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Contact Information:

Sofia Llahana
sofia.llahana@city.ac.uk


Sofia Llahana
sofia.llahana@city.ac.uk


More information about this study, what is involved and how to take part can be found on the study website.

Study Location:

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Be Part of Research - Trial Details - Self-management in patients with adrenal insufficiency

Self-management in patients with adrenal insufficiency

Completed

Open to: All Genders

Age: 18 Years - 100 Years

Medical Conditions

Disorders of other endocrine glands


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Background
The human body produces a hormone called cortisol which is essential for survival. Cortisol is produced by the adrenal glands which are controlled by a master gland called the pituitary. Any damage to the adrenals or the pituitary glands results in lack of cortisol production called Adrenal Insufficiency (AI). Patients with AI need lifelong treatment with steroids,most commonly hydrocortisone tablets which they need to take 2 or 3 times a day and need to double or triple the dose during illness. These patients can be at risk of adrenal crisis which is a life-threatening complication triggered mainly by infections,injuries or extreme levels of stress,and must have an injection of hydrocortisone immediately to prevent hospitalisation and death. Many studies found that patients face a number of barriers to self-managing their condition and treatment and their ability to prevent and treat adrenal crisis. Education is vital in supporting patients’ self-management but there are no agreed standard for patient education and care services that support self-management.
Aims
To measure factors that influence how patients with AI manage their condition and treatment and to develop an online programme (website) that can support patients to manage their condition and treatment for adrenal insufficiency.
Design and methods
The research study,guided by behaviour change theories,will be conducted in 2 phases:
Phase 1 includes an on-line questionnaire survey with patients with AI to measure barriers and enablers to self-management and current patient education and care service provision. Participants will be recruited from patient advocacy groups and Endocrine Clinics in the UK (Stage 1) and Europe,North America and Australia (Stage 2). Phase 2 will include focus group discussions and think-aloud interviews with patients with adrenal insufficiency to support the development of the website.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 Jul 2023 11 Jul 2024

Observational

Observational type: Cross-sectional;



You can take part if:



You may not be able to take part if:


Exclusion criteria: • Patients with adrenal suppression with transient tertiary AI • Patients not on cortisol replacement therapy • Family members or non-patient participants,although they can support patients with completing the survey if needed.


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • St Bartholomew's Hospital
    West Smithfield
    London
    Greater London
    EC1A 7BE
  • Royal Free Hospital
    Pond Street
    London
    Greater London
    NW3 2QG
  • University College Hospital
    235 Euston Road
    London
    Greater London
    NW1 2BU
  • Queen Elizabeth Hospital
    Queen Elizabeth Medical Centre
    edgbaston
    Birmingham
    West Midlands
    B15 2TH
  • Hammersmith Hospital
    Du Cane Road
    London
    Greater London
    W12 0HS
  • Whiston Hospital
    Warrington Road
    Prescot
    Merseyside
    L35 5DR
  • Imperial College Healthcare NHS Trust
    The Bays
    st Marys Hospital
    south Wharf Road
    London
    W2 1BL

Sofia Llahana
sofia.llahana@city.ac.uk


Sofia Llahana
sofia.llahana@city.ac.uk



More information about this study, what is involved and how to take part can be found on the study website.


The study is sponsored by City, University of London and funded by NIHR Academy .




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for Trial ID: CPMS 55041

Last updated 21 November 2024

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