Trial Outcomes & Findings for Behavioral Therapy in Patients With Rumination (NCT NCT05232097)

NCT ID: NCT05232097

Last Updated: 2024-11-18

Results Overview

Rumination score measured by question 32 of the Rome 4 diagnostic questionnaire for adult functional gastrointestinal disorders. The question scores the rumination frequency as follows: "In the last 3 months, how often did food come back up into your mouth after you swallowed it ?, 0 = never, 1= fewer than 1 day a month, 2 = 1 day a month, 3 = 2-3 days a month, 4 = 1 day a week, 5 = 2-3 days a week, 6 = most days, 7 = every day, 8 = multiple times per day or all the time". Scale 0-8, the highest score indicating highest frequency of rumination.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

11 participants

Primary outcome timeframe

6-month control

Results posted on

2024-11-18

Participant Flow

Participant milestones

Participant milestones
Measure
Behavioral Therapy
Behavioral therapy consisting of diaphragmatic breathing exercises and physiotherapy to relax tensed abdominal and thoracic muscles Behavioral therapy: Diaphragmatic breathing exercises Physiotherapy: Body awareness aiming at the patient becoming aware of the tensed thoracic and abdominal muscles and to reduce the tension by relaxation exercises taught by the body-mind orientated physiotherapist
Overall Study
STARTED
11
Overall Study
COMPLETED
10
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Behavioral Therapy
Behavioral therapy consisting of diaphragmatic breathing exercises and physiotherapy to relax tensed abdominal and thoracic muscles Behavioral therapy: Diaphragmatic breathing exercises Physiotherapy: Body awareness aiming at the patient becoming aware of the tensed thoracic and abdominal muscles and to reduce the tension by relaxation exercises taught by the body-mind orientated physiotherapist
Overall Study
Physician Decision
1

Baseline Characteristics

Behavioral Therapy in Patients With Rumination

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Behavioral Therapy
n=11 Participants
Behavioral therapy consisting of diaphragmatic breathing exercises and physiotherapy to relax tensed abdominal and thoracic muscles Behavioral therapy: Diaphragmatic breathing exercises Physiotherapy: Body awareness aiming at the patient becoming aware of the tensed thoracic and abdominal muscles and to reduce the tension by relaxation exercises taught by the body-mind orientated physiotherapist
Age, Continuous
38 years
n=39 Participants
Sex: Female, Male
Female
10 Participants
n=39 Participants
Sex: Female, Male
Male
1 Participants
n=39 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=39 Participants
Race (NIH/OMB)
White
10 Participants
n=39 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
Region of Enrollment
Finland
11 participants
n=39 Participants
Rumination score (self-perceived rumination frequency)
6.5 units on a scale
n=39 Participants
Anxiety score (BAI)
18 Units on a score
n=39 Participants
Depression score (BDI)
12 Score on scale
n=39 Participants
Healt-related quality of life (15D)
0.793 units on a scale
STANDARD_DEVIATION 0.171 • n=39 Participants
Functional capacity (WHODAS 2.0)
26 units on a scale
n=39 Participants
Weight
71 kilograms
n=39 Participants

PRIMARY outcome

Timeframe: 6-month control

Population: The 10 patients who finished the study.

Rumination score measured by question 32 of the Rome 4 diagnostic questionnaire for adult functional gastrointestinal disorders. The question scores the rumination frequency as follows: "In the last 3 months, how often did food come back up into your mouth after you swallowed it ?, 0 = never, 1= fewer than 1 day a month, 2 = 1 day a month, 3 = 2-3 days a month, 4 = 1 day a week, 5 = 2-3 days a week, 6 = most days, 7 = every day, 8 = multiple times per day or all the time". Scale 0-8, the highest score indicating highest frequency of rumination.

Outcome measures

Outcome measures
Measure
Behavioral Therapy
n=10 Participants
Behavioral therapy consisting of diaphragmatic breathing exercises and physiotherapy to relax tensed abdominal and thoracic muscles Behavioral therapy: Diaphragmatic breathing exercises Physiotherapy: Body awareness aiming at the patient becoming aware of the tensed thoracic and abdominal muscles and to reduce the tension by relaxation exercises taught by the body-mind orientated physiotherapist
Rumination Score (Self-perceived Rumination Frequency)
4 score on a scale
Interval 3.0 to 5.0

SECONDARY outcome

Timeframe: 6-month control

Population: The 9 patients who were performed manometry at the 6-month control. Out of the 10 patients who finished the study, one refused.

Number of patients with abdominal pressure peaks of an amplitude of 30 mm Hg or higher measured by means of esophageal high-reselution manometry indicating rumination.

Outcome measures

Outcome measures
Measure
Behavioral Therapy
n=9 Participants
Behavioral therapy consisting of diaphragmatic breathing exercises and physiotherapy to relax tensed abdominal and thoracic muscles Behavioral therapy: Diaphragmatic breathing exercises Physiotherapy: Body awareness aiming at the patient becoming aware of the tensed thoracic and abdominal muscles and to reduce the tension by relaxation exercises taught by the body-mind orientated physiotherapist
Number of Patients With Abdominal Pressure Peaks of an Amplitude of 30 mmHg or Higher
6 Participants

SECONDARY outcome

Timeframe: 6-month control

Population: The 8 patients who returned the 15D-questionnaire both at baseline and at the 6-month control. Out of the 10 patients who finished the study, 2 did not return the questionnaire at the 6-month control.

The 15D, a 15-dimensional measure of health-related quality of life includes 15 dimensions: breathing, mental function, speech, vision, mobility, usual activities, vitality, hearing, eating, elimination, sleeping, distress, discomfort and symptoms, sexual activity, and depression, each scored from 1 (best possible) to 0 (worst possible). The 15D score, a single index number calculated over all the dimensions, is ranged from the maximum score 1 (no problems on any dimension) to the minimum score 0 (being dead).

Outcome measures

Outcome measures
Measure
Behavioral Therapy
n=8 Participants
Behavioral therapy consisting of diaphragmatic breathing exercises and physiotherapy to relax tensed abdominal and thoracic muscles Behavioral therapy: Diaphragmatic breathing exercises Physiotherapy: Body awareness aiming at the patient becoming aware of the tensed thoracic and abdominal muscles and to reduce the tension by relaxation exercises taught by the body-mind orientated physiotherapist
Health-related Quality of Life (15D)
0.845 units on a scale
Standard Deviation 0.141

SECONDARY outcome

Timeframe: 6-month control

Population: The 8 patients who returned the WHODAS 2.0 questionnaire both at baseline and at the 6-month control. Out of the 10 patients who finished the study, 2 patients did not return the questionnaire at the 6-month control.

WHODAS 2.0, the WHO Disability Assessment Schedule 2.0 questionnaire, covers six domains of functioning, including: Cognition - understanding \& communicating, Mobility- moving \& getting around, Self-care- hygiene, dressing, eating \& staying alone, Getting along- interacting with other people, Life activities- domestic responsibilities, leisure, work \& school, and Participation- joining in community activities. Each domain is ranged from 0 (no disability) to 100 (full disability). The WHODAS 2.0 summary score consisting of all six domains is converted to metric ranging from 0 to 100, with 0 indicating no disability and 100 full disability.

Outcome measures

Outcome measures
Measure
Behavioral Therapy
n=8 Participants
Behavioral therapy consisting of diaphragmatic breathing exercises and physiotherapy to relax tensed abdominal and thoracic muscles Behavioral therapy: Diaphragmatic breathing exercises Physiotherapy: Body awareness aiming at the patient becoming aware of the tensed thoracic and abdominal muscles and to reduce the tension by relaxation exercises taught by the body-mind orientated physiotherapist
Functional Capacity (WHODAS 2.)
11 units on a scale
Interval 7.0 to 26.0

SECONDARY outcome

Timeframe: 6-month control

Population: The 8 patients who returned the BDI-questionnaire both at baseline and at the 6-month control. Out of the 10 patients who finished the study, 2 did not return the questionnaire at the 6-month control.

Beck Depression Inventory (BDI) Score, scale 0-63. Total score of 0-13 is considered minimal, 14-19 is mild, 20-28 is moderate, and 29-63 is severe depression.

Outcome measures

Outcome measures
Measure
Behavioral Therapy
n=8 Participants
Behavioral therapy consisting of diaphragmatic breathing exercises and physiotherapy to relax tensed abdominal and thoracic muscles Behavioral therapy: Diaphragmatic breathing exercises Physiotherapy: Body awareness aiming at the patient becoming aware of the tensed thoracic and abdominal muscles and to reduce the tension by relaxation exercises taught by the body-mind orientated physiotherapist
Depression Score (BDI)
7 score on a scale
Interval 4.0 to 8.0

SECONDARY outcome

Timeframe: 6-month control

Population: The 8 patients who returned the BAI questionnaire both at baseline and at the 6-month control. Out of the 10 patients who finished the study, 2 did not return the questionnaire at the 6-month control.

Beck Anxiety Inventory (BAI) Score, scale 0-63: minimal anxiety levels (0-7), mild anxiety (8-15), moderate anxiety (16-25), and severe anxiety (26-63).

Outcome measures

Outcome measures
Measure
Behavioral Therapy
n=8 Participants
Behavioral therapy consisting of diaphragmatic breathing exercises and physiotherapy to relax tensed abdominal and thoracic muscles Behavioral therapy: Diaphragmatic breathing exercises Physiotherapy: Body awareness aiming at the patient becoming aware of the tensed thoracic and abdominal muscles and to reduce the tension by relaxation exercises taught by the body-mind orientated physiotherapist
Anxiety Score (BAI)
15 score on a scale
Interval 7.0 to 27.0

SECONDARY outcome

Timeframe: 6-month control

Population: All 10 patients who finished the study.

Weight in kilograms

Outcome measures

Outcome measures
Measure
Behavioral Therapy
n=10 Participants
Behavioral therapy consisting of diaphragmatic breathing exercises and physiotherapy to relax tensed abdominal and thoracic muscles Behavioral therapy: Diaphragmatic breathing exercises Physiotherapy: Body awareness aiming at the patient becoming aware of the tensed thoracic and abdominal muscles and to reduce the tension by relaxation exercises taught by the body-mind orientated physiotherapist
Weight
71 kilogram
Interval 56.0 to 93.0

Adverse Events

Behavioral Therapy

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jari Punkkinen

Helsinki University Hospital

Phone: +358 50 427 9864

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place