- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02859545
Study to Understand Pain Experiences in Relationships (SUPER)
April 21, 2019 updated by: Angelia Corley, Wayne State University
Chronic pain is a highly prevalent and costly health care problem.
Yet, little is known about the optimal ways for health care providers and family members to respond to the distress expressed by people with chronic pain.
The aim of the current study is to compare two models of responsiveness to identify responses that result in better functioning and adjustment.
An experimental design will be used to test the extent to which emotional validation (e.g., an empathic response to distress) increases or decreases pain behaviors during physical activity.
Romantic partners of individuals with chronic pain will be randomly assigned to receive validation or control training.
Following training, people with chronic pain and their partners will engage in a discussion about pain and complete household tasks to examine the effects of partner training on communication, pain intensity, and pain behavior.
Additionally, each individual in the couple will complete self-report measures after the discussion, after the household tasks, and one-month following the laboratory visit.
Study Overview
Status
Completed
Conditions
Study Type
Interventional
Enrollment (Actual)
80
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
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Michigan
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Detroit, Michigan, United States, 48202
- Wayne State University's Relationships and Health Lab
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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 and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Romantic couples who are married or living with each other for 6 months or longer or have been in a romantic relationship 2+ years.
- One individual in the couple must have chronic muscoskeletal pain, lasting 3 months or longer. Participants may have multiple pain sites.
- The individual with chronic pain must report that their pain occurs nearly daily.
- The individual with chronic pain must have an average pain intensity of 3 or greater on an 11-point scale (from 0: no pain to 10: worst pain imaginable)
- The individual with chronic pain must have an average pain interference of 3 or greater on an 11-point scale (from 0: does not interfere to 10: completely interferes)
Exclusion Criteria:
- One or both individuals in the couple are unable to speak, read, or write in English.
- Both individuals in the couple have chronic pain. Couples may consist of one individual with chronic pain and one individual with "minimal pain", which we define as having some aspects of chronic pain but not all (e.g., has had nearly daily pain for 4 months but rates their pain below 3 in regards to interference and intensity)
- One or both individuals in the couple have widespread pain (e.g., fibromyalgia)
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: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Validation Training
In this arm, the romantic partner of the individual with chronic pain receives training on how to validate which is provided by the research assistant.
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In this intervention, romantic partners of individuals with chronic pain are trained individually by a research assistant.
The romantic partner is trained on how to validate the individual with chronic pain's pain-related distress and given education about validation.
This involves an approximately 45-minute brief, interactive training.
Other Names:
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Placebo Comparator: Education Training
In this arm, the romantic partner of the individual with chronic pain receives training on how to ask questions about treatments, which is provided by the research assistant.
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In this intervention, romantic partners of individuals with chronic pain are trained individually by a research assistant.
The romantic partner is trained on how to ask health professionals questions about treatment options and given health education about chronic pain.
This involves an approximately 45-minute brief, interactive training.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain Behavior (Behavioral coding)
Time Frame: During lab visit, during household tasks conducted in the laboratory, approx. 15 - 35 mins. after partner training (intervention)
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Pain behaviors (e.g., grimacing, guarding) measured with behavioral coding conducted by research assistants.
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During lab visit, during household tasks conducted in the laboratory, approx. 15 - 35 mins. after partner training (intervention)
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Pain Intensity (0 - 10 self-report rating scale)
Time Frame: During lab visit, during discussion task, approx. 5 minutes after partner training (intervention)
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The individual with chronic pain will be asked to report on the pain they experienced during the discussion with their partner, controlling for their baseline pain rating at the beginning of their laboratory visit.
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During lab visit, during discussion task, approx. 5 minutes after partner training (intervention)
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Pain Intensity (0 - 10 self-report rating scale)
Time Frame: During lab visit, during household tasks, approx. 15 - 35 mins. after partner training (intervention)
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The individual with chronic pain will be asked to report on the pain they experienced during each household task (e.g., making a bed), controlling for baseline pain rating at the beginning of their laboratory visit.
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During lab visit, during household tasks, approx. 15 - 35 mins. after partner training (intervention)
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Number of Partner Validating Responses (Behavioral coding)
Time Frame: During lab visit, during discussion task, approx. 5 minutes after partner training (intervention)
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Validating responses will be coded by research assistants.
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During lab visit, during discussion task, approx. 5 minutes after partner training (intervention)
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Number of Partner Invalidating Responses (Behavioral coding)
Time Frame: During lab visit, during discussion task, approx. 5 minutes after partner training (intervention)
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Invalidating responses will be coded by research assistants.
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During lab visit, during discussion task, approx. 5 minutes after partner training (intervention)
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Pain-Related Emotional Disclosures (Behavioral coding)
Time Frame: During lab visit, during household tasks, approx. 15 - 35 mins. after partner training (intervention)
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Behavioral coding by research assistants, accounting for activity level during household tasks.
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During lab visit, during household tasks, approx. 15 - 35 mins. after partner training (intervention)
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Number of Partner Validating Responses (Behavioral coding)
Time Frame: During lab visit, during household tasks, approx. 15 - 35 mins. after partner training (intervention)
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Validating responses will be coded by research assistants
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During lab visit, during household tasks, approx. 15 - 35 mins. after partner training (intervention)
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Number of Partner Invalidating Responses (Behavioral coding)
Time Frame: During lab visit, during household tasks, approx. 15 - 35 mins. after partner training (intervention)
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Invalidating responses will be coded by research assistants
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During lab visit, during household tasks, approx. 15 - 35 mins. after partner training (intervention)
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Partner Instrumental support (Behavioral coding)
Time Frame: During lab visit, during household tasks, approx. 15 - 35 mins. after partner training (intervention)
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Partner instrumental support includes number of offers of assistance, acts of assistance, and behaviors that discourage physical activity, which will be measured by behavioral coding by research assistants
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During lab visit, during household tasks, approx. 15 - 35 mins. after partner training (intervention)
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Individual with Chronic Pain Assistance Behavior (Behavioral coding)
Time Frame: During lab visit, during household tasks, approx. 15 - 35 mins. after partner training (intervention)
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Includes requests for assistance and accepting assistance, as measured by behavioral coding conducted by a research assistant
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During lab visit, during household tasks, approx. 15 - 35 mins. after partner training (intervention)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Relationship Satisfaction (Questionnaire)
Time Frame: 1-month after the intervention
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Couples Satisfaction Index, Funk & Rogge, 2007.
Both partners' self-reports of relationship satisfaction.
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1-month after the intervention
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Interpersonal Closeness (Questionnaire)
Time Frame: During lab visit, during discussion task (approx. 5 mins. after intervention), and during household tasks (approx. 15 - 35 mins. after intervention), and 1-month after intervention
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Inclusion of Other in Self Scale, Aron, Aron, & Smollan, 1992.
Both partners' self-reports of interpersonal closeness.
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During lab visit, during discussion task (approx. 5 mins. after intervention), and during household tasks (approx. 15 - 35 mins. after intervention), and 1-month after intervention
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Perceived Partner Responsiveness (Questionnaire)
Time Frame: During lab visit, during discussion task (approx. 5 mins. after intervention), and during household tasks (approx. 15 - 35 mins. after intervention), and 1-month after intervention
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Reis et al., 2003.Both partners' self-reports on Perceived Partner Responsiveness.
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During lab visit, during discussion task (approx. 5 mins. after intervention), and during household tasks (approx. 15 - 35 mins. after intervention), and 1-month after intervention
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Pain Intensity (Questionnaire)
Time Frame: 1-month after the intervention
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Brief Pain Inventory, Cleeland, 1992.
The individual with chronic pain reports on their pain intensity using a 0 - 10 self-report scale, and indicates their average pain intensity over the last 24 hours.
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1-month after the intervention
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Accuracy of Estimate of Individual with Chronic Pain's Pain Intensity
Time Frame: During lab visit, during discussion task (approx. 5 mins. after intervention), and during household tasks (approx. 15 - 35 mins. after intervention), and 1-month after intervention
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Romantic partner will be asked to estimate the individual with chronic pain's average pain intensity, which will be compared to the individual with chronic pain's report to assess accuracy.
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During lab visit, during discussion task (approx. 5 mins. after intervention), and during household tasks (approx. 15 - 35 mins. after intervention), and 1-month after intervention
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Close other responses to pain and partner support (Questionnaire)
Time Frame: 1-month after the intervention
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West Haven-Yale Multidimensional Pain Inventory, Kerns, Turk, & Rudy, 1985.
Both partners' reports of partner responses to pain and partner support, i.e., self-report for the partner, and other-report for the individual with chronic pain.
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1-month after the intervention
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Perceived Partner Validation (Questionnaire)
Time Frame: During lab visit, during discussion task (approx. 5 mins. after intervention), and during household tasks (approx. 15 - 35 mins. after intervention), and 1-month after intervention
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Both partners' reports of partner's validation behavior, i.e., self-report for the partner, and other-report for the individual with chronic pain.
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During lab visit, during discussion task (approx. 5 mins. after intervention), and during household tasks (approx. 15 - 35 mins. after intervention), and 1-month after intervention
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Perceived Partner Invalidation (Questionnaire)
Time Frame: During lab visit, during discussion task (approx. 5 mins. after intervention), and during household tasks (approx. 15 - 35 mins. after intervention), and 1-month after intervention
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Both partners report on partner's invalidation behavior, i.e., self-report for the partner, and other-report for the individual with chronic pain.
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During lab visit, during discussion task (approx. 5 mins. after intervention), and during household tasks (approx. 15 - 35 mins. after intervention), and 1-month after intervention
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Ambivalence about emotional expression measured by Holding Back Scale (Questionnaire)
Time Frame: 1-month after the intervention
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1-month after the intervention
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Self- and Other-Oriented Distress (Questionnaire)
Time Frame: During lab visit, during discussion task (approx. 5 mins. after intervention) and during household tasks (approx. 15 - 35 mins. after intervention)
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Batson, Fultz, & Schoendrade, 1987.
Both partners' self-report of self- and other-oriented distress.
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During lab visit, during discussion task (approx. 5 mins. after intervention) and during household tasks (approx. 15 - 35 mins. after intervention)
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Individual with Chronic Pain's Emotional Expression (Questionnaire)
Time Frame: During lab visit, during discussion task (approx. 5 mins. after intervention), and during household tasks (approx. 15 - 35 mins. after intervention), and 1-month after intervention
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Both partners' report on individual with chronic pain's emotional expression.
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During lab visit, during discussion task (approx. 5 mins. after intervention), and during household tasks (approx. 15 - 35 mins. after intervention), and 1-month after intervention
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Individual with Chronic Pain's Pain Expression (Questionnaire)
Time Frame: During lab visit, during discussion task (approx. 5 mins. after intervention)and during household tasks (approx. 15 - 35 mins. after intervention)
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Both partners' report on individual with chronic pain's pain expression.
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During lab visit, during discussion task (approx. 5 mins. after intervention)and during household tasks (approx. 15 - 35 mins. after intervention)
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Perceived Division of Workload and Collaboration (Questionnaire)
Time Frame: After household tasks (approx. 35 - 45 mins. after intervention)
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Both partners' report on their perceptions of division of workload and collaboration during household tasks.
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After household tasks (approx. 35 - 45 mins. after intervention)
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Satisfaction with the discussion (Questionnaire)
Time Frame: After discussion (approx. 15 mins. after intervention)
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Both partners' report on their satisfaction with the discussion.
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After discussion (approx. 15 mins. after intervention)
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Satisfaction with household tasks
Time Frame: After household tasks (approx. 35 - 45 mins. after intervention)
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Both partners' report
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After household tasks (approx. 35 - 45 mins. after intervention)
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Angelia M Corley, M.A., Wayne State University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Helpful Links
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 (Actual)
July 1, 2016
Primary Completion (Actual)
December 1, 2017
Study Completion (Actual)
June 1, 2018
Study Registration Dates
First Submitted
August 1, 2016
First Submitted That Met QC Criteria
August 3, 2016
First Posted (Estimate)
August 9, 2016
Study Record Updates
Last Update Posted (Actual)
April 23, 2019
Last Update Submitted That Met QC Criteria
April 21, 2019
Last Verified
April 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ACorley
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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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