Transforming Care for Individuals With Childhood-onset Systemic Lupus Erythematosus

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age12-22
SponsorMichigan State University

About this trial

This study aims to investigate the feasibility and effectiveness of a cognitive behavioral coping skills program, Treatment and Education Approach for Childhood-onset Lupus (TEACH), for youth with cSLE when integrated into medical care. This TEACH program aims to teach participants skills in order to cope with fatigue, pain, and depressive symptoms--symptoms that commonly affect adolescents and young adults with lupus.

Eligibility criteria

Qualifiers

1) be diagnosed with cSLE, meeting the revised American College of Rheumatology Classification Criteria for SLE by age 18 years

2) be between the ages of 12 and 22 years

3) in recognition of the heterogeneity of cSLE symptoms, have elevations in fatigue (i.e., T scores ≥60; or at least moderate symptoms, on the PROMIS measure) OR depressive symptoms (≥5 on the PHQ-9, T Score ≥ 60 on the BDI or CDI II ), OR pain (i.e., average pain ≥3 out of 10 on the Pain VAS)

4) have English language proficiency (their primary caregiver can have English or Spanish language proficiency for the child to enroll)

Disqualifiers

1) other chronic medical conditions (e.g., juvenile arthritis)

2) a documented developmental delay, severe cognitive impairment, or thought disorder

3) an untreated major psychiatric illness (e.g., bipolar disorder, psychosis, severe depression (PHQ9 score ≥21, BDI/CDI II > 90) or active suicidal ideation (SI), based on the Pediatric Health Questionnaire (PHQ-9) items plus clinical interview; see Measures section)

Trial design

Treatments tested in this trial

  • TEACH

Treatment groups

175 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Michigan State University

Lead sponsor

United States Department of Defense

Collaborator

The Hospital for Sick Children

Collaborator

Seattle Children's Hospital

Collaborator

Children's Hospital Medical Center, Cincinnati

Collaborator

Tulane University

Collaborator

University of Alabama at Birmingham

Collaborator

Helen DeVos Children's Hospital

Collaborator

Montefiore Medical Center

Collaborator