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Empowered Relief for Caregivers (ER-CY)

17. august 2026 oppdatert av: Laura E Simons, Stanford University

Empowered Relief for Caregivers (ER-CY): A Co-Designed Brief Intervention to Support Families of Youth With Chronic Pain

This study is testing a new program called Empowered Relief for Caregivers (ER-CY), designed to support caregivers of children and teens who live with chronic pain. ER-CY is a single two-hour class delivered online. It teaches skills for managing the stress of caring for a child in pain and for responding to a child's pain in helpful ways.

Up to 80 caregivers of youth with chronic pain will take part in one ER-CY class and then complete surveys and a short interview over the following three months. The researchers want to learn two things: whether caregivers are willing and able to take part and find the program helpful and satisfying, and whether the program lowers caregiver distress and improves their child's day-to-day functioning. What is learned will help guide future programs and care for youth with chronic pain and their families.

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

Background and Rationale: Chronic pain is common in youth and is associated with significant long-term physical and mental health consequences, yet it remains under-recognized and undertreated. Cognitive behavioral therapy (CBT) is an effective treatment, but access barriers limit its reach, leaving a gap for scalable, accessible interventions. Empowered Relief (ER) is a single-session, skills-based intervention that has produced outcomes comparable to multi-session CBT in adults; a youth adaptation (ER-Y) has shown strong feasibility, acceptability, and effectiveness. At the same time, caregiver distress, including anxiety and depressive symptoms, is associated with worse child pain outcomes, but few brief, accessible interventions exist to support caregivers themselves. To address this gap, the investigators co-designed Empowered Relief for Caregivers (ER-CY), a brief virtual intervention for caregivers of youth with chronic pain, and designed this study to evaluate its feasibility, acceptability, and preliminary effectiveness.

Objectives: The study has two aims. Aim 1 is to assess the feasibility and acceptability of ER-CY, indexed by participant attendance and ratings of credibility and satisfaction. Aim 2 is to evaluate preliminary effectiveness, indexed by caregiver distress, caregiver behavior in response to their child's pain, and parent-reported youth pain interference. The investigators hypothesize that ER-CY will demonstrate strong feasibility and acceptability and that caregivers will show reduced distress and reduced unhelpful responses to pain, along with improvements in youth pain-related functioning over time.

Design and Procedures: This is a single-group study enrolling up to 80 caregivers of youth with chronic pain, conducted at the Pediatric Pain Management Clinic at Stanford Medicine Children's Health. Caregivers identified through the clinic complete an eligibility questionnaire, a screening call, and informed consent, and then complete baseline surveys via REDCap. Participants attend one approximately two-hour ER-CY class delivered virtually via Zoom and complete post-class surveys immediately afterward. Within one to two weeks, participants complete a semi-structured qualitative interview, which is audio- and video-recorded for analysis. Outcome and monitoring assessments are repeated at 1, 2, and 3 months following the intervention. Changes over time will be examined using mixed-effects models, and no interim analysis is planned.

Studietype

Intervensjonell

Registrering (Antatt)

80

Fase

  • Ikke aktuelt

Kontakter og plasseringer

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Studiekontakt

Studer Kontakt Backup

Studiesteder

  • Forente stater
    • California
      • Palo Alto, California, Forente stater, 94304

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Nei

Beskrivelse

Inclusion Criteria:

  • Caregiver of a youth with a chronic pain diagnosis (>3 months in duration)
  • English speaking

Exclusion Criteria:

  • Significant psychosocial complexity based on clinical team assessment (e.g., severe depression/anxiety, unable to tolerate a group setting)

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Intervensjonsmodell: Enkeltgruppeoppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Empowered Relief for Caregivers (ER-CY)
Participants in this single-group study attend one approximately two-hour Empowered Relief for Caregivers class, a co-designed, skills-based intervention delivered virtually via Zoom. The class teaches caregivers of youth with chronic pain strategies to manage their own distress and to respond adaptively to their child's pain. All enrolled participants receive the ER-CY intervention; there is no comparison arm.
Atferdsmessig: Empowered Relief for Caregivers (ER-CY)
Empowered Relief for Caregivers is a single-session, skills-based behavioral intervention delivered virtually via Zoom in one session of approximately two hours. Co-designed with caregivers, it adapts the Empowered Relief approach for caregivers of youth with chronic pain, teaching strategies to reduce caregiver distress and to respond more adaptively to a child's pain. All participants receive the same single class; there are no additional sessions or booster components.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Programtilbakemeldingsskala
Tidsramme: Umiddelbart etter timen
Programtilbakemeldingsskalaen vurderer deltakernes samtykke til syv påstander som indikerer deres oppfattede akseptabilitet og gjennomførbarhet basert på en skala (poengsum 0 = "virkelig uenig" til 4 = "virkelig enig") med en høyere poengsum som indikerer positiv tilbakemelding og to åpne spørsmål.
Umiddelbart etter timen
Treatment Expectancy and Credibility: Caregiver Version
Tidsramme: Immediately post class
The Treatment Expectancy and Credibility: Caregiver Version assesses treatment expectations and credibility with standardized sum scores from using a numeric rating scale (score 0 = "not at all" to 10 = "very much") with a higher score indicating high expectations.
Immediately post class
Exit Interview
Tidsramme: 1-2 weeks post class
Semi-structured qualitative interview conducted with caregivers following the ER-CY class to assess intervention acceptability and gather feedback on their experience. Interviews are audio/video recorded, transcribed, and analyzed thematically to characterize caregivers' perspectives on program content, delivery, perceived helpfulness, and suggestions for refinement.
1-2 weeks post class

Sekundære resultatmål

Resultatmål
Tidsramme
Adult Responses to Children's Symptoms (ARCS) - Protect Subscale
Tidsramme: Pre-class, 1 month, 2 months, and 3 months post class
Pre-class, 1 month, 2 months, and 3 months post class
Bath Adolescent Pain Parental Impact Questionnaire
Tidsramme: Pre-class, 1 month, 2 months, and 3 months post class
Pre-class, 1 month, 2 months, and 3 months post class
Child Activity Limitations Interview-9
Tidsramme: Pre-class, 1 month, 2 months, and 3 months post class
Pre-class, 1 month, 2 months, and 3 months post class
Generalized Anxiety Disorder-2
Tidsramme: Pre-class, 1 month, 2 months, and 3 months post class
Pre-class, 1 month, 2 months, and 3 months post class
Pain Catastrophizing Scale - Parent
Tidsramme: Pre-class, 1 month, 2 months, and 3 months post class
Pre-class, 1 month, 2 months, and 3 months post class
Pain Catastrophizing Scale
Tidsramme: Pre-class, 1 month, 2 months, and 3 months post class
Pre-class, 1 month, 2 months, and 3 months post class
Patient Health Questionnaire-2
Tidsramme: Pre-class, 1 month, 2 months, and 3 months post class
Pre-class, 1 month, 2 months, and 3 months post class
Parent Psychological Flexibility Questionnaire - 10
Tidsramme: Pre-class, 1 month, 2 months, and 3 months post class
Pre-class, 1 month, 2 months, and 3 months post class
Parent Risk and Impact Screening Measure - 12
Tidsramme: Pre-class, 1 month, 2 months, and 3 months post class
Pre-class, 1 month, 2 months, and 3 months post class

Samarbeidspartnere og etterforskere

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Sponsor

Stanford University

Etterforskere

  • Hovedetterforsker: Laura Simons, PhD, Stanford University

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

1. oktober 2026

Primær fullføring (Antatt)

1. desember 2027

Studiet fullført (Antatt)

1. september 2028

Datoer for studieregistrering

Først innsendt

3. juni 2026

Først innsendt som oppfylte QC-kriteriene

3. juni 2026

Først lagt ut (Faktiske)

9. juni 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

20. august 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

17. august 2026

Sist bekreftet

1. august 2026

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • 86875

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