Concentrated Cross-disciplinary Group Intervention for Common Health Complaints (Including Post COVID-19 Fatigue)

Summary

The health care is faced by a growing challenge in the years to come: increasing age and chronic morbidity raising the costs, combined with decreased work participation. Among the conditions on the rise, we find anxiety/depression, musculoskeletal conditions, type 2 diabetes and chronic obstructive pulmonary disease. Recently, the rise of the Corona pandemic has yielded another group of (primarily young) patients with decreased work capacity, the post-Covid syndrome sufferers.

The aim of the present study is to establish, describe and summarize the experiences with a novel approach to rehabilitation for five of the most costly conditions; 1) low back pain, 2) chronic obstructive pulmonary disease, 3) type 2 diabetes mellitus, 4) mixed anxiety/depression and 5) post-Covid fatigue.

The concentrated interdisciplinary rehabilitation is characterised by three phases;

1. Pre-intervention preparation (1-2 months): with the aim to mobilize the patients' resources for change
2. Concentrated group intervention (2-5 days): interdisciplinary team - individually tailored training (further described below)
3. Post-intervention follow-up (1 year): digital follow-up with the aim of integrate the changes into everyday living

The concentrated intervention:

The core intervention is based on trans-diagnostic features of the highly successful 4-day intervention for Obsessive Compulsive Disorder, namely:

* Initiate treatment when the patient is ready for change
* Focus on the behavioral patterns which maintain the disorder and help the patient to identify situations where they can choose to break the pattern ("micro-choices").
* Assist the patient when they practice breaking the patterns. This may pertain to how they do physical training or to the way they walk, sit, eat, talk, take their medication and sleep, or to how they engage in social activities or take care of others.
* Use long sessions to ensure that they face a broad range of potential micro-choices
* Work side-by side with others going through an analogous pattern of change
* Prepare them for taking responsibility for integrating the change into every-day living

Main outcomes will be

1. Completion rates
2. Patient satisfaction
3. Changes to perception of illness
4. Patient activation

Secondary outcomes will be

1. Level of functioning
2. Qualitative description of participants' experiences

Conditions

• Mixed Anxiety Depression
• Diabetes Mellitus, Type 2
• Low Back Pain
• Chronic Obstructive Pulmonary Disease
• COVID-19

Interventions

OTHER

Interdisciplincary concentrated group rehabilitation

All arms receive a concentrated interdisciplinary rehabilitation with similar focus and structure: Three phases: 1. Pre-intervention preparation (1-2 months): mobilize the patients' resources for change 2. Concentrated group intervention (2-5 days): (further described below) 3. Post-intervention follow-up (1 year): digital follow-up The core intervention is based on the concentrated rehabilitation format: 1. Initiate treatment when the patient is ready for change 2. Focus on the behavioral patterns which maintain the disorder, identify situations where they can break the patterns ("micro-choices"). 3. Assist the patient when breaking the patterns. 4. Use long sessions to ensure that they face a broad range of potential micro-choices 5. Work side-by side with others going through an analogous pattern of change 6. Prepare them for taking responsibility for integrating the change into every-day living

Sponsors & Collaborators

• Haukeland University Hospital

  collaborator OTHER

• Helse i Hardanger

  lead OTHER

Principal Investigators

• Eirik Søfteland, PhD · Helse i Hardanger

Study Design

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2021-05-01

Primary Completion

2023-05-01

Completion

2024-05-01

Countries

• Norway

Study Locations