Online Chronic Pain Therapy for Adults
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.
|Study Design:||Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Online Chronic Pain Therapy for Adults|
- Change from baseline in McGill Pain Questionnaire - Short Form [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]A brief self-report questionnaire that measures sensory and affective components of clinical pain.
- Change from baseline in Chronic Pain Acceptance Questionnaire - Revised [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]A 20-item measure of acceptance of chronic pain with items scored from "0 = Never true" to "6 = Always true".
- Change from baseline in Pain Catastrophizing Scale [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]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."
- Change from baseline in Tampa Scale for Kinesiophobia [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]A self-report measure of fear of movement and/or re-injury. 17 items rated from "1 = strongly disagree" to "4 = strongly agree"
- Change from baseline in Pittsburgh Sleep Quality Index [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]A self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval
- Client Satisfaction Questionnaire [ Time Frame: At completion of module, approximately 8 weeks ] [ Designated as safety issue: No ]An eight item questionnaire regarding client satisfaction with the treatment.
- Change from baseline in Beck Depression Inventory - Second Edition [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]A 21 item self-report measure of severity of depressive symptoms.
- Change from baseline in Beck Anxiety Inventory [ Time Frame: 3 months ] [ Designated as safety issue: No ]A 21-item self-report measure assessing severity of symptoms of anxiety
- Change from baseline in PTSD Checklist - Military Version [ Time Frame: 3 months ] [ Designated as safety issue: No ]A 17-item self-report measure assessing severity of PTSD symptoms related to stressful military experiences.
|Study Start Date:||June 2012|
|Estimated Study Completion Date:||June 2015|
|Estimated Primary Completion Date:||June 2015 (Final data collection date for primary outcome measure)|
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.
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01600248
|OSI Clinic, Deer Lodge Centre|
|Winnipeg, Manitoba, Canada, R3J 0L3|
|Principal Investigator:||Pamela L Holens, Ph.D.||University of Manitoba|