Clinical Research Directory

Fibromyalgia and Functional Impact: the Complementary Role of Neural Mobilization.

This study aims to compare the change in overall impact and functional variables of fibromyalgia between a group receiving conventional treatment plus neural mobilization and a group receiving only conventional treatment over 12 weeks.

Comparison of Chiropractic and Physiotherapy in Chronic Neck Pain

Chronic neck pain will be a common condition that can negatively affect daily activities, mobility, and overall quality of life. This study will aim to investigate whether adding chiropractic treatment to standard physiotherapy will improve outcomes in individuals with long-standing neck pain. A total of 40 adults between the ages of 20 and 65 with complaints of neck pain will be included in the study. Participants will be randomly assigned to two groups. One group will receive chiropractic treatment in addition to standard physiotherapy, while the other group will receive only standard physiotherapy. Standard physiotherapy will include TENS, heat therapy, and neck massage. The treatments will be administered over a total of 7 sessions, twice a week. Before and after the treatment period, all participants will undergo a series of assessments. These will measure pain levels, neck function, muscle strength, range of motion, and quality of life. The aim of this study will be to determine whether adding chiropractic treatment to physiotherapy will provide additional benefits in reducing pain and improving function and quality of life in individuals with chronic neck pain.

Development of an Inclusive Adaptive Treatment Strategy for Weight Loss in People With Prediabetes Using a Sequential Multiple Assignment Randomized Trial

This is a sub-study to NCT04745572 to include a new cohort of participants with disabilities. This 16-week study will use an experimental approach called the Sequential Multiple Assignment Randomized Trial to help determine which combination and sequence of weight loss program features are most effective in people who are at risk for type 2 diabetes. Participants in the study will be initially randomized to consume either a high or reduced carbohydrate diet. After 4 weeks, participants will be identified as Responders (greater than or equal to 2.5% weight loss) or Non-Responders (less than 2.5% weight loss). Responders will continue with their initial randomized group for the remainder of the trial. Non-responders will be re-randomized to 2nd stage interventions of either including additional exercise counseling and training or beginning a time restricted eating protocol for the remainder of the trial.

Study Protocol: The Jerte Valley as an Inclusive Outdoor Classroom. Smart and Active Tourism.

To promote the inclusion of people with disabilities, an outdoor intervention will be conducted involving physical activities with adolescents with and without disabilities. The study will be designed as a randomized controlled trial (RCT) with a control group that will not participate in these activities, and will include three time points (pre-intervention, post-intervention, and follow-up). The study will assess sociodemographic, accessibility, socio-emotional, and group cohesion variables.

Health Support Project for Persons With Disabilities

The goal of this clinical trial is to evaluate the health status of people with disabilities, to improve their health outcomes by providing support on nutrition, physical activity, and self-management of chronic conditions, and to strengthen sectors' capacity to deliver health management services and support for people with disabilities through a train-the-trainer program.

AI-GF-GNW on Prolonged Grief Reactions

Prolonged Grief Disorder (PGD) is a severe, disabling condition characterized by intense yearning and difficulty accepting the reality of loss, which significantly impairs the academic and psychosocial functioning of bereaved adolescents. While Grief-Focused Cognitive Behavioral Therapy (GF-CBT) is effective, its high cost and resource-intensive nature limit its accessibility for adolescents in mainland China. Grief-Focused Guided Narrative Writing (GF-GNW) offers a scalable, low-cost alternative that facilitates memory integration. Furthermore, integrating Artificial Intelligence (AI) to provide personalized, structured feedback has the potential to simulate therapist functions and enhance intervention efficacy. However, the specific efficacy of AI-assisted feedback in this context remains empirically unvalidated. This parallel randomized controlled trial aims to examine the effectiveness of AI-assisted GF-GNW (AI-GF-GNW) in treating Chinese adolescents (aged 10-19) with subclinical PGD, compared to a no-feedback NF-GF-GNW group and a free writing group. Primary outcomes include PGD symptom severity, while secondary outcomes assess depression, anxiety, and daily functioning. We hypothesize that both active intervention arms will significantly alleviate PGD and related symptoms compared to the free writing group, and that the AI-GF-GNW group will demonstrate a significantly greater reduction in symptoms and functional impairment than the NF-GF-GNW group.