Journaling Intervention for Temporomandibular Disorder (TMD) and Chronic Overlapping Pain

University of Florida60 enrolled

Overview

The goal of this clinical trial is to learn whether a 2-week gratitude journaling activity is feasible and acceptable for individuals with Temporomandibular Disorder (TMD) and chronic overlapping pain. The study will also look at whether this activity is helpful in reducing pain and how much it interferes with daily life. The primary aims of this study are to: * Assess whether individuals with TMD and chronic overlapping pain are able to complete the 2-week gratitude journaling activity as planned (feasibility). * Evaluate how acceptable participants find the gratitude journaling activity (acceptability). The secondary aim of this study is to: • Explore whether the gratitude journaling activity reduces pain and its impact on daily life, compared to a general wellness journaling activity. Participants will: * Attend two in-person visits to complete questionnaires and take part in tests that measure how sensitive they are to pressure and heat. * Complete a 2-week journaling activity at home, writing in their journal on three days of their choice per week.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Temporomandibular Disorders (TMD)

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * participants between the ages of 18 and 80 * pain in the temporomandibular (TMD) region (jaw and/or temple area) * duration of pain is at least 3 months * average pain score ≥4 on a 0-10 numerical rating scale over the past week * have at least one additional chronic overlapping pain condition (COPC) including fibromyalgia, irritable bowel syndrome, migraine-type headache, tension-type headache, low back pain, interstitial cystitis/painful bladder syndrome or chronic prostatitis, myalgic encephalomyelitis/chronic fatigue syndrome, vulvodynia, and painful endometriosis. * able to read, understand, and write in English. Exclusion Criteria: * history of TMD surgery * neoplasm or injury/trauma to the TMD area * cancer-related pain * scheduled for any surgeries during the study time-frame * current participation in another clinical trial or psychological treatment for any pain-related condition that would interfere with study outcomes * pregnant or lactating * severe motor impairments (e.g., muscular dystrophy) * severe psychiatric conditions (e.g., uncontrolled mood disorders) * severe neurological or cognitive impairments (e.g., uncontrolled Parkinson's disease) * any other conditions that in the opinion of study investigators could make participation in the study unsafe * use of opioids within 48 hours prior to laboratory visit

Outcomes

Primary Outcomes

Participant Retention

Percentage of participants who initiate treatment/intervention and complete the post-intervention assessment at the 4-week time-point.

Time frame: Baseline to Week 4

Treatment Satisfaction

Single-item Treatment Satisfaction Questionnaire: Response to self-reported item assessing overall satisfaction with the treatment. The item is rated on a 1 to 4 scale (1 = Quite Dissatisfied to 4 = Very Satisfied) with the mean value calculated. A higher score indicates greater satisfaction with the treatment.

Time frame: Week 4

Secondary Outcomes

Pain Intensity

The PROMIS-Pain Intensity short form is a 3-item measure assessing pain intensity over the past 7 days (i.e., "how intense was your pain at its worst"), as well as current level of pain. The total score for the PROMIS Pain Intensity short form will be calculated by summing the numerical values of the responses to each of the three items. After obtaining the total raw score, it will then be converted into a T-score, which standardizes the score with a mean of 50 and a standard deviation of 10, based on the general U.S. population.

Time frame: Baseline, Week 4

Pain Interference

The PROMIS-Pain Interference short form is an 8-item measure assessing the extent to which pain interferes with physical, mental, cognitive, emotional, recreational and social activities over the past 7 days (i.e., "how much did pain interfere with work around home"). The total score for the PROMIS-Pain Interference short form will be calculated by summing the numerical values of the responses to each of the eight items. After obtaining the total raw score, it will then be converted into a T-score, which standardizes the score with a mean of 50 and a standard deviation of 10, based on the general U.S. population.