Guided Internet-delivered Acceptance and Commitment Therapy for Chronic Pain Patients
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ClinicalTrials.gov Identifier: NCT01603797 |
Recruitment Status
:
Completed
First Posted
: May 22, 2012
Last Update Posted
: October 3, 2012
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Chronic Pain | Behavioral: Guided internet-delivered acceptance and commitment therapy | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 76 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Guided Internet-delivered Acceptance and Commitment Therapy for Chronic Pain Patients: a Randomized Controlled Trial |
Study Start Date : | February 2010 |
Actual Primary Completion Date : | May 2010 |
Actual Study Completion Date : | December 2010 |

Arm | Intervention/treatment |
---|---|
Experimental: Internet delivered ACT
Internet delivered acceptance and commitment therapy (ACT), 7 weeks treatment
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Behavioral: Guided internet-delivered acceptance and commitment therapy
The treatment program consisted of seven sections and was based on ACT.The first part was about creative hopelessness and was followed in the next section by an introduction to willingness and to the process of acceptance of pain. Information and assignments about committed action and values were also part of the treatment program. Mindfulness exercises were a regular feature in the program. The last part was about how to maintain learned strategies but also an evaluation of the program.
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Active Comparator: Online discussion forum
Active wait-list condition. Were offered to participate in a moderated online discussion forum. After post-treatment assessment the control group were offered treatment.
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Behavioral: Guided internet-delivered acceptance and commitment therapy
The treatment program consisted of seven sections and was based on ACT.The first part was about creative hopelessness and was followed in the next section by an introduction to willingness and to the process of acceptance of pain. Information and assignments about committed action and values were also part of the treatment program. Mindfulness exercises were a regular feature in the program. The last part was about how to maintain learned strategies but also an evaluation of the program.
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- Chronic Pain Acceptance Questionnaire (CPAQ) [ Time Frame: One week pre- and post-treatment ]CPAQ consists of 20 items divided into two subscales: activity engagement and pain willingness. Items are rated on a scale from 0 (never true) to 6 (always true). Higher scores denote greater activity engagement and pain willingness. Studies show acceptable reliability (α =.72-.92).
- Hospital and Anxiety Depression Scale (HADS) [ Time Frame: One week pre- and post- treatment ]HADS contains 14 items and evaluates severity of symptoms of depression and anxiety without contamination of scores of physical symptomatology.
- The Coping Strategies Questionnaire (CSQ) [ Time Frame: One week pre- and post- treatment ]The CSQ contains 50 items divided into eight scales measuring different cognitive and behavioural coping strategies and has been widely used by chronic pain patients. The coping strategies scales are: diverting attention, re-interpreting pain sensations, coping self-statements, ignoring sensations, praying and hoping, catastrophizing and increased behavioral activities
- Multidimensional Pain Inventory (MPI-S) [ Time Frame: One week pre- and post- treatment ]The Swedish version of MPI (MPI-S) consists of 34 items divided into 8 scales. The first section addresses: Pain Severity, Interference, Life Control, Affective Distress and Support. The second section addresses the patient's perception of how significant others respond to their displays of pain: Punishing Responses, Solicitous Responses and Distracting Responses.
- The Pain and Impairment Relationship Scale (PAIRS) [ Time Frame: One week pre- and post- treatment ]PAIRS assess beliefs and attitudes associated with the experience of chronic pain and one's ability to function despite pain. It consists of 15 personal statements that reflect thoughts, attitudes and opinions about pain.
- Quality of Life Inventory (QOLI) [ Time Frame: One week pre- and post- treatment ]QOLI consists of 32 items for assessing life satisfaction. The assessment yields an overall score and profile in 16 areas of life; health, self-esteem, goals and values, money, work, play, learning, creativity, helping, love, friends, children, relatives, home, neighborhood, and community.

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Ages Eligible for Study: | 18 Years and older (Adult, Senior) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- that participants had undergone medical investigation (within one year)
- had regular access to the internet
- had functional impairment caused by chronic pain
- had internet access
Exclusion Criteria:
- ongoing medical investigations or treatment that could interfere with participation in the study, such as planned surgery and suffering from acute physical or psychological conditions
- not fluent in the Swedish language

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): NCT01603797
Study Director: | Gerhard Andersson, Professor | Linkoeping University | |
Principal Investigator: | Monica Buhrman, MSc | Uppsala University | |
Study Chair: | Timo Hursti, PhD | Uppsala University | |
Study Chair: | Torsten Gordh, Professor | Uppsala University | |
Study Chair: | Tomas Furmark, Professor | Uppsala University | |
Study Chair: | Astrid Skoglund, MSc | Uppsala University | |
Study Chair: | Josefin Husell, MSc | Uppsala University | |
Study Chair: | Kristina Bergström, MSc | Uppsala University | |
Study Chair: | Nina Bendelin, MSc | Linkoeping University |
Responsible Party: | Gerhard Andersson, Professor, Linkoeping University |
ClinicalTrials.gov Identifier: | NCT01603797 History of Changes |
Other Study ID Numbers: |
smartaSIAMB_GA |
First Posted: | May 22, 2012 Key Record Dates |
Last Update Posted: | October 3, 2012 |
Last Verified: | October 2012 |
Keywords provided by Gerhard Andersson, Linkoeping University:
internetdelivered CBT chronic pain acceptance and commitment therapy mindfulness guided self help |
Additional relevant MeSH terms:
Chronic Pain Pain Neurologic Manifestations Nervous System Diseases Signs and Symptoms |