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Completed

NCT Number: NCT01491269

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

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.

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Key information

Conditions

Chronic Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Uppsala University

Uppsala, Sweden

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Guided Internet-based cognitive behavioural treatment

Behavioral

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

Primary outcomes

  1. The Coping Strategies Questionnaire (CSQ)

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

    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.

Secondary outcomes

  1. Hospital Anxiety and Depression Scale, HADS

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

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

  2. Multidimensional Pain Inventory, MPI

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

    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.

  3. Pain and Impairment Relationship Scale (PAIRS)

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

    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.

  4. Quality of Life Inventory (QOLI)

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

    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.

  5. Chronic Pain Acceptance Questionnaire (CPAQ)

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

    CPAQ contains 20 items divided in two scales, engagement and willingness. CPAQ measures acceptance in relation to chronic pain.

Sponsors and collaborators

Lead sponsor

Gerhard Andersson

Other Gov

Registry information

Official study title

Guided Internet-delivered Cognitive-behavioral Therapy for Former Chronic Pain Patients: Randomised Controlled Trial

Important dates

Study start
2009
Primary completion
2009
Study completion
2010
First posted
Dec 13, 2011
Registry last updated
Dec 14, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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