Relapsing-remitting Multiple Sclerosis
Conditions
Keywords
Multiple Sclerosis, Disease modifying medication, Relapsing-Remitting MS, Motivational Interviewing, Telephone Counseling
Brief summary
Between 15-20% of MS patients decide not to initiate disease modifying therapies after being diagnosed with MS. For this study, we will develop a telephone-based talk therapy intervention and then conduct a randomized controlled trial. Patients will be assigned to either 5 weekly 20 minute telephone sessions of psychotherapy or a brief education control condition. We hypothesize that patients undergoing phone therapy will be more likely to indicate they are interested in initiating disease modifying medications than patients given brief education and treatment as usual.
Interventions
Give patients a pamphlet discussing pros and cons of disease modifying therapies
A telephone based talk therapy discussing pros and cons of medication use in MS.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of relapsing remitting MS based on established guidelines * Not taking recommended therapy * Provider recommendation for DMT use * At least 18 years of age * Access to a telephone * English speaking
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence Treatment Survey | 10 weeks after enrollment | Whether the patient indicates if he/she decided to re-initiate disease modifying therapies on a yes/no question. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adherence Treatment Survey | 10 weeks after enrollment | Whether the patient reports that he/she plans to discuss disease modifying therapies with a care provider on a yes/no question. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Motivation/Readiness Questionnaire | 10 weeks after enrollment | Whether there is increased self-reported motivation to take disease modifying therapies on a 1-10 likert-type scale. |
Countries
United States