| CTRI Number |
CTRI/2021/07/034732 [Registered on: 09/07/2021] Trial Registered Prospectively |
| Last Modified On: |
06/07/2021 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Behavioral |
| Study Design |
Non-randomized, Active Controlled Trial |
|
Public Title of Study
|
Effect of a Nurse led multi intervention programme on Quality of life, Subjective well being and level of Thyroid hormones among patients with Hypothyroidism. |
|
Scientific Title of Study
|
Prevalence and Contributing factors of Hypothyroidism and the effectiveness of a Nurse led multi intervention programme on Quality of life, Subjective well being and level of Thyroid hormones among patients with Hypothyroidism. |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Salina S |
| Designation |
Associate Professor |
| Affiliation |
College of Nursing, Thalassery |
| Address |
Lakshminand, Pannor College of Nursing, Nettur PO, Thalassery, Kannur . Kerala
COMMUNITY HEALTH NURSING DEPARTMENT Kannur KERALA 670692 India |
| Phone |
09446076413 |
| Fax |
|
| Email |
salina.surabhi@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Leena K C |
| Designation |
Principal |
| Affiliation |
Yenepoya deemed to be University |
| Address |
Yenepoya Nursing College
Derlakkatte, Mangalore
Karnataka, India Yenepoya Nursing College
Derlakkatte, Mangalore
Karnataka, India Dakshina Kannada KARNATAKA 575022 India |
| Phone |
09448059698 |
| Fax |
|
| Email |
leenakchacko@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Salina S |
| Designation |
Associate Professor |
| Affiliation |
College of Nursing, Thalassery |
| Address |
Lakshminand, Pannor College of Nursing, Nettur PO, Thalassery, Kannur . Kerala
department of Community Health Nursing Kannur KERALA 670692 India |
| Phone |
09446076413 |
| Fax |
|
| Email |
salina.surabhi@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
Aster MIMS Hospital |
| Address |
Aster MIMS Hospital, Kannur, Kerala |
| Type of Sponsor |
Private hospital/clinic |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Salina S |
Delmon Plyclinics |
Delmon Poly clinics, Thalassery, Kannur Kannur KERALA |
9446076413
salina.surabhi@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee, College of Nursing, Thalasserry |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: E039||Hypothyroidism, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Nurse led multi intervention programme |
The investigator demonstrate selected yogasana, yogamudra and selected pranayama for Hypothyroidism, teach the patients certain neck exercise and a information booklet on contributing factors of Hypothyroidism will be provided.
the intervention will be demonstrated on individual basis and later the participants have to continue the intervention for 30 days and a post test done . then the participants have to continue the intervention for coming one month and on 60th day , second post test will be conducted. similarly 3rd post test will be conducted on 90th day. |
| Comparator Agent |
routine treatment for hypothyroidism |
patients will be continuing the Eltroxine treatment as prescribed by the endocrinologist |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
all adults from 18 to 60 years , both male and female, who are diagnosed to have Hypothyroidism and on treatment with Eltroxine from a registered endocrinologist and who are attending selected enocrinology clinics and those who are willing to sign an informed consent will be included in the study |
|
| ExclusionCriteria |
| Details |
Adults who have restriction in neck movement either imposed or natural , and those who are not willing for follow up treatment will be exluded from the study |
|
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Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| improvement in overall quality of life score |
one month, two months and three months |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
improvement in subjective well being as measured by SUBI (Subjective Well Being Inventory) questionnaire.
Laboratory valiues of Thyroid Hormones specifically T4 and TSH normal |
3 months |
|
|
Target Sample Size
|
Total Sample Size="90" Sample Size from India="90"
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)
|
30/07/2021 |
| 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="0" Months="4" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
NIL |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identiļ¬cation.
- What additional supporting information will be shared?
Response - Clinical Study Report
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [salina.surabhi@gmail.com].
- For how long will this data be available start date provided 14-06-2022 and end date provided 15-01-2026?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
PURPOSE
OF THE STUDY
The purpose of the study is to identify the
prevalence of Hypothyroidism in the Kannur district, Kerala. Further it aims to
identify the contributing factors of Hypothyroidism. Further it intends to find
the effect of nurse led multi intervention programme on Quality of Life and
Subjective Well Being and Thyroid Hormone Levels.
BACKGROUND
OF THE STUDY
The
thyroid gland secretes thyroid hormones, which primarily influence
the metabolic rate and protein synthesis. The hormones also have
many other effects including those on development. Hypothyroidism,
also called underactive thyroid or low thyroid, is a
common disorder of endocrine system in which the thyroid
gland does not produce enough thyroid hormone. It can cause a
number of symptoms, such as poor ability to tolerate cold, a feeling of
tiredness, constipation, depression, and weight gain. Disorders of
the thyroid gland result primarily from autoimmune process that stimulate the
over production of thyroid hormones or cause glandular destruction and under
production of thyroid hormones, hypothyroidism. Worldwide, too little
iodine in the diet is the most common cause of hypothyroidism. In
countries with enough iodine in the diet, the most common cause of
hypothyroidism is the autoimmune condition called Hashimoto Thyroditis. Nearly
42 million Indians reportedly have abnormal thyroid hormone levels. India
accounts for 21 percent of the global population that has thyroid disorders. Nearly
every third Indian suffers from one or the other kind of thyroid disorder,
which most often causes weight gain and hormonal imbalances, and is more
commonly seen in women, according to a survey. Many patients with a diagnosis
of hypothyroidism report a decreased quality of life compared to people without
hypothyroidism. Patients with untreated hypothyroidism had worse quality of
life, predominantly fatigue, compared to healthy patients without
hypothyroidism. Though India have passed two decades after the implementation
of Iodine Deficiency Disease control programme and Iodisation of salt,
hypothyroidism is still a concern to be tackled. It occurs in different forms
varying from congenital to auto immune types to adult form. The treatment is
more or less lifelong and quality of life and subjective well beingis affected
considerably.
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