.
TRIAL REGISTRATION BACKGROUND
ClinicalTrials.gov, NCT03965780. Registered on 29 May 2019.

Identifiants

pubmed: 31831073
doi: 10.1186/s13063-019-3747-z
pii: 10.1186/s13063-019-3747-z
pmc: PMC6909446
doi:

Banques de données

ClinicalTrials.gov
['NCT03965780']

Types de publication

Clinical Trial Protocol Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

717

Subventions

Organisme : CIHR
ID : PJT-162126
Pays : Canada
Organisme : Mitacs
ID : IT1356
Organisme : Scleroderma Society of Ontario
ID : N/A

Investigateurs

Stephen Elrod (S)
Catherine Fortuné (C)
Karen Gottesman (K)
Karen Nielsen (K)
Ken Rozee (K)
Amy Gietzen (A)
Michelle Richard (M)
Nancy Stephens (N)

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Auteurs

Brett D Thombs (BD)

Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada. brett.thombs@mcgill.ca.
Department of Psychiatry, McGill University, Montreal, QC, Canada. brett.thombs@mcgill.ca.
Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC, Canada. brett.thombs@mcgill.ca.
Department of Medicine, McGill University, Montreal, QC, Canada. brett.thombs@mcgill.ca.
Department of Psychology, McGill University, Montreal, QC, Canada. brett.thombs@mcgill.ca.
Department of Educational and Counselling Psychology, McGill University, Montreal, QC, Canada. brett.thombs@mcgill.ca.
Biomedical Ethics Unit, McGill University, 4333 Cote Ste Catherine Road, Montreal, QC, H3T 1E4, Canada. brett.thombs@mcgill.ca.

Kylene Aguila (K)

Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.

Laura Dyas (L)

Scleroderma Foundation Michigan Chapter, Southfield, MI, USA.

Marie-Eve Carrier (ME)

Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.

Claire Fedoruk (C)

Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.

Linda Horwood (L)

Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Department of Psychiatry, McGill University, Montreal, QC, Canada.

Mara Cañedo-Ayala (M)

Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.

Maureen Sauvé (M)

Scleroderma Society of Ontario and Scleroderma Canada, Hamilton, ON, Canada.

Linda Kwakkenbos (L)

Department of Clinical Psychology, Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands.

Vanessa L Malcarne (VL)

Department of Psychology, San Diego State University, California, USA.
San Diego Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California, California, USA.

Ghassan El-Baalbaki (G)

Department of Psychology, Université du Québec à Montréal, Montreal, QC, Canada.

Sandra Peláez (S)

Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Department of Educational and Counselling Psychology, McGill University, Montreal, QC, Canada.

Kerri Connolly (K)

Scleroderma Foundation, Danvers, MA, USA.

Marie Hudson (M)

Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Department of Medicine, McGill University, Montreal, QC, Canada.

Robert W Platt (RW)

Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC, Canada.

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Classifications MeSH