This study will test the newly-developed My spinal cord injury (SCI) Toolkit program in two formats - unguided use of the program and use supported by a coach. These two active treatment formats will be compared to treatment as usual (waitlist control) in adults with chronic pain and SCI. Hypotheses include: * Treatment adherence, participant satisfaction, and perception of positive change will be high and drop-out rates low for both treatments but will be better in the coached compared to the unguided arm * In terms of pre- to post-treatment changes in pain interference, coached My SCI Toolkit program will be superior to treatment as usual
All participants will also be asked to complete online surveys at baseline (before being randomized to a group), half-way through the 8-week study period, and after the 8-week study period is over. The surveys are online and can be completed from home. Participants in the unguided and coached programs will also be asked to complete a weekly online survey asking about use of the website in the past week, taking approximately 5 minutes to complete.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
73
Participants will be asked to use the My SCI Toolkit program for 8 weeks (without a coach), following the prompts and guides built into the program.
Participants will be asked to use the My SCI Toolkit program for 8 weeks, following the prompts and guides built into the program. Participants will also have weekly phone calls (the first is about 30-45 minutes, and the rest are about 15 minutes) with a study coach. The coach can help answer questions and tailor the skills more to the participant's goals and needs. The coaching sessions will be audio recording for fidelity purposes.
University of Michigan
Ann Arbor, Michigan, United States
Percent of participants in each arm that dropped out of the study
Time frame: 8 weeks
Number of days/week that My SCI Toolkit was accessed
Time frame: 8 weeks
Number of minutes/week spent on the My SCI Toolkit website
Time frame: 8 weeks
Participant Satisfaction Evaluation
This is a 12-question survey that participants answer with scores ranging from 1-4. The total scores range from 12-48 with a higher score meaning more satisfaction.
Time frame: 8 weeks (post intervention)
Patient Global Impression of Change (PGIC)
This is a one question scale that participants select from no change (1) to a great deal better (7).
Time frame: 8 weeks (post intervention)
Change in SCI-QOL Pain Interference Short Form
This is a 10-question survey that participants answer from not at all (1) to very much (5). Scores are on a T-score metric with Mean=50, Standard Deviation=10. A higher score means more interference.
Time frame: Baseline, 8 weeks (post intervention)
Change in Patient Reported Outcomes Measurement Information System (PROMIS) Pain Intensity Short Form
This is a 3-question survey that is scored on a T-score metric with Mean=50, Standard Deviation=10. A higher score means higher pain intensity.
Time frame: Baseline, 8 weeks (post intervention)
Change in SCI-QOL Pain Behavior Short Form
This survey has 7-questions. Three questions are answered never (1) to always (5) and 3 questions are answered had no pain (1) to always (6). Scores are on a T-score metric with a Mean=50, Standard Deviation=10. A higher score indicates more behavioral manifestations of pain.
Time frame: Baseline, 8 weeks (post intervention)
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