This study is designed to be a pragmatic, single-arm trial to evaluate the efficacy, implementation, and feasibility of an online ALS-specific self-compassion training program to enhance self-compassion and improve quality of life.
Optimizing quality of life for people with ALS is a primary goal of ALS multidisciplinary care, Therefore, it is especially important to conduct research into interventions to address the psychological needs and well-being of people with ALS. Recent studies have shown that mindfulness-based interventions promote improved quality of life for people with ALS. It is essential that such strategies as mindfulness-based interventions consider the specific needs of the ALS population and potential barriers to participation. Very few studies have evaluated mindfulness-based interventions in the ALS population and no studies to date have evaluated self-compassion people with ALS. Self-compassion has been linked to increased emotional resilience, psychological well-being, and quality of life in multiple populations. The intervention will include a 2-part workshop entitled 'Introduction to Mindful Self-Compassion for Persons Living with Amyotrophic Lateral Sclerosis.' Experience and feedback gained from the workshop will be incorporated into the format for an 8-week course in Cultivating Self-Compassion for persons living with ALS (Compassion pALS). Compassion pALS will be adapted from the Mindful Self-Compassion (MSC) Program to accommodate ALS clinical features and limit potential barriers to participation. The primary outcome will be quality of life assessed with the Amyotrophic Lateral Sclerosis Assessment Questionnaire 5 (ALSA-5). Participants will be assessed at the 2-part workshop (T0, baseline), start of the 8 week Compassion pALS course (T1 = pre-intervention); after completing the intervention (T2, post-intervention). Secondary outcomes will include Secondary outcome measures the Self-Compassion Scale Short Form (SCS-SF), Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder-7 (GAD-7), Amyotrophic Lateral Sclerosis Functional Rating Scale-R (ALSFRS-R), Feasibility of Intervention Measure (FIM), Acceptability of Intervention Measure (AIM), and Intervention Appropriateness Measure (IAM).
Study Type
OBSERVATIONAL
Enrollment
5
Open to ALS patients interested in mindfulness training.
Washington University School of Medicine
St Louis, Missouri, United States
Quality of Life self-assessment with - Amyotrophic Lateral Sclerosis Assessment Questionnaire 5 (ALSA-5)
Amyotrophic Lateral Sclerosis Assessment Questionnaire 5 (ALSAQ-5; Jenkinson et al., 2001.
Time frame: Baseline (T1); post 8-week intervention (T2)
Self-compassion
Self-Compassion Scale Short Form (SCS-SF; Raes et al., 2011)
Time frame: Baseline (T1); post 8-week intervention (T2)
Participant functional rating self-assessment
Self-Administered ALS Functional Rating Scale-Revised (SA-ALSFRS; Montes et al., 2006)
Time frame: Baseline (T1); post 8-week intervention (T2)
Anxiety
General Anxiety Disorder-7 (GAD-7; Spitzer et al., 2006)
Time frame: Baseline (T1); post 8-week intervention (T2)
Depression
Patient Health Questionnaire-9 (PHQ-9; Kroenke et al., 2002)
Time frame: Baseline (T1); post 8-week intervention (T2)
Feasibility of implementation
Feasibility of Intervention Measure (FIM; Weiner et al., 2017)
Time frame: Baseline (T1); post 8-week intervention (T2)
Acceptability
Acceptability of Intervention Measure (AIM; Weiner et al., 2017)
Time frame: Baseline (T1); post 8-week intervention (T2)
Appropriateness
Intervention Appropriateness Measure (IAM; Weiner et al., 2017)
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Time frame: Baseline (T1); post 8-week intervention (T2)