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Chronic Pain Skills Study - Vanderbilt University Medical Center

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ClinicalTrials.gov Identifier: NCT03384953
Recruitment Status : Recruiting
First Posted : December 28, 2017
Last Update Posted : January 17, 2018
Sponsor:
Information provided by (Responsible Party):
Lindsey Mckernan, Vanderbilt University Medical Center

Brief Summary:
The Osher Center for Integrative Medicine (OCIM) at Vanderbilt is a multidisciplinary outpatient clinic treating patients with chronic pain and complex health issues via integrative services, with goals of improving overall health and wellbeing of those served. At OCIM, clinical hypnosis has been historically provided on an individual basis by the investigator. Due to its impact and increased patient demand for this service, the investigator will be conducting group hypnosis services in addition to individual services order to expand the reach of this program to participants. As such, the investigators see this as a tremendous opportunity to contribute to clinical research to contribute to the evidence based for this form of service by examining participant-reported outcomes associated with completing the treatment. For this project, the investigators seek to assess the impact of a manualized group treatment protocol utilizing clinical hypnosis as a treatment for chronic pain. The investigators will be evaluating participant-reported outcomes to assess the 1) feasibility of conducting hypnosis in this setting 2) impact of group hypnosis on pain and 3) how participants' responsiveness to hypnosis impacts treatment outcome.

Condition or disease Intervention/treatment Phase
Chronic Pain Behavioral: Clinical Hypnosis - Group Treatment Behavioral: Clinical Hypnosis - Individual Treatment Not Applicable

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 60 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Chronic Pain Skills Study - Vanderbilt University Medical Center
Actual Study Start Date : June 22, 2017
Estimated Primary Completion Date : June 22, 2019
Estimated Study Completion Date : June 22, 2019

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Chronic Pain

Arm Intervention/treatment
Experimental: Clinical Hypnosis - Group Treatment
Subjects will receive 8 weeks of a manualized clinical hypnosis for chronic pain treatment in a group setting. Assessments will be completed before, immediately after, and at 3- and 6- months post-treatment to assess for treatment gains.
Behavioral: Clinical Hypnosis - Group Treatment
group treatment

Experimental: Clinical Hypnosis - Individual Treatment
Subjects will receive 8 weeks of a manualized clinical hypnosis for chronic pain treatment in an individual, 1:1 setting. Assessments will be completed before, immediately after, and at 3- and 6- months post-treatment to assess for treatment gains.
Behavioral: Clinical Hypnosis - Individual Treatment
individual treatment




Primary Outcome Measures :
  1. change in pain intensity [ Time Frame: baseline and 6 months ]
    Brief Pain Inventory (severity scale only) is a 4-item subscale of the Brief Pain Inventory assessing the severity of pain over the past week. Questions inquire into an individual's worst, least, average, and current levels of pain on an 11-point likert scale, with 0 being no pain. It has been validated and is considered the gold standard to utilize in patient-reported outcomes studies. It takes <1 minute to complete.



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

Inclusion Criteria:

  1. 18 years of age or older; *
  2. Self-reported presence of chronic pain;**
  3. Average pain intensity rating of ≥ 3 on a 0-10 Numerical Rating Scale (NRS) of pain intensity in the last week; **
  4. Worst pain intensity rating of ≥ 5 on a 0-10 Numerical Rating Scale (NRS) of pain intensity in the last week;**
  5. Duration of chronic pain 3 months or more; **
  6. Experiences pain at least 75% of the time in the past 3 months; Those who have a hard time answering this question will be asked the following question: "Which statement best describes your pain?"

    1. Pain all the time, but the pain intensity varies;
    2. Pain most of the time with only occasional periods of being pain-free;
    3. Pain that comes and goes;
    4. Occasional pain; Participants must report experiencing pain that matches one of the first two options;**
  7. Able to read, speak, and understand English.**

Exclusion Criteria:

  1. Cognitive impairment or limitations (i.e. history of moderate to severe Traumatic Brain Injury (TBI), unresolved TBI, or other medical condition) that would interfere with a patient's ability to participate in a group involving focused attention*.
  2. Current or history of diagnosis of primary psychotic or major thought disorder as listed in participant's medical record or self-reported within the past five years;*
  3. Hospitalization for psychiatric reasons other than suicidal ideation, homicidal ideation, and/or PTSD self-reported or noted in chart (within the past 5 years);*
  4. Psychiatric or behavioral conditions in which symptoms are unstable or severe (e.g. current delirium, mania, psychosis, suicidal ideation, homicidal ideation, substance abuse dependency) as listed in participant's medical record or self-reported within the past six months;*
  5. Any behavioral issues as noted in the medical record or by a provider that would indicate the participant may be inappropriate in a group setting;***
  6. Presenting symptoms at time of screening that would interfere with participation, specifically active suicidal ideation with intent to harm oneself or active delusional or psychotic thinking;**
  7. Difficulties or limitations communicating over the telephone;**
  8. Any planned life events that would interfere with participating in the key elements of the study.**
  9. Reported average daily use of >120mg morphine equivalent dose (MED). **

    • also verified via medical record review, as described below. **verified solely via self-report, as described below; there is no medical record

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): NCT03384953


Contacts
Contact: Lindsey C McKernan, Ph.D. (615) 875-9990 research.ocim@vanderbilt.edu
Contact: Michelle Johnson (615) 343-1554 michelle.johnson.1@vanderbilt.edu

Locations
United States, Tennessee
Osher Center for Integrative Medicine at Vanderbilt Recruiting
Nashville, Tennessee, United States, 37203
Sponsors and Collaborators
Vanderbilt University Medical Center
Investigators
Principal Investigator: Lindsey C McKernan, Ph.D. Vanderbilt University Medical Center

Responsible Party: Lindsey Mckernan, Assistant Professor, Vanderbilt University Medical Center
ClinicalTrials.gov Identifier: NCT03384953     History of Changes
Other Study ID Numbers: 170652
First Posted: December 28, 2017    Key Record Dates
Last Update Posted: January 17, 2018
Last Verified: January 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

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