Internet-based Cognitive Behavioural Treatment for Chronic Back Pain

April 5, 2011 updated by: Linkoeping University

Guided Internet-based Cognitive Behavioural Treatment for Chronic Back Pain Reduces Catastrophizing:a Randomized Controlled Trial

The aim of this study was to investigate whether an Internet-based cognitive behavioural intervention would have an effect on the symptoms of chronic back pain.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

All participants were screened in a live, structured interview before inclusion. It´s a experimental design with a treatment and a control group measured before and after a treatment period.

Study Type

Interventional

Enrollment (Actual)

54

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Sweden
      • Uppsala, Sweden
        • Uppsala University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 65 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • age between 18-65 years
  • access to the Internet
  • having been in contact with a physician
  • back pain of chronic nature
  • in current employment or on short-term sick leave(not longer than 6 months)

Exclusion Criteria:

  • wheelchair user
  • surgical treatment planned
  • history of cardiovascular treatment
  • severe depression

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Internet delivered CBT
Internet delivered cognitive behavioral intervention, 8 weeks treatment.
Behavioral: Guided Internet-based cognitive behavioural treatment
Eight weeks internet-based cognitive behavioural treatment. Treatment consisted of education, cognitive skills acquisition, behavioural rehearsal, generalization and maintenance.
No Intervention: Control condition
Wait-list condition, received treatment after post-treatment assessment.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Coping Strategies Questionnaire - catastrophizing subscale (CSQ)
Time Frame: Two weeks pre treatment to two weeks post treatment
Change from baseline in the catastrophizing subscale to two weeks post treatment.
Two weeks pre treatment to two weeks post treatment

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Multidimensional Pain Inventory (MPI)
Time Frame: Change from baseline Two weeks pre treatment to two weeks 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.
Change from baseline Two weeks pre treatment to two weeks post treatment
Pain and Impairment Relationship Scale (PAIRS)
Time Frame: Change from baseline Two weeks pre treatment to two weeks post treatment.
The questionnaire assesses beliefs and attitudes that patients have regarding pain and ability to function despite discomfort.
Change from baseline Two weeks pre treatment to two weeks post treatment.
Hospital Anxiety and Depression Scale(HADS).
Time Frame: Change from baseline Two weeks pre treatment to two weeks post treatment.
HADS is designed to measure anxiety and depression in non-psychiatric patients treated at hospital clinics.
Change from baseline Two weeks pre treatment to two weeks post treatment.
Quality of Life Inventory (QOLI)
Time Frame: Change from baseline Two weeks pre treatment to two weeks post treatment.
The assessment yields an overall score and profile for 16 areas of life: health, self-esteem, goals and values, money, work, play, learning, creativity, helping, love, friends, children, relatives, home, neighbourhood and community.
Change from baseline Two weeks pre treatment to two weeks post treatment.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Linkoeping University

Collaborators

Uppsala University

Investigators

  • Study Director: Gerhard Andersson, Professor, Linkoeping University
  • Principal Investigator: Monica Buhrman, MSc, Uppsala University
  • Study Chair: Elisabeth Nilsson-Ihrfelt, MSc, Uppsala University
  • Study Chair: Maria Jannert, MSc, Linkoeping University
  • Study Chair: Lars Ström, PhD, Livanda (private practice) Västerås

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2004

Primary Completion (Actual)

May 1, 2005

Study Completion (Actual)

August 1, 2005

Study Registration Dates

First Submitted

April 4, 2011

First Submitted That Met QC Criteria

April 5, 2011

First Posted (Estimate)

April 6, 2011

Study Record Updates

Last Update Posted (Estimate)

April 6, 2011

Last Update Submitted That Met QC Criteria

April 5, 2011

Last Verified

April 1, 2011

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • smarta2011

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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