Protocol summary

Study aim
Determining the effectiveness of neurofeedback on the severity of gastrointestinal symptoms, Depression, Anxiety, Stress and Quality of life in patients with irritable bowel syndrome.
Design
Clinical trial with double-blind, randomized, and parallel group design of 45 patients, random allocation rule type is used by lottery balls.
Settings and conduct
Clinical trial is performed in the Clinic of Gastrointestinal Functional Disorders with randomized double blind parallel groups. patients are not aware of the treatment of other group, Therapists are unaware of other groups treatment and assessment, and evaluators are unaware group types . patients are assessed by assessors for quality of life , IBS symptom severity, anxiety and depression. At the end of the course, all groups will be assessed .
Participants/Inclusion and exclusion criteria
Inclusion criteria :Having diagnostic full criteria of IBS based on Rome III criteria, age between 18 to 45 years. Non-inclusion criteria: dissatisfaction to participate , having bloody stools, family history of colon cancer, Unstable weight loss, anemia and eosinophilia, rectosigmoid, abnormal scoping, and concomitant psychiatric and neurological diseases
Intervention groups
For the intervention group, neurofeedback method from the unipolar protocol of anxiety on the PZ point and for depression at point F3 will be done .for placebo group, the Active Electrodes are placed in the middle of the skull at point CZ and the Grand Electrode is attached to the softness of the patient's ear. The control group receives only routine gastrointestinal drug treatment.
Main outcome variables
Reduce the severity of gastrointestinal symptoms, reduce depression, anxiety, stress and increase quality of life In patients with irritable bowel syndrome.

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20191215045743N1
Registration date: 2020-12-23, 1399/10/03
Registration timing: retrospective

Last update: 2020-12-23, 1399/10/03
Update count: 0
Registration date
2020-12-23, 1399/10/03
Registrant information
Name
Saeid Nasiri Dehsorkhi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 31 3660 1851
Email address
s.nasiri.isf@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-11-10, 1399/08/20
Expected recruitment end date
2020-11-15, 1399/08/25
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effectiveness of neurofeedback on the severity of gastrointestinal symptoms, depression, anxiety, stress and quality of life in patients with irritable bowel syndrome (IBS)
Public title
Evaluation of the effectiveness of neurofeedback on irritable bowel syndrome
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Having diagnostic criteria for IBS based on Rome III criteria , all three types of IBS included: C, D and M kind age between 18 and 45 years education: at least second level at middle school degree
Exclusion criteria:
patients who refused to participate in study positive Family history of colon cancer WBC, parasites and blood in the stool History of thyroid disorders and abnormal thyroid test, Patients with unstable weight loss, anemia and eosinophilia, rectosigmoid and abnormal scoping Having diagnostic Criteria of Severe psychiatric and neurological disorders based on psychiatrist diagnosis. Having bloody stools
Age
From 18 years old to 45 years old
Gender
Both
Phase
N/A
Groups that have been masked
  • Participant
  • Care provider
  • Outcome assessor
Sample size
Target sample size: 45
Randomization (investigator's opinion)
Randomized
Randomization description
Eligible participants include 45 people who are randomly assigned to three groups. Our method of randomization will be Random allocation rule that is a simple way of randomization. The randomization unit is the patient who is assigned to one of the groups A, B and C by the law of random allocation. In this way, the code of each person is recorded inside a lottery ball and is randomly removed from the container without any replacement and the created sequence is created. In this process, the person who assigns patients to the groups is not aware of the type of treatment groups. and does not know what intervention the next group is related to.
Blinding (investigator's opinion)
Double blinded
Blinding description
In this study, those who randomly assign participants to treatment groups do not know the nature of the groups. Therapists are also unaware of the type of treatment of other groups. Evaluators are also unaware of the type of groups.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Isfahan University of medical Sciences
Street address
Hezarjirib,Isfahan University of Medical Sciences
City
ISFAHAN
Province
Isfehan
Postal code
7346181746
Approval date
2020-11-04, 1399/08/14
Ethics committee reference number
IR.MUI.REC.1396.2.129

Health conditions studied

1

Description of health condition studied
Irritable Bowel Syndrom
ICD-10 code
K58
ICD-10 code description
Irritable bowel syndrome

Primary outcomes

1

Description
Severity of gastrointestinal symptoms of irritable bowel syndrome based on IBS Symptom Severity Questionnaire,Symptoms of depression, anxiety and stress based on the score in DASS-42,Quality of life based on score in IBS-QOL-34 questionnaire
Timepoint
Before the intervention, the severity of gastrointestinal symptoms, depression, anxiety, stress and quality of life are measured. The list of alpha and beta waves is saved after each session. At the end of the sessions, the rate of gastrointestinal symptoms, psychological symptoms and quality of life are measured.
Method of measurement
IBS-SSS Intensity of Gastrointestinal Symptoms Questionnaire, DASS-42 Questionnaire - Quality of Life Assessment QOL-34. Record brain waves of alpha and beta waves.

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: Neurofeedback:For the intervention group, the neurofeedback method is performed from the unipolar protocol of anxiety at point PZ and for the treatment of depression at point F3. Treatment plan include 20 sessions which is done three times a week.
Category
Treatment - Other

2

Description
Intervention group: Placebo (quasi-neurofeedback): for the placebo control group where the Active Electrodes are placed in the middle of the skull at point CZ and the Grand Electrode is attached to the softness of the patient's ear.similar to intervention group, placebo Treatment plan include 20 sessions which is done three times a week.
Category
Placebo

3

Description
Control group: Routine gastrointestinal medications:This group receives only routine gastrointestinal medication according to the opinion of the gastroenterologist. Simultaneous evaluation is performed before and after the intervention of the intervention groups.
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Psychosomatic Research Center
Full name of responsible person
Dr. Amrolah Ebrahime
Street address
Psychosomatic Research Center, West Shariati street,Isfahan, Iran -
City
Isfahan
Province
Isfehan
Postal code
8173948763
Phone
+98 31 3628 9966
Email
psrc@mui.ac.ir
Web page address
https://psrc.mun.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Dr. Amrolah Ebrahime
Street address
Isfahan University of Medical Sciences, Hezar Jarib Street, Azadi Square, Isfahan
City
Isfahan
Province
Isfehan
Postal code
81746-73461
Phone
+98 31 3668 0048
Email
researchmanager@mui.ac.ir
Web page address
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Esfahan University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Amrollah Ebrahimi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Psychology
Street address
Department of Health Psychology, Medicine School, Isfahan University of Medical Sciences, Hezarjirib Street
City
Isfahan
Province
Isfehan
Postal code
8174673461
Phone
+98 31 3668 9313
Email
a_ebrahimi@med.mui.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Amrollah Ebrahimi
Position
Associate Professor, Department of Health Psychology, Isfahan University of Medical Sciences
Latest degree
Ph.D.
Other areas of specialty/work
Psychology
Street address
Unit 5, Niloufar Building, Varpshti Alley, Sharafuddin Alley West Shariati Street, Hakim Nezami Avenue
City
Isfahan
Province
Isfehan
Postal code
8173955174
Phone
+98 31 3625 8818
Email
amrollahebi@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Esfahan University of Medical Sciences
Full name of responsible person
Amrollah Ebrahimi
Position
Associate professor
Latest degree
Ph.D.
Other areas of specialty/work
Psychology
Street address
NO16, Sharafodin Avne, West Shariati Street
City
Isfahan
Province
Isfehan
Postal code
8173955174
Phone
+98 31 6258818
Email
a_ebrahimi@med.mui.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
No - There is not a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
Not applicable
Title and more details about the data/document
Findings and data including the severity of gastrointestinal symptoms, anxiety, depression, stress and quality of life before and after the intervention can be shared.
When the data will become available and for how long
Access starts 4 months after the article is published
To whom data/document is available
Data and documentation are available to academic researchers and medical staff.
Under which criteria data/document could be used
Citing the source and preserving the rights of the researchers in this study
From where data/document is obtainable
Refer to the Vice Chancellor for Research, Isfahan University of Medical Sciences
What processes are involved for a request to access data/document
The applicant can write a letter to the Vice Chancellor for Research of Isfahan University of Medical Sciences and request to receive the file. With the coordination of the executors, the files will be provided to the applicant
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