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CTRI Number  CTRI/2024/09/074411 [Registered on: 26/09/2024] Trial Registered Prospectively
Last Modified On: 24/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Heart Rate Variability Biofeedback]  
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Role of Heart Rate Variability Biofeedback Training on Somatic Symptom Disorder Patients 
Scientific Title of Study   Effect of Heart Rate Variability Biofeedback on Somatic Symptom Disorder 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Renu Bhatia 
Designation  Professor 
Affiliation  AIIMS New Delhi 
Address  Room No.6018, 6th floor, Department of Physiology, Convergence block, AIIMS, New Delhi

New Delhi
DELHI
110029
India 
Phone  8860169671  
Fax    
Email  renuaiims28@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Minal Kharat 
Designation  Juinor Resident(Acad.) 
Affiliation  AIIMS New Delhi 
Address  Room No.6007, Pain Research and TMS Laboratory, 6th Floor,Department of Physiology, Convergence Block, AIIMS New Delhi

New Delhi
DELHI
110029
India 
Phone  8103713606  
Fax    
Email  minalkharat@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Minal Kharat 
Designation  Junior Resident (Acad.) 
Affiliation  AIIMS New Delhi 
Address  Room No.6007, Pain Research and TMS Laboratory, 6th Floor,Department of Physiology, Convergence Block, AIIMS New Delhi

New Delhi
DELHI
110029
India 
Phone  8103713606  
Fax    
Email  minalkharat@gmail.com  
 
Source of Monetary or Material Support  
AIIMS New Delhi,Sri Aurobindo Marg, Ansari Nagar, Ansari Nagar East, New Delhi, Delhi 110029  
 
Primary Sponsor  
Name  AIIMS 
Address  AIIMS New Delhi 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Minal Kharat  All India Institute of Medical Sciences, New Delhi  Room No.6007, Pain Research and TMS Laboratory, 6th Floor,Department of Physiology, Convergence Block, AIIMS New Delhi
New Delhi
DELHI 
8103713606

minalkharat@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTE ETHICS COMMITTEE,AIIMS,NEW DELHI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F454||Pain disorders related to psychological factors,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control Group Receiving Standard therapy only  Patients in this group will only receive standard therapy. No HRV biofeedback intervention will be given.Total Duration:4 weeks 
Intervention  Heart Rate Variability Biofeedback with standard therapy  HRV Biofeedback Group Total Duration of Intervention:4 weeks  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.A minimum score of 5 in the Patient Health Questionnaire 15 (PHQ-15)

2.Presence of at least two somatic complaints with predominant pain.
 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To study the effect of 4 weeks of Heart Rate Variability biofeedback training in patients with Somatic Symptom Disorder on:
a. Somatic symptom disorder severity (Patient Health Questionnaire-15,Somatic Symptom Disorder-8)
b. Pain status (Visual Analog Scale, Quantitative Sensory Testing)
c. Heart Rate Variability 
Baseline and at 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
NA  NA 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/10/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Somatic symptom disorder presents a problem for both the physician and patient because it puts patients at risk of unnecessary testing and treatment. The main feature of these disorders is a concern with physical symptoms that are attributed to a nonpsychiatric disease. This concern can manifest as one or more somatic symptoms that result in excessive thoughts, feelings, or behaviors related to those symptoms and that are distressing or result in significant disruption of daily life. HRV biofeedback (HRVB) is a non-invasive therapeutic modality that has been shown to be effective as an adjunct therapy in various chronic pain disorders with stress as a pathophysiological feature.

Very few studies have investigated the effect of heart rate variability HRV biofeedback (HRVB) training as an adjunct therapy in Somatic Symptom Disorder. Very little information is available on the effect of HRVB on the pain and functional status in Somatic Symptom Disorder. On the other hand, there is a lack of information regarding the objective evaluation of HRVB on the pain status in Somatic Symptom Disorder.

Therefore, the present study is planned to investigate the effect of heart rate variability biofeedback (HRVB) on pain status,functional status and baroreceptor sensitivity in Somatic Symptom Disorder patients.

 
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