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Improving Functioning in Persons With Chronic Pain Post-SCI Through Virtual Classroom Education

2020년 5월 8일 업데이트: Kessler Foundation

Chronic pain (pain that is that is present for a long period of time) is very common among people with spinal cord injury (SCI).

The purpose of this study is to compare how well two different web-based education programs reduce the level to which chronic pain interferes with daily activities and well-being.

연구 개요

상세 설명

Chronic pain (pain that is present for a long period of time) is common among people with spinal cord injury (SCI). The pain is often severe and can affect daily activities. Unfortunately, common treatments such as medications provide incomplete relief from chronic pain. Thus, persons with SCI have to find alternate ways to live a happy, healthy, and productive life, even with some pain.

The purpose of this study is to compare how well two different web-based education programs reduce the level to which chronic pain interferes with daily activities and well-being.

연구 유형

중재적

등록 (실제)

75

단계

  • 2 단계
  • 1단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

    • New Jersey
      • West Orange, New Jersey, 미국, 07052
        • Kessler Foundation

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

설명

Inclusion Criteria:

  • SCI for at least one year
  • Chronic pain for at least three months that is moderate to severe
  • Fluent in English
  • Not currently starting a new pain treatment or changing a previous pain treatment

Exclusion Criteria:

  • Lack of access to a computer with high-speed internet access, at home or another location
  • Cancer or conditions that may worsen over time (such as multiple sclerosis, Parkinson Disease, Alzheimer's disease) and may affect physical or mental functioning
  • Significant difficulties with learning or memory
  • Previous participation in a health and function education program specifically designed for people with chronic pain and SCI
  • Inability to understand English well
  • Other conditions not related to SCI that cause pain (such as fibromyalgia)

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 더블

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: Web-Based Education Program Type 1
The education program involves ten weeks of web-based classes (1.5 hours per class) given once per week with daily homework assignments of approximately 30 minutes per day.
The classes will discuss topics related to health and functioning of people with spinal cord injury. During these classes, participants will be given information by the class instructor and will also participate in discussions and other learning activities with the rest of the group. Participants will be assigned activities to complete at home for about 30 minutes per day that relate to the topics discussed in class.
실험적: Web-Based Education Program Type 2
The education program involves ten weeks of web-based classes (1.5 hours per class) given once per week with daily homework assignments of approximately 30 minutes per day.
The classes will discuss topics related to health and functioning of people with spinal cord injury. During these classes, participants will be given information by the class instructor and will also participate in discussions and other learning activities with the rest of the group. Participants will be assigned activities to complete at home for about 30 minutes per day that relate to the topics discussed in class.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Change in level of pain interference with activities, measured with the Life Interference Subscale of the Multidimensional Pain Inventory (MPI-LIS)
기간: Average of scores obtained during baseline (Week 1 and Week 2) compared to scores obtained during Week 12 (the week in which the program is completed)
The extent to which pain interferes with daily activities will be measured with the Life Interference Subscale of the Multidimensional Pain Inventory (MPI-LIS). The MPI-LIS is a self-report of extent of interference of pain with life activities and the enjoyment of life. The subscale will be modified to remove two items related to work, as recommended based on a factor analysis of the subscale in persons with SCI.
Average of scores obtained during baseline (Week 1 and Week 2) compared to scores obtained during Week 12 (the week in which the program is completed)

2차 결과 측정

결과 측정
측정값 설명
기간
Change in pain intensity rated on a 0-10 numerical rating scale
기간: Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
Pain intensity will be rated on a 0-10 numerical rating scale (0="no pain" and 10="pain as bad as you can imagine").
Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
Change in Brief Patient Health Questionnaire scores
기간: Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
The Brief Patient Health Questionnaire will be used to assess changes in mental health before and after participation in the education program.
Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
Change in Mental Health Subscale of the SF-36 scores
기간: Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
The Mental Health Subscale of the SF-36 will be used to assess changes in mental health and well-being before and after participation in the education program.
Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
Change in Survey of Pain Attitudes scores
기간: Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
The Survey of Pain Attitudes will be used to assess thoughts and feelings about pain before and after participation in the education program.
Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
Change in Coping Strategies Questionnaire scores
기간: Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
The Coping Strategies Questionnaire will be used to assess thoughts and feelings about pain before and after participation in the education program.
Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
Change in Chronic Pain Acceptance Questionnaire scores
기간: Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
The Chronic Pain Acceptance Questionnaire will be used to assess thoughts and beliefs about pain before and after participation in the education program.
Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
Pain interference with activities, measured with the Life Interference Subscale of the Change in Multidimensional Pain Inventory (MPI-LIS) scores
기간: 3, 6, 12 months post-intervention versus baseline
The extent to which pain interferes with daily activities will be measured with the Life Interference Subscale of the Multidimensional Pain Inventory (MPI-LIS). The MPI-LIS is a self-report of extent of interference of pain with life activities and the enjoyment of life. The subscale will be modified to remove two items related to work, as recommended based on a factor analysis of the subscale in persons with SCI.
3, 6, 12 months post-intervention versus baseline

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

협력자

수사관

  • 수석 연구원: Jeanne M Zanca, PhD, MPT, Kessler Foundation

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작

2015년 3월 1일

기본 완료 (실제)

2018년 12월 31일

연구 완료 (실제)

2019년 12월 31일

연구 등록 날짜

최초 제출

2015년 2월 11일

QC 기준을 충족하는 최초 제출

2015년 9월 25일

처음 게시됨 (추정)

2015년 9월 28일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2020년 5월 12일

QC 기준을 충족하는 마지막 업데이트 제출

2020년 5월 8일

마지막으로 확인됨

2020년 5월 1일

추가 정보

이 연구와 관련된 용어

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

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