Online "Pain, Stress & Emotions" Class in Chronic Pain
Online "Pain, Stress & Emotions" Class in Chronic Pain: Single-arm Efficacy Test
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Early Phase 1
Contacts and Locations
Study Locations
-
-
California
-
Palo Alto, California, United States, 94304
- Stanford University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Chronic pain condition (pain > 3 months)
- Access to the internet
- English fluency
Exclusion Criteria:
- Ongoing legal action or disability claim
- Cognitive impairment, non-English speaking, or psychological factors that would preclude comprehension of material and/or full participation in the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Pain, Stress, & Emotions Class
No active or placebo comparator will be used.
This is a single-arm study design.
|
2-hour, zoom-delivered, group intervention focused on teaching patients how pain is processed in their brain and learning about the role of psychosocial factors in their pain conditions.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pain Intensity NRS
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
Self-reported pain intensity rating
|
Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patient-Reported Outcomes Measurement Information System: Pain Interference short form 6a
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
self-reported pain interference levels
|
Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
|
Patient-Reported Outcomes Measurement Information System: Depression 6a
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
self-reported depression
|
Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
|
Patient-Reported Outcomes Measurement Information System: Anxiety 6a
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
self-reported anxiety
|
Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
|
Patient-Reported Outcomes Measurement Information System: Physical Function 8b
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
self-reported physical functioning
|
Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
|
Patient-Reported Outcomes Measurement Information System: Sleep Disturbance 6a
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
self-reported sleep disturbance
|
Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
|
Patient-Reported Outcomes Measurement Information System: social isolation 6a
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
self-reported social isolation
|
Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
|
Patient-Reported Outcomes Measurement Information System: fatigue 6a
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
self-reported fatigue
|
Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
|
Patient-Reported Outcomes Measurement Information System: anger 5a
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
self-reported anger
|
Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
|
Ambivalence over Emotional Expression (AEQ)
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
self-reported ambivalence levels about emotional expression
|
Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
|
Emotion-Approach Coping
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
8-item emotion approach coping scale
|
Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
|
Pain Bothersomeness
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
single-item assessing self-reported levels of pain bothersomeness
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Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pain Attributions Questionnaires
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
Two self-report questionnaires were developed to assess psychological and brain influences on pain.
The 4-item psychological attribution scale assesses patients' beliefs that their thoughts and feelings and psychological therapy impacts pain, and the 3-item brain attribution scale assesses patient's beliefs that their pain is brain-based.
Mean scores will be computed for both scales separately (0-4; higher scores indicating greater belief that pain is a brain-related [brain attribution] construct and that pain is affected by thoughts, feelings, and psychological interventions [psychological attribution])
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Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
|
Pain Catastrophizing Scores; measured with Pain Catastrophizing Scale
Time Frame: Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
Pain Catastrophizing Scale (Sullivan et al., 1995): A summed score of the 13 catastrophizing items will be computed (0-52, higher scores indicate greater catastrophizing)
|
Change from baseline to 1-Month follow-up (with secondary 2-month follow-up)
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Holmes HJ, Thakur ER, Carty JN, Ziadni MS, Doherty HK, Lockhart NA, Schubiner H, Lumley MA. Ambivalence over emotional expression and perceived social constraints as moderators of relaxation training and emotional awareness and expression training for irritable bowel syndrome. Gen Hosp Psychiatry. 2018 Jul-Aug;53:38-43. doi: 10.1016/j.genhosppsych.2018.05.002. Epub 2018 May 3.
- Carty JN, Ziadni MS, Holmes HJ, Tomakowsky J, Peters K, Schubiner H, Lumley MA. The Effects of a Life Stress Emotional Awareness and Expression Interview for Women with Chronic Urogenital Pain: A Randomized Controlled Trial. Pain Med. 2019 Jul 1;20(7):1321-1329. doi: 10.1093/pm/pny182.
- Ziadni MS, Carty JN, Doherty HK, Porcerelli JH, Rapport LJ, Schubiner H, Lumley MA. A life-stress, emotional awareness, and expression interview for primary care patients with medically unexplained symptoms: A randomized controlled trial. Health Psychol. 2018 Mar;37(3):282-290. doi: 10.1037/hea0000566. Epub 2017 Nov 20.
- Thakur ER, Holmes HJ, Lockhart NA, Carty JN, Ziadni MS, Doherty HK, Lackner JM, Schubiner H, Lumley MA. Emotional awareness and expression training improves irritable bowel syndrome: A randomized controlled trial. Neurogastroenterol Motil. 2017 Dec;29(12):10.1111/nmo.13143. doi: 10.1111/nmo.13143. Epub 2017 Jun 22.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- StanfordClass
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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