Guided Internet-delivered Cognitive-behavioral Therapy for Former Chronic Pain Patients

Gerhard Andersson72 enrolled

Overview

The aim of the present study was to investigate if guided Internet-delivered Cognitive-behavioral Therapy (CBT) would help chronic pain patients who had previously undergone a multidisciplinary treatment but still have residual problems.

The present study investigates Internet-delivered CBT as a tertiary intervention. This is motivated by the fact that many pain patients relapse after rehabilitation and some may be in need of additional treatment. The persons who fulfills the inclusion criteria undergoes a structured telephone interview. The study is a experimental design with a treatment and an active control group measured before and after a treatment period. The control group were invited to participate in a moderated online discussion forum. Follow up data was collected six months after the treatment.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Chronic Pain

Interventions

Guided Internet-based cognitive behavioural treatmentBEHAVIORAL

Eight weeks internet-based cognitive behavioural treatment. Treatment consisted of education, cognitive skills acquisition, behavioural rehearsal, generalization and maintenance.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * to have been medically investigated (within one year) * completed the multidisciplinary rehabilitation program * have residual symptoms after the rehabilitation treatment (defined as functional impairment caused by their pain) * have Internet access Exclusion Criteria: * planned surgery * ongoing medical investigation that could impede participation in the study * suffering from acute physical or psychological conditions * people confined to wheelchairs * people not fluent with the Swedish language

Locations (1)

Uppsala University

Uppsala, Sweden

Outcomes

Primary Outcomes

The Coping Strategies Questionnaire (CSQ)

The CSQ contains 50 items divided in eight scales that measures different cognitive and behavioral coping strategies. The different coping strategies are: diverting attention, re-interpreting pain sensations, coping self-statements, ignoring sensations, praying and hoping, catastrophizing, increased behavioral activities and pain behavior (Rosenthiel \& Keefe, 1983). Change from baseline in the different subscales pre- and post treatment.

Time frame: One week pre treatment, one week post treatment

Secondary Outcomes

Hospital Anxiety and Depression Scale, HADS

HADS is a 14-item questionnaire, and is designed to measure anxiety and depression in non-psychiatric patients.

Time frame: One week pre treatment, one week post treatment

Multidimensional Pain Inventory, MPI

MPI, assess psychosocial and behavioural consequences of pain. It´s divided into 2 sections and consisting of 8 scales. These are: Pain Severity, Interference, Life Control, Affective Distress, Support, Punishing Responses, Solicitous Responses and Distracting Responses.

Time frame: One week pre treatment, one week post treatment

Pain and Impairment Relationship Scale (PAIRS)

PAIRS consist of 15 personal statements that reflect thoughts, attitudes and opinions about pain. The questionnaire assesses beliefs and attitudes that patients have regarding pain and ability to function despite discomfort.

Time frame: One week pre treatment, one week post treatment

Quality of Life Inventory (QOLI)

QOLI contains 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. Each item is rated in terms of importance and satisfaction.

Data from ClinicalTrials.gov

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