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The Norwegian "iCanCope With Pain" App

4 november 2022 uppdaterad av: Erik Grasaas, University of Agder

Cultural Adaptation and Evaluation of the "iCanCope With Pain" App Among Norwegian Adolescents Living With Pain

Background: Research evidence shows that prevalence of pain in adolescents is increasing and is therefore recognized as a growing health problem. Psychological interventions delivered remotely through the internet may reduce intensity or severity of pain among children and adolescents with chronic pain. The iCanCope with Pain program is an existing web- and mobile-based self-management program, which is developed as a multi-center study funded by the Canadian Institutes of Health Research and is based on identified health care needs and current best practices for pain self-management.

Objectives: The primary objectives are to describe the translation and cultural adaptation of the Norwegian version of the iCanCope with Pain mobile application and evaluate the effect in an upcoming randomized controlled trail with adolescents with chronic pain.

Study sample: 16-19-year-old adolescents with self-declared persistent and/or chronic pain. Recruited from high schools in Southern Norway.

Theoretical framework: Cognitive behavioral therapy (CBT) is explained by an integration of behavioral and cognitive theories of human behavior and psychopathology and is often the preferred treatment of choice for adolescents with different health disorders. The theoretical framework of CBT is integrated in the iCanCope with Pain app in terms of five components. The intervention group will receive the app with all five components: (I) symptom trackers for pain, sleep, mood, physical, and social function; (II) goal setting to improve pain and function; (III) coping toolbox of pain self-management strategies; (IV) social support; (V) age-appropriate pain education. The control group will receive the app with only the first self-registration component (I) symptom trackers for pain, sleep, mood, physical, and social function.

Methods: Both qualitative and quantitative data will be gathered for evaluating the Norwegian version of the iCanCope with Pain app. Usability testing are assessed in both laboratory settings and in field using observation, interviews and questionnaires, which provide necessary information for an upcoming randomized controlled trail (RCT). Outcomes will in the RCT be measured at baseline (mid-April) and after an 8 weeks intervention (mid-June).

The study is part of a PhD project.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Faktisk)

112

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Norge
      • Kristiansand, Norge, 4633
        • Erik Grasaas

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

16 år till 19 år (Barn, Vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  1. 16-19-year-old adolescents
  2. with persistent and/or chronic pain, weekly suffered and lasting 3 months or more based on subjective reporting
  3. be able to read and understand Norwegian
  4. have their own smartphone.

Exclusion Criteria:

  1. Adolescents with cognitive disability or diseases, because of the risk of not correctly understanding the iCanCope with Pain program via self-report, goal setting and/or library reading.
  2. Adolescents that have participated in the usability testing of the Norwegian iCanCope with Pain app
  3. Adolescents with diagnoses from a pathological or medical origin (e.g hematology/oncology patients) will also be excluded because the program was not specifically designed for these pain groups.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Intervention group
The intervention group will receive the iCanCope with Pain app with all five components: (I) symptom trackers for pain, sleep, mood, physical, and social function; (II) goal setting to improve pain and function; (III) coping toolbox of pain self-management strategies; (IV) social support; (V) age-appropriate pain education
Beteende: iCanCope with Pain
The participants are free to use the Norwegian iCanCope with Pain app as much as they want during the 8 week intervention period. The only support available is technical support.
Aktiv komparator: Control group
The control group will receive the iCanCope with Pain control app with only the first self-registration component (I) symptom trackers for pain, sleep, mood, physical, and social function.
Beteende: iCanCope with Pain control
The participants are free to use the Norwegian iCanCope with Pain control app as much as they want during the 8 week intervention period. The only support available is technical support.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Attrition rate
Tidsram: Baseline and 8-weeks
Change in participants completed the post-questionnaire divided by the number of participants at baseline.
Baseline and 8-weeks
App engagement
Tidsram: Baseline to 8 weeks.
Completion of daily symptom check-ins was used as a proxy for app engagement.
Baseline to 8 weeks.

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Physical activity
Tidsram: Baseline and 8 weeks (post-intervention)
Change in total score of the International Physical Activity Questionnaire (IPAQ). Higher values at post-intervention represent a better outcome.
Baseline and 8 weeks (post-intervention)
Coping
Tidsram: Baseline and 8 weeks (post-intervention)
Change in total score of the General Self-Efficacy Questionnaire Short Version (GSEQ). Higher values at post-intervention represent a better outcome.
Baseline and 8 weeks (post-intervention)
Social participation
Tidsram: Baseline and 8 weeks (post-intervention)
Change in total score of school absence (General Information Questionnaire). Lower values at post-intervention represent a better outcome.
Baseline and 8 weeks (post-intervention)
Over-The-Counter (OTC) analgesics
Tidsram: Baseline and 8 weeks (post-intervention)
Change in total score of OTC analgesics consumption (General Information Questionnaire). Lower values at post-intervention represent a better outcome.
Baseline and 8 weeks (post-intervention)
Perceived social support from friends
Tidsram: Baseline and 8 weeks (post-intervention)
Change in total score of the Perceived Social Support from friends Questionnaire (PSS). Higher values at post-intervention represent a better outcome.
Baseline and 8 weeks (post-intervention)
Pain self-efficacy questionnaire
Tidsram: Baseline and 8 weeks (post-intervention)
Change in total score of the Pain Self-Efficacy Questionnaire (PSEQ). Higher values at post-intervention represent a better outcome.
Baseline and 8 weeks (post-intervention)
Anxiety and depression
Tidsram: Baseline and 8 weeks (post-intervention)
Change in total score of the Hospital Anxiety and Depression Scale Questionnaire (HADS). Lower values at post-intervention represent a better outcome.
Baseline and 8 weeks (post-intervention)
Global impression of change
Tidsram: After 8 weeks (post-intervention)
Change in Patients' Global Impression of Change Scale (PGIC) from 1-7. Higher values at post-intervention represent a better outcome.
After 8 weeks (post-intervention)
Health-related quality of life (HRQOL)
Tidsram: Baseline and 8 weeks (post-intervention)
Change in total score of the Kidscreen 52 Questionnaire. Higher values at post-intervention represent a better outcome.
Baseline and 8 weeks (post-intervention)
Pain experience
Tidsram: Baseline and 8 weeks (post-intervention)
Change in total score of the Lubeck Pain Questionnaire (LPQ). Lower values at post-intervention represent a better outcome.
Baseline and 8 weeks (post-intervention)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

University of Agder

Samarbetspartners

The Hospital for Sick Children

Utredare

  • Huvudutredare: Kristin Haraldstad, PhD, UiA

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Allmänna publikationer

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

28 november 2017

Primärt slutförande (Faktisk)

15 juni 2018

Avslutad studie (Faktisk)

15 juni 2018

Studieregistreringsdatum

Först inskickad

15 maj 2018

Först inskickad som uppfyllde QC-kriterierna

28 maj 2018

Första postat (Faktisk)

11 juni 2018

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

8 november 2022

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

4 november 2022

Senast verifierad

1 november 2022

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • 1310 63221

Plan för individuella deltagardata (IPD)

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NEJ

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