Co-Adaptation of an Digital Pain Management Program for Canadian Veterans (ADOPTCanVets)
2026年9月15日 更新者：University Health Network, Toronto
Co-Adaptation of a Digital Chronic Pain Self-Management Program for Canadian Veterans
The goal of this study is to gather feedback from Canadian Veterans living with chronic pain, and clinicians serving Canadian Veterans, on an existing digital psychology program for self-management of chronic pain delivered through the Manage My Pain app. This feedback will be used to adapt the program for the needs and experiences of Canadian Veterans.
The main questions it aims to answer are:
- How acceptable, feasible, and engaging is the existing digital psychology program for Canadian Veterans living with chronic pain?
- What changes are needed to make the program more relevant and appropriate for Canadian Veterans living with chronic pain?
Participants will:
- Use the self-guided digital psychology program over a two-week period and complete questionnaires about the program's acceptability and feasibility. Veteran participants will also complete questionnaires about their pain and pain history.
- Take part in a 30- to 45-minute virtual interview to provide feedback about the program and recommendations for its adaptation.
The study does not include a comparison group.
調査の概要
詳細な説明
Chronic pain affects approximately 30% to 50% of Canadian Veterans, many of whom experience barriers to accessing interprofessional pain services, particularly when transitioning from military to civilian healthcare.
Digital health interventions may help address gaps in care by providing accessible, evidence-based self-management support while Veterans await services or alongside their existing clinical care.
However, these interventions must be adapted to reflect Veterans' needs and experiences, including military culture, values and language, pain- and mental health-related stigma, experiences of trauma, and challenges navigating the civilian healthcare system.
Acceptance and Commitment Therapy (ACT) is an evidence-based psychological intervention that can improve pain-related functioning, pain acceptance, and quality of life among people living with chronic pain, including Veterans.
The current study will support the co-adaptation of an existing self-guided digital ACT intervention delivered through the Manage My Pain mobile health platform.
Canadian Veterans living with chronic pain and clinicians experienced in providing evidence-based pain psychology interventions to Veterans will use the existing program and provide feedback through questionnaires and semi-structured interviews.
Their feedback will inform modifications to the program's content, language, format, and delivery to create Advancing Online Pain Psychology Tools for Canadian Veterans (ADOPT-CanVets).
The adapted program will subsequently be ready for evaluation in a feasibility trial.
Once evaluated, ADOPT-CanVets may provide a scalable approach to increasing Canadian Veterans' access to evidence-based psychological support for chronic pain.
研究の種類
観察的
入学 (推定)
22
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前：Hance A Clarke, MD, PhD
- 電話番号：4251 416-340-4800
- メール：hance.clarke@uhn.ca
研究連絡先のバックアップ
- 名前：Peter M Slepian, PhD
- メール：maxwell.slepian@uhn.ca
研究場所
-
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Ontario
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Toronto、Ontario、カナダ、M5G 2N2
- 募集
- Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network
-
コンタクト：
- Deep Grewal
- メール：deep.grewal@uhn.ca
-
コンタクト：
- Hance Clarke, MD, PhD
- 電話番号：4251 416-340-4800
- メール：hance.clarke@uhn.ca
-
主任研究者：
- Hance Clarke, MD, PhD
-
-
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
いいえ
サンプリング方法
非確率サンプル
調査対象母集団
The study population will include two groups recruited in Canada: adult Canadian Armed Forces Veterans living with chronic pain for at least 3 months and healthcare providers experienced in delivering evidence-based pain psychology interventions to Canadian Veterans.
Veterans will be recruited through Canadian Veteran organizations, social media, and existing lists of individuals who have expressed interest in research.
Clinicians will be recruited through professional networks using snowball sampling.
説明
Inclusion Criteria (Veterans):
- Veterans of the Canadian Armed Forces who report having chronic pain (pain for 3 months or longer).
- Have access to a device that can connect to the Internet.
Inclusion Criteria (Clinicians):
- Healthcare providers actively practicing in Canada.
- Healthcare providers delivering evidence-based psychology interventions to Canadian Veterans (e.g., clinical psychologists, psychotherapists, social workers, counselors)
- Have access to a device that can connect to the Internet.
Exclusion Criteria (Veterans):
- Individuals with a known history of serious mental illness (e.g., psychosis and/or active mania).
- Individuals who have limited comprehension of English or comprehension deficits due to dementia.
- Individuals with physical or cognitive impairments that prevent effective engagement with an online intervention (e.g., serious uncorrected visual or hearing impairment).
Exclusion Criteria (Clinicians):
- Healthcare providers who have limited comprehension of English
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
|
Canadian Veterans
Adult Canadian Veterans living with chronic pain for at least 3 months.
Participants will use the existing self-guided digital Acceptance and Commitment Therapy program through the Manage My Pain app over 2 weeks.
They will then complete questionnaires assessing program acceptability, and feasibility, pain and pain history, as well as a semi-structured interview about their experiences with the program and recommended adaptations.
|
A self-guided digital psychology program based on Acceptance and Commitment Therapy and delivered through the Manage My Pain app.
The program includes interactive psychoeducation about chronic pain and Acceptance and Commitment Therapy, recognition of pain-related avoidance, clarification of personal values, identification of meaningful actions, strategies for making room for difficult experiences, and flexible persistence in meaningful activities.
|
|
Clinicians Serving Canadian Veterans
Canadian healthcare providers experienced in delivering evidence-based pain psychology interventions to Veterans.
Participants will use the existing self-guided digital Acceptance and Commitment Therapy program through the Manage My Pain app over 2 weeks.
They will then complete questionnaires assessing program acceptability and feasibility and participate in a semi-structured interview about recommended adaptations for Canadian Veterans.
|
A self-guided digital psychology program based on Acceptance and Commitment Therapy and delivered through the Manage My Pain app.
The program includes interactive psychoeducation about chronic pain and Acceptance and Commitment Therapy, recognition of pain-related avoidance, clarification of personal values, identification of meaningful actions, strategies for making room for difficult experiences, and flexible persistence in meaningful activities.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Program Usage and Engagement as assessed by Manage My Pain Platform Usage Analytics
時間枠：Participants will have their usage analytics tracked from access to the self-guided program to completion of the program, an average of 2 weeks.
|
Manage My Pain platform usage analytics will be used to assess engagement with the self-guided digital psychology program.
Engagement metrics will include module access dates, time spent in each module, and the total number of modules completed by each participant.
A greater number of completed modules will indicate greater program engagement.
|
Participants will have their usage analytics tracked from access to the self-guided program to completion of the program, an average of 2 weeks.
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Program Acceptability as assessed by the Treatment Evaluation Inventory-Short Form
時間枠：Participants will be sent a link to fill out the measure within 1 week of completing the program.
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Program acceptability will be assessed using the 9-item Treatment Evaluation Inventory-Short Form (TEI-SF).
Items are rated on a 5-point scale and summed to produce a total score ranging from 9 to 45. Higher scores indicate greater acceptability.
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Participants will be sent a link to fill out the measure within 1 week of completing the program.
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Program Feasibility as assessed by the Feasibility Survey
時間枠：Participants will be sent a link to fill out the measure within 1 week of completing the program.
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Participants' perceptions of program feasibility, acceptability, usability, and connection to the program will be assessed using a 13-item survey.
Items are rated on a 7-point scale and may be examined individually or averaged to produce a mean score ranging from 1 to 7. The survey also includes an open-ended feedback question.
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Participants will be sent a link to fill out the measure within 1 week of completing the program.
|
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Retrospective Semi-structured Interview
時間枠：Participants will be sent an invitation for an interview within 1 week after completing the survey questions.
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A 30- to 45-minute semi-structured interview will explore participants' experiences with the existing program and their recommendations for adapting its content, language, format, and delivery for Canadian Veterans.
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Participants will be sent an invitation for an interview within 1 week after completing the survey questions.
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その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Pain Intensity as assessed by the PROMIS Pain Intensity-Short Form 3a - Veteran Participants Only
時間枠：Participants will be sent a link to fill out the measure within 1 week of completing the program.
|
Pain intensity among Veteran participants will be assessed using the 3-item Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Intensity-Short Form 3a.
The measure assesses pain at its worst, average pain, and current pain.
Responses will be scored according to PROMIS scoring guidelines, with higher scores indicating greater pain intensity.
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Participants will be sent a link to fill out the measure within 1 week of completing the program.
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Pain Interference as assessed by the PROMIS Pain Interference-Short Form 4a - Veteran Participants Only
時間枠：Participants will be sent a link to fill out the measure within 1 week of completing the program.
|
Pain interference among Veteran participants will be assessed using the 4-item Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference-Short Form 4a.
The measure assesses pain interference in daily activities and social interactions.
Responses will be scored according to PROMIS scoring guidelines, with higher scores indicating greater pain interference.
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Participants will be sent a link to fill out the measure within 1 week of completing the program.
|
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Chronic Pain History as assessed by the Chronic Pain History Questionnaire - Veteran Participants Only
時間枠：Participants will be sent a link to fill out the measure within 1 week of completing the program.
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Chronic pain history among Veteran participants will be characterized using a 4-item self-report questionnaire assessing the duration and frequency of ongoing pain and the type of pain condition experienced.
Responses will be summarized descriptively.
|
Participants will be sent a link to fill out the measure within 1 week of completing the program.
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
捜査官
- 主任研究者：Hance Clarke, MD, PhD、University Health Network, Toronto
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
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- Christo EM. Novel Applications of Virtual Communities in Healthcare Settings: Chapter 4: Manage My Pain. IGI Global; 2017. 271.
- Development & Usability of a Scalable Digital Psychology Intervention for Chronic Postsurgical Pain - IASP [Internet]. https://posters.worldcongress2024.org/. [cited 2025 Jun 24]. Available from: https://posters.worldcongress2024.org/poster/development-usability-of-a-scalable-digital-psychology-intervention-for-chronic-postsurgical-pain/
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研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (推定)
2026年9月14日
一次修了 (推定)
2027年9月1日
研究の完了 (推定)
2027年9月30日
試験登録日
最初に提出
2026年8月26日
QC基準を満たした最初の提出物
2026年9月11日
最初の投稿 (実際)
2026年9月14日
学習記録の更新
投稿された最後の更新 (実際)
2026年9月18日
QC基準を満たした最後の更新が送信されました
2026年9月15日
最終確認日
2026年8月1日
詳しくは
本研究に関する用語
キーワード
追加の関連 MeSH 用語
その他の研究ID番号
- 26-5032
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
いいえ
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いいえ
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いいえ
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