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Improving Functioning in Persons With Chronic Pain Post-SCI Through Virtual Classroom Education
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.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 2
- Fase 1
Contacten en locaties
Studie Locaties
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New Jersey
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West Orange, New Jersey, Verenigde Staten, 07052
- Kessler Foundation
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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)
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Dubbele
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: 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.
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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.
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Experimenteel: 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.
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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.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Change in level of pain interference with activities, measured with the Life Interference Subscale of the Multidimensional Pain Inventory (MPI-LIS)
Tijdsspanne: 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)
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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.
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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)
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Change in pain intensity rated on a 0-10 numerical rating scale
Tijdsspanne: Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
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Pain intensity will be rated on a 0-10 numerical rating scale (0="no pain" and 10="pain as bad as you can imagine").
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Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
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Change in Brief Patient Health Questionnaire scores
Tijdsspanne: Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
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The Brief Patient Health Questionnaire will be used to assess changes in mental health before and after participation in the education program.
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Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
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Change in Mental Health Subscale of the SF-36 scores
Tijdsspanne: Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
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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.
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Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
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Change in Survey of Pain Attitudes scores
Tijdsspanne: Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
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The Survey of Pain Attitudes will be used to assess thoughts and feelings about pain before and after participation in the education program.
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Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
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Change in Coping Strategies Questionnaire scores
Tijdsspanne: Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
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The Coping Strategies Questionnaire will be used to assess thoughts and feelings about pain before and after participation in the education program.
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Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
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Change in Chronic Pain Acceptance Questionnaire scores
Tijdsspanne: Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
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The Chronic Pain Acceptance Questionnaire will be used to assess thoughts and beliefs about pain before and after participation in the education program.
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Week 12 versus baseline; 3, 6, 12 months post-intervention versus baseline
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Pain interference with activities, measured with the Life Interference Subscale of the Change in Multidimensional Pain Inventory (MPI-LIS) scores
Tijdsspanne: 3, 6, 12 months post-intervention versus baseline
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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.
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3, 6, 12 months post-intervention versus baseline
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Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Jeanne M Zanca, PhD, MPT, Kessler Foundation
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- R-860-14
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