Take Charge of Burn Pain
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|ClinicalTrials.gov Identifier: NCT02661724|
Recruitment Status : Recruiting
First Posted : January 22, 2016
Last Update Posted : October 9, 2018
Persons with burn-related pain remain under treated and do not have access to comprehensive burn pain management. We seek to extend evidence-based cognitive behavioral pain management strategies to a group of burn survivors that are currently under treated for for burn pain with a specific goal of reducing pain related interference in life activities.
Investigators will conduct a randomized controlled trial to test the central hypothesis that a computer-based cognitive-behavioral program (Take Charge of Burn Pain) will improve pain management, psychological health, and improve participation in burn survivors. Specific aims include: 1) to determine the efficacy of a web-based self-management intervention in reducing pain and pain-related interference and increasing pain management self-efficacy; and 2) to determine whether Take Charge of Burn Pain improves psychological health and participation in life activities in persons with burn injury pain. Emerging research suggests that web-based pain management interventions may be a feasible and effective alternative to clinic-based interventions for patients with mobility and geographic restrictions, such as those treated at tertiary burn centers.
|Condition or disease||Intervention/treatment||Phase|
|Burn Related Pain||Behavioral: TCBR-Pain||Phase 1 Phase 2|
Show Detailed Description
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||256 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Outcomes Assessor)|
|Official Title:||Take Charge of Burn Pain: A Randomized Controlled Trial of a Web-based Self-Management Intervention to Improve Burn Pain Outcomes|
|Study Start Date :||April 2015|
|Estimated Primary Completion Date :||September 2019|
|Estimated Study Completion Date :||September 2019|
Experimental: Take Charge Burn - Pain (TCBR-Pain)
The TCBR-Pain program includes 7 lessons addressing key dimensions of pain management for persons with burn injury. Each session is about 20 minutes and focuses on burn injury recovery and life style education. Sessions begin with a brief self-assessment and in later sessions, the participant is given graphical feedback on their progress.
The interactive TCBR-Pain uses programmed learning, skill development and behavioral practice to engage persons with burn pain in self-management of pain and related problems. The TCB-Pain program includes 7 lessons addressing key dimensions of pain management for persons with burn injury. Each session is about 20 minutes and focuses on burn injury recovery and life style education. Sessions begin with a brief self-assessment and in later sessions, the participant is given graphical feedback on their progress. The lessons are narrated and include closed captioning, are animated, and include branching to provide personalized content.
No Intervention: Education attention control
The attention group receives an educational materials that is matched to the TCBR-Pain intervention in terms of session length and time on the web-based program. The web-based Education attention condition includes 7 sessions delivered over 7 weeks. The Education Attention Control is education materials commonly employed in rehabilitation centers and has been successfully used in several studies as a comparison to active rehabilitation interventions
- Change in Pain Severity and Pain-Related Interference [ Time Frame: 2 and 5 month ]The Brief Pain Inventory (BPI) will be used to assess pain severity and establish that the pain intensity inclusion criteria are met. The BPI includes two primary dimensions: pain severity (4 items) and pain interference (7 items), each rated on 0 to 10 scales.
- Change in Depression [ Time Frame: 2 and 5 month ]Depression and PTSD Anxiety will be measured using the Patient Health Questionnaire-9 (PHQ-9) . In a psychometric study of the PHQ-9, the instrument demonstrated acceptable test-retest reliability and was both sensitive (0.93) and specific (0.89) when compared to a diagnosis of major depression in persons with traumatic injury.
- Change in Participation in life activities [ Time Frame: 2 and 5 month ]Participation in life activities will be measured using the World Health Organization Disability Assessment Scales (WHODAS-II) is a 36-item general disability instrument that has been specifically designed to use the ICIDH-2 framework to evaluate the dimensions of disability- activity and participation.
- Change in PTSD Anxiety [ Time Frame: 2 and 5 month ]PTSD Checklist-Civilian Version (PCL-C). The PCL-C has demonstrated acceptable test-retest reliability and internal consistency values and good convergent validity with moderate to high correlations with other PTSD instruments and measures of anxiety and depression in persons with traumatic injury. Studies have also found that trauma survivors with PCL-C scores ≥ 45 have a greater than 75% probability of developing symptoms consistent with a diagnosis of PTSD.
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): NCT02661724
|Contact: Stephen Wegener, PhDfirstname.lastname@example.org|
|Contact: Patiricia Kirkhart, Baemail@example.com|
|United States, Maryland|
|Johns Hopkins University||Recruiting|
|Baltimore, Maryland, United States, 21287|
|Contact: Patricia R Kirkhart, BA 410-502-4453 firstname.lastname@example.org|
|Principal Investigator: Stephen T Wegener, PhD|
|Principal Investigator:||Stephen Wegener, PhD||Johns Hopkins University|