Guided Internet-delivered Cognitive-behavioral Therapy for Former Chronic Pain Patients: Randomised Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Gerhard Andersson
- Enrollment
- 72
- Locations
- 1
- Primary Endpoint
- The Coping Strategies Questionnaire (CSQ)
Study Overview
Brief Summary
The aim of the present study was to investigate if guided Internet-delivered Cognitive-behavioral Therapy (CBT) would help chronic pain patients who had previously undergone a multidisciplinary treatment but still have residual problems.
Detailed Description
The present study investigates Internet-delivered CBT as a tertiary intervention. This is motivated by the fact that many pain patients relapse after rehabilitation and some may be in need of additional treatment. The persons who fulfills the inclusion criteria undergoes a structured telephone interview. The study is a experimental design with a treatment and an active control group measured before and after a treatment period. The control group were invited to participate in a moderated online discussion forum. Follow up data was collected six months after the treatment.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •to have been medically investigated (within one year)
- •completed the multidisciplinary rehabilitation program
- •have residual symptoms after the rehabilitation treatment (defined as functional impairment caused by their pain)
- •have Internet access
Exclusion Criteria
- •planned surgery
- •ongoing medical investigation that could impede participation in the study
- •suffering from acute physical or psychological conditions
- •people confined to wheelchairs
- •people not fluent with the Swedish language
Arms & Interventions
Internet delivered CBT
Internet delivered cognitive behavioral intervention, 8 weeks treatment.
Intervention: Guided Internet-based cognitive behavioural treatment (Behavioral)
No intervention
Waitlist
Outcomes
Primary Outcomes
The Coping Strategies Questionnaire (CSQ)
Time Frame: One week pre treatment, one week post treatment
The CSQ contains 50 items divided in eight scales that measures different cognitive and behavioral coping strategies. The different coping strategies are: diverting attention, re-interpreting pain sensations, coping self-statements, ignoring sensations, praying and hoping, catastrophizing, increased behavioral activities and pain behavior (Rosenthiel \& Keefe, 1983). Change from baseline in the different subscales pre- and post treatment.
Secondary Outcomes
- Chronic Pain Acceptance Questionnaire (CPAQ)(One week pre treatment, one week post treatment)
- Quality of Life Inventory (QOLI)(One week pre treatment, one week post after treatment)
- Multidimensional Pain Inventory, MPI(One week pre treatment, one week post treatment)
- Pain and Impairment Relationship Scale (PAIRS)(One week pre treatment, one week post treatment)
- Hospital Anxiety and Depression Scale, HADS(One week pre treatment, one week post treatment)
Investigators
Gerhard Andersson
professor, Linkoeping University
Linkoeping University