Internet-based Acceptance Based Psychotherapy As an Adjunct to Chronic Pain Rehabilitation
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 15
- 试验地点
- 1
- 主要终点
- Main outcome - qualitative
研究概览
简要总结
The goal of this clinical trial is to evaluate how an acceptance based internet-delivered psychological treatment (IACT) tailored to patients with chronic pain is perceived, and if it meets the needs and expectations of those enrolled.
The main question it aims to answer is:
What are the expectations of patients with chronic pain prior to IACT treatment, and how do they experience IACT during and after treatment?
Participants will be offered a 7 week long treatment with therapist support. They will be interviewed before treatment starts, once during treatment, and again after treatment is completed.
详细描述
This research project aims to interview adults with chronic pain to explore their expectations before, during, and after receiving internet-based Acceptance and Commitment Therapy (IACT). IACT aims to increase accessibility to psychological treatment by overcoming geographical, economic, social, or physical barriers. The study will investigate how IACT is received and how patient expectations align with their treatment experiences. This is important because previous studies have shown that chronic pain patients' experiences with IACT vary greatly, and there is limited knowledge about their specific needs and expectations regarding internet-based psychological treatment.
Chronic pain is a widespread and challenging condition affecting approximately 20% of the population. Internet-delivered psychological treatments, such as IACT, have emerged in the past 20 years, showing promising results in managing chronic pain. However, research on patient expectations and experiences with IACT remains limited. This qualitative study will use semi-structured interviews to gather data from 10-15 adults with chronic pain. Three interviews will be conducted per participant: before, during, and after IACT treatment. Thematic analysis will be used to analyze the interview transcripts.
The IACT treatment will consist of 7 modules delivered over 7 weeks. The study's findings will hopefully contribute to a better understanding of how expectations and needs influence the treatment process and outcomes for individuals with chronic pain receiving IACT. This knowledge can inform the development and delivery of more effective and patient-centered IACT programs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants must be adults with sufficient understanding of Swedish to speak and read, have internet access, and currently be a patient at the Pain and Rehabilitation Clinic in Linköping.
排除标准
- •Severe cognitive problems, or severe mental illness such as a psychotic episode
研究组 & 干预措施
Internet delivered acceptance and commitment therapy
7 week long treatment with therapist asynchronous support in mainly text format. Treatment includes for example mindfulness, psychoeducation, values, and self-compassion
干预措施: Internet delivered acceptance and commitment therapy (Behavioral)
结局指标
主要结局
Main outcome - qualitative
时间窗: Before treatment starts, once in the middle of treatment (3 weeks after start), and after treatment has ended (at 7 weeks post start).
Semi-structured interviews with patients experiencing chronic pain will be conducted before, during, and after IACT treatment. The interviews will be analyzed thematically to identify recurring themes related to patients' expectations of IACT treatment, their experiences during the treatment, their perceptions of the treatment, and the extent to which the treatment meets their needs. The main areas that will be explored include, but are not limited to, expectations regarding function, pain perception, and quality of life; experiences of the treatment process; perceived benefits and drawbacks of the treatment; and perceptions of whether the treatment addressed their individual needs.
次要结局
- Quantitative - Numeric rating scale(Pre and post (7 weeks))
- Quantitative - Generalized Anxiety Disorder 7(Pre and post (7 weeks))
- Quantitative - Pain Catastrophizing Scale(pre and post (7 weeks))
- Quantitative -Pain Self-Efficacy Questionnaire 8(pre and post (7 weeks))
- Quantitative -Patient Global Impression of Change(Post only (7 weeks))
- Quantitative - Brunnsviken Brief Quality of Life Scale(Pre and post (7 weeks))
- Quantitative - Brief Pain Inventory(Pre and post (7 weeks))
- Quantitative - Chronic Pain Acceptance Questionnaire 8(pre and post (7 weeks))
- Quantitative - Patient Health Questionnaire 9(Pre and post (7 weeks))
- Quantitative - Negative effects questionnaire(Post only (7 weeks))
研究者
Nina Bendelin
Lic Psychologist, Clinical Researcher, PhD
Linkoeping University