A Pilot Study Evaluating a Multidisciplinary Chronic Pain Group Therapy in a Primary Care Setting - Full Text View

Purpose

The investigators will evaluate the effectiveness of "Living Everyday Above-and-beyond Pain" (LEAP) program in the primary care setting. LEAP is a multidisciplinary chronic pain group therapy developed for the two clinic sites of McMaster Family Health Team: McMaster Family Practice and Stonechurch Family Health Centre. LEAP aims to improve patients'quality of life, interaction with the health care system and their health care utilization. This is a pilot study to evaluate mainly feasibility. The investigators will make use of both experimental and qualitative methods gather evidence of the programs success, strengths and weaknesses.

Condition	Intervention	Phase
Chronic Pain	Behavioral: Living Everyday Above-and-beyond Pain (LEAP) Other: Wait-listed	Phase 3


Study Type:	Interventional
Study Design:	Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Supportive Care
Official Title:	Living Everyday Above-and-beyond Pain Research (LEAP): A Pilot Study Evaluating a Multidisciplinary Chronic Pain Group Therapy in a Primary Care Setting

Resource links provided by NLM:

MedlinePlus related topics: Chronic Pain

U.S. FDA Resources

Further study details as provided by McMaster University:

Primary Outcome Measures:

Quality of Life [ Time Frame: 8 months ] [ Designated as safety issue: No ]
This will utilize the SF-36 QOL questionnaire.
Health care utilization [ Time Frame: 8 months ] [ Designated as safety issue: No ]
This will be based on a chart review to assess the number of consultations with their family physician and other clinicians (Nurse practitioners, registered nurse, dietitian, social worker).

Secondary Outcome Measures:

Qualitative process evaluation (Perceptions of participants regarding the intervention) [ Time Frame: 16 months ] [ Designated as safety issue: No ]
This outcome assesses the views of the participants regarding the strengths and weaknesses of the intervention. It will assess ways to improve the recruitment process and retention of participants in the group, satisfaction of the participants regarding the processes (group dynamics, time, format, contents, etc), perceptions of participants regarding the effectiveness of the program, and suggestion of participants regarding ways to improve the program.
Pain medication use [ Time Frame: 8 months ] [ Designated as safety issue: No ]
This will be based on a standardized questionnaire developed by the researchers and a chart review regarding request for early refill and increased dose of medications due to worsening of chronic pain.


Enrollment:	60
Study Start Date:	November 2009
Study Completion Date:	November 2011
Primary Completion Date:	November 2011 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Early Intervention Group	Behavioral: Living Everyday Above-and-beyond Pain (LEAP) 8-week multidisciplinary group therapy aiming consisting of education about the nature of chronic pain, pacing and goal setting, mindfulness medication techniques, cognitive reflections on beliefs, impulses and obsessions, physical activation, and medication management.
Placebo Comparator: Delayed Intervention Group Initially wait-listed and served as control group. But later participants underwent the experimental intervention.	Other: Wait-listed Patients are wait-listed while awaiting participation to the LEAP program.

Eligibility


Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

18 years and older
diagnosed with chronic pain

Exclusion Criteria:

chronic pain related to cancer, pelvic pain or headache
inability to speak or write in English
patient is unable to attend and participate in group treatment sessions on their own
substance use or mental health problems of a severity making group treatment participation impossible
currently participating in another cognitive-behavioral pain management program
patient is receiving palliative care or has been diagnosed with an illness expecting to cause death within one year

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01517256

Locations


Canada, Ontario
McMaster Family Practice Clinic
Hamilton, Ontario, Canada, L8S 1A4

Sponsors and Collaborators

McMaster University

More Information

No publications provided by McMaster University

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Angeles RN, Guenter D, McCarthy L, Bauer M, Wolfson M, Chacon M, Bullock L. Group interprofessional chronic pain management in the primary care setting: a pilot study of feasibility and effectiveness in a family health team in Ontario. Pain Res Manag. 2013 Sep-Oct;18(5):237-42. Epub 2013 Jul 19.


Responsible Party:	McMaster University
ClinicalTrials.gov Identifier:	NCT01517256 History of Changes
Other Study ID Numbers:	DFM 09-595
Study First Received:	January 16, 2012
Last Updated:	January 20, 2012
Health Authority:	Canada: HHS/FHS Research Ethics Board

Keywords provided by McMaster University:


Chronic pain Primary care Multidisciplinary group therapy Embedded mixed-methods study

Additional relevant MeSH terms:


Chronic Pain Nervous System Diseases Neurologic Manifestations Pain Signs and Symptoms

ClinicalTrials.gov processed this record on February 26, 2015

A Pilot Study Evaluating a Multidisciplinary Chronic Pain Group Therapy in a Primary Care Setting (LEAP)