Guided Internet-delivered Acceptance and Commitment Therapy for Chronic Pain Patients

Not Applicable

Completed

• Conditions: Chronic Pain
• Interventions: Behavioral: Guided internet-delivered acceptance and commitment therapy

• Registration Number: NCT01603797
• Lead Sponsor: Gerhard Andersson

Brief Summary

The aim of this study was to investigate if guided internet-delivered acceptance and commitment therapy (ACT)would help chronic pain patients.

Detailed Description

The present study investigates internet-delivered ACT for persons with chronic pain. The use of internet as a delivery format for interventions could be a way of overcome many barriers (financial obstacles, reluctance to seek treatment and paucity of clinicians trained in ACT) that hinder persons with chronic pain to seek or receive adequate help. Persons were randomized to either treatment for 7 weeks or to a control group who were invited to participate in a moderated online discussion forum. Follow up data was collected six months after the treatment.

Study Timeline

• Study Start: 2010-02
• Primary Completion: 2010-05
• Study Completion: 2010-12
• Study First Submitted: 2012-05-19
• Study First Submitted QC: 2012-05-21
• Study First Posted: 2012-05-22
• Status Verified: 2012-10
• Last Update Submitted: 2012-10-02
• Last Update Posted: 2012-10-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 76

Inclusion Criteria

• that participants had undergone medical investigation (within one year)
• had regular access to the internet
• had functional impairment caused by chronic pain
• had internet access

Exclusion Criteria

• ongoing medical investigations or treatment that could interfere with participation in the study, such as planned surgery and suffering from acute physical or psychological conditions
• not fluent in the Swedish language

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Internet delivered ACT	Guided internet-delivered acceptance and commitment therapy	Internet delivered acceptance and commitment therapy (ACT), 7 weeks treatment
Online discussion forum	Guided internet-delivered acceptance and commitment therapy	Active wait-list condition. Were offered to participate in a moderated online discussion forum. After post-treatment assessment the control group were offered treatment.

Primary Outcome Measures

Name	Time	Method
Chronic Pain Acceptance Questionnaire (CPAQ)	One week pre- and post-treatment	CPAQ consists of 20 items divided into two subscales: activity engagement and pain willingness. Items are rated on a scale from 0 (never true) to 6 (always true). Higher scores denote greater activity engagement and pain willingness. Studies show acceptable reliability (α =.72-.92).

Secondary Outcome Measures

Name	Time	Method
Hospital and Anxiety Depression Scale (HADS)	One week pre- and post- treatment	HADS contains 14 items and evaluates severity of symptoms of depression and anxiety without contamination of scores of physical symptomatology.
The Coping Strategies Questionnaire (CSQ)	One week pre- and post- treatment	The CSQ contains 50 items divided into eight scales measuring different cognitive and behavioural coping strategies and has been widely used by chronic pain patients. The coping strategies scales are: diverting attention, re-interpreting pain sensations, coping self-statements, ignoring sensations, praying and hoping, catastrophizing and increased behavioral activities
Multidimensional Pain Inventory (MPI-S)	One week pre- and post- treatment	The Swedish version of MPI (MPI-S) consists of 34 items divided into 8 scales. The first section addresses: Pain Severity, Interference, Life Control, Affective Distress and Support. The second section addresses the patient's perception of how significant others respond to their displays of pain: Punishing Responses, Solicitous Responses and Distracting Responses.
The Pain and Impairment Relationship Scale (PAIRS)	One week pre- and post- treatment	PAIRS assess beliefs and attitudes associated with the experience of chronic pain and one's ability to function despite pain. It consists of 15 personal statements that reflect thoughts, attitudes and opinions about pain.
Quality of Life Inventory (QOLI)	One week pre- and post- treatment	QOLI consists of 32 items for assessing life satisfaction. The assessment yields an overall score and profile in 16 areas of life; health, self-esteem, goals and values, money, work, play, learning, creativity, helping, love, friends, children, relatives, home, neighborhood, and community.