Living Well with Chronic Pain: Using Person-centered E-health Design to Support Self-management
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Chronic Pain, Widespread
- Sponsor
- Oslo University Hospital
- Enrollment
- 340
- Locations
- 1
- Primary Endpoint
- Brief Pain Inventory (BPI) (Short Form) - Assessing change
- Status
- Active, not recruiting
- Last Updated
- last year
Overview
Brief Summary
The goal of this project is to test the effect of an interactive e-health intervention for people with chronic pain.
Detailed Description
Chronic pain conditions are common and difficult to cure. As much as 30% of adults in Norway experience moderate-to-severe chronic pain, i.e., pain having lasted more than 3 months. Chronic pain is also the most common cause of sick leave and disability pension in Norway. Despite a clear request from the authorities, e-health interventions for chronic pain has not yet been tested and implemented. The aim of this study is to investigate the effect of an interactive e-health intervention for people living with chronic pain, using outcome measures such as pain intensity, pain acceptance, anxiety/depression and quality of life. The e-health intervention will first be tested in a pilot study with 50 patients with different pain diagnoses and eventually in a randomized controlled trial with a sample of 240 patients with different pain diagnoses. The intervention will consist of one face-to-face introductory group followed by 9 app-based modules containing cognitive behavioral pain self-management material. The 9 modules will be distributed over minimum 27 days (minimum 3 days per module). The participants in the randomized controlled trial will be randomly assigned to use the e-health intervention or to a treatment as usual control group. Both groups will receive outcome measures to complete at baseline and at 3, 6 and 12 months. Post-RCT, the EPIO study will also include a non-randomized group receiving the app-based EPIO program but without receiving an introduction session and follow up phone calls to examine potential benefits from receiving the app-based program only.
Investigators
Lise Solberg Nes
Center Director, Head of Research
Oslo University Hospital
Eligibility Criteria
Inclusion Criteria
- •Chronic pain (pain \> 3 months)
- •\> 18 years of age
- •Able to write/read/speak Norwegian
- •Have their own smart phone, PC or tablet
Exclusion Criteria
- •Cancer related pain
Outcomes
Primary Outcomes
Brief Pain Inventory (BPI) (Short Form) - Assessing change
Time Frame: Baseline, and at 3, 6, and 12 months.
9 item scale measuring pain interference on function. Using this measure, respondents rate their worst, least, average, and current pain intensity and also rate the degree to which pain interferes with 7 domains of functioning (general activity, mood, walking ability, normal work, relations with other persons, sleep, and enjoyment of life) on a scale of 0 to 10. There is no scoring algorithm, but "worst pain" or the arithmetic mean of the four severity items can be used as measures of pain severity; the arithmetic mean of the seven interference items can be used as a measure of pain interference.
Secondary Outcomes
- The Hospital Anxiety and Depression Scale (HADS) - Assessing change(Baseline, and at 3, 6, and 12 months.)
- Pain Catastrophizing Scale (PCS) - Assessing change(Baseline, and at 3, 6, and 12 months.)
- System Usability Scale (SUS)(At 3 months)
- RAND Health Related Quality of Life - Assessing change(Baseline, and at 3, 6, and 12 months.)
- Chronic Pain Acceptance Questionnaire (CPAQ) - Assessing change(Baseline, and at 3, 6, and 12 months.)
- Self-Regulatory Fatigue 18 (SRF-18) - Assessing change(Baseline, and at 3, 6, and 12 months.)