Online Chronic Pain Therapy for Adults

University of Manitoba25 enrolled

Overview

This study will evaluate the usefulness of an online, self-directed treatment for chronic pain that has been designed specifically for individuals who are currently or have previously served in the military.

This study will evaluate the efficacy of an eight-module, online, self-directed treatment for chronic pain using Acceptance-Based Behavioural Therapy (ABBT) as the treatment modality. The online modules are tailored to the unique issues of individuals with a military background. The modules will be delivered via the WebCAPSI Therapy program, an online, password-protected program that allows participants to anonymously progress through all modules at their own pace. ABBT modules cover the following: Introduction, Acceptance, Values, Cognitive Defusion, Mindfulness, Exercise/Pacing/Communication Skills, Self-as-Context, and Willingness. Modules encourage understanding of the information through audio files, military-specific vignettes, written materials, and homework exercises. Modules are designed to be completed in 60 minutes or less. Participants will have access to the online treatment for a three month period and will be encouraged to complete one module per week.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Chronic Pain

Interventions

Online ABBT for Chronic Pain in MilitaryBEHAVIORAL

Participants will complete an 8-module, self-paced, online program for chronic pain using Acceptance-Based Behavioural Therapy (ABBT) as the therapeutic modality.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Chronic pain condition of duration 6 months or longer * Patient at OSI Clinic in Winnipeg * Access to a computer with internet at least once per week for 60 minutes Exclusion Criteria: * Active psychosis * Actively suicidal * Unstable living conditions * Seriously impaired concentration * Inability to read and write in English

Locations (1)

OSI Clinic, Deer Lodge Centre

Winnipeg, Manitoba, Canada

Outcomes

Primary Outcomes

Change from baseline in McGill Pain Questionnaire - Short Form

A brief self-report questionnaire that measures sensory and affective components of clinical pain.

Time frame: 8 weeks

Change from baseline in Chronic Pain Acceptance Questionnaire - Revised

A 20-item measure of acceptance of chronic pain with items scored from "0 = Never true" to "6 = Always true".

Time frame: 8 weeks

Change from baseline in Pain Catastrophizing Scale

One of the most widely used instruments for measuring catastrophic thinking related to pain. A 13-item measure with items rated from "0 = Not at all" to "4 = All the time."

Time frame: 8 weeks

Change from baseline in Tampa Scale for Kinesiophobia

A self-report measure of fear of movement and/or re-injury. 17 items rated from "1 = strongly disagree" to "4 = strongly agree"

Time frame: 8 weeks

Change from baseline in Pittsburgh Sleep Quality Index

A self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval

Time frame: 8 weeks

Secondary Outcomes

Client Satisfaction Questionnaire

An eight item questionnaire regarding client satisfaction with the treatment.

Time frame: At completion of module, approximately 8 weeks

Change from baseline in Beck Depression Inventory - Second Edition

A 21 item self-report measure of severity of depressive symptoms.

Data from ClinicalTrials.gov

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