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Online Chronic Pain Therapy for Adults

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ClinicalTrials.gov Identifier: NCT01600248
Recruitment Status : Completed
First Posted : May 17, 2012
Last Update Posted : August 21, 2015
Sponsor:
Information provided by (Responsible Party):
University of Manitoba

Brief Summary:
This study will evaluate the usefulness of an online, self-directed treatment for chronic pain that has been designed specifically for individuals who are currently or have previously served in the military.

Condition or disease Intervention/treatment
Chronic Pain Behavioral: Online ABBT for Chronic Pain in Military

Detailed Description:
This study will evaluate the efficacy of an eight-module, online, self-directed treatment for chronic pain using Acceptance-Based Behavioural Therapy (ABBT) as the treatment modality. The online modules are tailored to the unique issues of individuals with a military background. The modules will be delivered via the WebCAPSI Therapy program, an online, password-protected program that allows participants to anonymously progress through all modules at their own pace. ABBT modules cover the following: Introduction, Acceptance, Values, Cognitive Defusion, Mindfulness, Exercise/Pacing/Communication Skills, Self-as-Context, and Willingness. Modules encourage understanding of the information through audio files, military-specific vignettes, written materials, and homework exercises. Modules are designed to be completed in 60 minutes or less. Participants will have access to the online treatment for a three month period and will be encouraged to complete one module per week.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 25 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Online Chronic Pain Therapy for Adults
Study Start Date : June 2012
Primary Completion Date : February 2015
Study Completion Date : February 2015

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Chronic Pain
U.S. FDA Resources

Arm Intervention/treatment
Treatment arm
This is an open-label pilot study with no control group. Participants pre-treatment scores are compared to their post-treatment scores.
Behavioral: Online ABBT for Chronic Pain in Military
Participants will complete an 8-module, self-paced, online program for chronic pain using Acceptance-Based Behavioural Therapy (ABBT) as the therapeutic modality.



Primary Outcome Measures :
  1. Change from baseline in McGill Pain Questionnaire - Short Form [ Time Frame: 8 weeks ]
    A brief self-report questionnaire that measures sensory and affective components of clinical pain.

  2. Change from baseline in Chronic Pain Acceptance Questionnaire - Revised [ Time Frame: 8 weeks ]
    A 20-item measure of acceptance of chronic pain with items scored from "0 = Never true" to "6 = Always true".

  3. Change from baseline in Pain Catastrophizing Scale [ Time Frame: 8 weeks ]
    One of the most widely used instruments for measuring catastrophic thinking related to pain. A 13-item measure with items rated from "0 = Not at all" to "4 = All the time."

  4. Change from baseline in Tampa Scale for Kinesiophobia [ Time Frame: 8 weeks ]
    A self-report measure of fear of movement and/or re-injury. 17 items rated from "1 = strongly disagree" to "4 = strongly agree"

  5. Change from baseline in Pittsburgh Sleep Quality Index [ Time Frame: 8 weeks ]
    A self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval


Secondary Outcome Measures :
  1. Client Satisfaction Questionnaire [ Time Frame: At completion of module, approximately 8 weeks ]
    An eight item questionnaire regarding client satisfaction with the treatment.

  2. Change from baseline in Beck Depression Inventory - Second Edition [ Time Frame: 3 months ]
    A 21 item self-report measure of severity of depressive symptoms.

  3. Change from baseline in Beck Anxiety Inventory [ Time Frame: 3 months ]
    A 21-item self-report measure assessing severity of symptoms of anxiety

  4. Change from baseline in PTSD Checklist - Military Version [ Time Frame: 3 months ]
    A 17-item self-report measure assessing severity of PTSD symptoms related to stressful military experiences.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Chronic pain condition of duration 6 months or longer
  • Patient at OSI Clinic in Winnipeg
  • Access to a computer with internet at least once per week for 60 minutes

Exclusion Criteria:

  • Active psychosis
  • Actively suicidal
  • Unstable living conditions
  • Seriously impaired concentration
  • Inability to read and write in English

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01600248


Locations
Canada, Manitoba
OSI Clinic, Deer Lodge Centre
Winnipeg, Manitoba, Canada, R3J 0L3
Sponsors and Collaborators
University of Manitoba
Investigators
Principal Investigator: Pamela L Holens, Ph.D. University of Manitoba

Responsible Party: University of Manitoba
ClinicalTrials.gov Identifier: NCT01600248     History of Changes
Other Study ID Numbers: H2012:078
First Posted: May 17, 2012    Key Record Dates
Last Update Posted: August 21, 2015
Last Verified: August 2015

Keywords provided by University of Manitoba:
Chronic Pain
Military
Veteran
Online
Acceptance

Additional relevant MeSH terms:
Chronic Pain
Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms