Using Ecological Momentary Assessment to Develop an Adaptive Psychological Intervention for Young Adults With Chronic Pain

Seattle Children's Hospital50 enrolled

Overview

The goal of this observational study is to determine real-time contextual vulnerabilities associated with pain in young adults to inform ideal treatment targets for a just-in-time adaptive intervention (JITAI). The main question it aims to answer is: -What contextual factors and vulnerabilities will predict momentary, next-day, and weekly pain severity? 50 young adults, ages 18-25 with a diagnosis of childhood-onset primary chronic pain, will complete 1) baseline questionnaires on REDCap to collect data on sociodemographics, medical history and treatment, psychological health (i.e., current mood symptoms and previous psychiatric conditions/treatment), and pain (e.g., duration, location) and 2) a 28-day EMA via mobile app to collect survey data on dynamic factors.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Chronic Pain

Eligibility

Sex: ALLMin age: 18 YearsMax age: 25 Years

Medical Language ↔ Plain English

Inclusion Criteria: * ages 18-25 * diagnosis of childhood-onset chronic pain who were seen for an initial evaluation at Seattle Children's Hospital outpatient specialty clinics. Exclusion Criteria: * not fluent in English * does not have regular access to the internet and access to a smartphone device (to complete EMA questions) * presence of chronic disease or serious medical illness (e.g., arthritis, cancer, diabetes) * serious cognitive impairment or developmental disorder (e.g., autism, intellectual disability)

Locations (1)

Outcomes

Primary Outcomes

Momentary Pain intensity

One item from the Brief Pain Inventory will assess momentary pain intensity (yes/no), followed by "How much pain do you feel on average?" (11-point NRS)

Time frame: Three times a day for 28 days

Momentary Pain interference

Two items from the Brief Pain Inventory will assess pain interference with enjoyment in life, and general activity. Higher scores indicate more interference.