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Development of a Pain Rehabilitation Program for Chronic Pain After SCI
Feasibility of a New Digital Pain Rehabilitation Program for People With SCI
Pain rehabilitation programs are essential for optimal treatment of chronic pain and are usually based on the biopsychosocial model. This is, however, not standard care for people with chronic pain after a spinal cord injury (SCI) due to a biomedical focused perspective of SCI and lack of adapted programs.
The aims of this feasibility study:
- Develop a new digital pain rehabilitation program, adapted for the needs of people living with an SCI.
- To investigate the feasibility and acceptability of a new digital pain rehabilitation program.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
This study follows the guidelines of Medical Research Council for complex interventions and the proposed iterative feasibility process to improve and prepare the intervention for future testing in an RCT study. The research group will, toghether with a reference groups, develop a digital intervention porposal. The program will be a team-based, goal-oriented program for patients with spinal cord injury (SCI) and chronic pain.
In this study, eligible participants are included in an 8 week pain rehabilitation program. The program is developed through user-involvement i.e. together with clinicians (experienced in pain rehabilitation and/or SCI rehabilitation), stakeholders, researchers and individuals with SCI. The program will include video material for education, home exercises and group discussions led by clinicians with long experience in pain rehabilitation and SCI.
The participants will fill in self-assessed questionaries at baseline and after the finish of the program about their pain, sleep, mood and quality of life. After the program some of the participants will be asked to participate in semi-structured interviews about how they navigate and engage with different components of the program. The patients will be recruited during a rutine follow up at an SCI clinic.
Seven factors will be studied to assess the feasibility and acceptability of the program, based on set goals according to the Traffic Light method.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Gunilla Stenberg, Docent
- Telefoonnummer: +46 90 7869895
- E-mail: gunilla.stenberg@umu.se
Studie Contact Back-up
- Naam: Sofia Björkbacka, MSc
- Telefoonnummer: 0046907869349
- E-mail: sofia.bjorkbacka@umu.se
Studie Locaties
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Umeå, Zweden, 90736
- Inst. Community Medicine and Rehabilitation
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- two years since injury
- Stable pain medication?
Exclusion Criteria:
- severe cognitive impairment
- Alcohol or drug abuse
- does not understand Swedish
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: Spinal cord injury (SCI) and chronic pain
People with chronic pain after spinal cord injury
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8- week pain rehabilitation program.
The first meeting of the program is located at a hospital facility and thereafter they will meet at a digital platform.The program include education, home exercises and group meetings.
The program consists of 4 modules.
1. Physical exercise and ergonomics.
2. Structure and recovery.
3. Employment/occupation and social support.
4. ACT and coping.
Each module lasts for two weeks.
The program will include video material for education, home exercises and group discussions led by clinicians with long experience in pain rehabilitation and SCI.
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Recruitment rate, number recruited per quarter
Tijdsspanne: At enrollment
|
Continue=6 Solve=4 Stop=3
|
At enrollment
|
|
Number of participant with treatment-related advere events as assessed by...
Tijdsspanne: From enrollment to the end of tretment at 8 weeks
|
From enrollment to the end of tretment at 8 weeks
|
|
|
Participant retention- Completion rates
Tijdsspanne: The end of the 8- week program
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>75% continue, 50-75% Solve, <50% stop
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The end of the 8- week program
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Program Adherence
Tijdsspanne: The end of the 8-week program
|
Continue >75%, solve 50-75%, stop <50%
|
The end of the 8-week program
|
|
Patients' self-perceived relevance, timing and mode of delivery
Tijdsspanne: >70% Continue, Solve 50-70%, Stop <50%
|
Patient evaluation, satisfied patients
|
>70% Continue, Solve 50-70%, Stop <50%
|
|
Assessment procedure acceptance- Patient evaluations, proportions of completed questionnaires
Tijdsspanne: At the end of the 8-week program
|
>80% continue, 50-80% solve, <50% stop
|
At the end of the 8-week program
|
|
Fidelity of delivery - Process evaluations
Tijdsspanne: End of the 8-week program
|
End of the 8-week program
|
Medewerkers en onderzoekers
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
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
- Pijn
- Neurologische manifestaties
- Ziekten van het centrale zenuwstelsel
- Ziekten van het zenuwstelsel
- Wonden en verwondingen
- Neuromusculaire aandoeningen
- Ziekten van het perifere zenuwstelsel
- Neurologische gedragsmanifestaties
- Trauma, zenuwstelsel
- Ziekten van het ruggenmerg
- Perceptuele stoornissen
- Pathologische aandoeningen, tekenen en symptomen
- Tekenen en symptomen
- Chronische pijn
- Neuralgie
- Ruggenmergletsels
- Agnosie
Andere studie-ID-nummers
- 2023-04232-01
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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