Online Chronic Pain Therapy for Adults

This study will evaluate the usefulness of an online, self-directed treatment for chronic pain that has been designed specifically for individuals who are currently or have previously served in the military.

Study Overview

• Status: Completed
• Conditions: Chronic Pain
• Intervention / Treatment: Behavioral: Online ABBT for Chronic Pain in Military

Detailed Description

This study will evaluate the efficacy of an eight-module, online, self-directed treatment for chronic pain using Acceptance-Based Behavioural Therapy (ABBT) as the treatment modality. The online modules are tailored to the unique issues of individuals with a military background. The modules will be delivered via the WebCAPSI Therapy program, an online, password-protected program that allows participants to anonymously progress through all modules at their own pace. ABBT modules cover the following: Introduction, Acceptance, Values, Cognitive Defusion, Mindfulness, Exercise/Pacing/Communication Skills, Self-as-Context, and Willingness. Modules encourage understanding of the information through audio files, military-specific vignettes, written materials, and homework exercises. Modules are designed to be completed in 60 minutes or less. Participants will have access to the online treatment for a three month period and will be encouraged to complete one module per week.

• Study Type: Interventional
• Enrollment (Actual): 25
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Canada
  • Manitoba
    • Winnipeg, Manitoba, Canada, R3J 0L3
      • OSI Clinic, Deer Lodge Centre

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Chronic pain condition of duration 6 months or longer
• Patient at OSI Clinic in Winnipeg
• Access to a computer with internet at least once per week for 60 minutes

Exclusion Criteria:

• Active psychosis
• Actively suicidal
• Unstable living conditions
• Seriously impaired concentration
• Inability to read and write in English

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

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: Treatment arm; This is an open-label pilot study with no control group. Participants pre-treatment scores are compared to their post-treatment scores.	Behavioral: Online ABBT for Chronic Pain in Military; Participants will complete an 8-module, self-paced, online program for chronic pain using Acceptance-Based Behavioural Therapy (ABBT) as the therapeutic modality.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change from baseline in McGill Pain Questionnaire - Short Form	A brief self-report questionnaire that measures sensory and affective components of clinical pain.	8 weeks
Change from baseline in Chronic Pain Acceptance Questionnaire - Revised	A 20-item measure of acceptance of chronic pain with items scored from "0 = Never true" to "6 = Always true".	8 weeks
Change from baseline in Pain Catastrophizing Scale	One of the most widely used instruments for measuring catastrophic thinking related to pain. A 13-item measure with items rated from "0 = Not at all" to "4 = All the time."	8 weeks
Change from baseline in Tampa Scale for Kinesiophobia	A self-report measure of fear of movement and/or re-injury. 17 items rated from "1 = strongly disagree" to "4 = strongly agree"	8 weeks
Change from baseline in Pittsburgh Sleep Quality Index	A self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval	8 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Client Satisfaction Questionnaire	An eight item questionnaire regarding client satisfaction with the treatment.	At completion of module, approximately 8 weeks
Change from baseline in Beck Depression Inventory - Second Edition	A 21 item self-report measure of severity of depressive symptoms.	3 months
Change from baseline in Beck Anxiety Inventory	A 21-item self-report measure assessing severity of symptoms of anxiety	3 months
Change from baseline in PTSD Checklist - Military Version	A 17-item self-report measure assessing severity of PTSD symptoms related to stressful military experiences.	3 months

Collaborators and Investigators

• Sponsor: University of Manitoba
• Investigators: Principal Investigator: Pamela L Holens, Ph.D., University of Manitoba

Study record dates

Study Major Dates

• Study Start: June 1, 2012
• Primary Completion (Actual): February 1, 2015
• Study Completion (Actual): February 1, 2015

Study Registration Dates

• First Submitted: May 10, 2012
• First Submitted That Met QC Criteria: May 14, 2012
• First Posted (Estimate): May 17, 2012

Study Record Updates

• Last Update Posted (Estimate): August 21, 2015
• Last Update Submitted That Met QC Criteria: August 19, 2015
• Last Verified: August 1, 2015

More Information

Terms related to this study

• Keywords: Chronic Pain; Veteran; Military; Online; Acceptance
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Chronic Pain
• Other Study ID Numbers: H2012:078