Web-based CBT for Children With Chronic Pain
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 48
- 主要终点
- activity limitations
研究概览
简要总结
The purpose of this study is to develop and evaluate the feasibility and effectiveness of a web-based (i.e., internet) treatment approach for providing psychological treatment to reduce pain and improve functioning in children and adolescents with chronic pain.
详细描述
Chronic pain is an important problem for children and adolescents owing to its high prevalence rate and significant impact on children's mood, daily functioning, and overall quality of life. Effective psychological treatments have been developed to change behaviors and thoughts important in the child's ability to cope with chronic pain. However, the majority of children do not have access to these treatments due to a variety of barriers such as geographical distance from pediatric pain treatment centers.
The purpose of this study is to develop a more accessible method of delivering effective psychological treatment to reduce pain and increase function in children. Children with chronic headache, abdominal, or musculoskeletal pain will be randomized to either receive the web-based treatment right away or to be in a wait-list control condition and receive the treatment 8 weeks later. Both groups of children will continue to receive clinical care through specialty medical clinics. Children's level of pain, their ability to perform, daily functional activities, and overall quality of life will be evaluated before treatment begins, immediately after treatment, and at a 3 month follow up.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 12 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •chronic headache, abdominal, and/or musculoskeletal pain present over the previous 3 months
- •interference from pain in at least one area of daily functioning.
排除标准
- •serious comorbid chronic condition in the patient (e.g., diabetes, cancer)
- •non-English speaking
- •previous participation in cognitive-behavioral therapy.
结局指标
主要结局
activity limitations
时间窗: immediately post-treatment, 3 month follow-up
次要结局
- pain intensity(immediately post-treatment, 3 month follow up)
- parental response to pain behaviors(immediately post-treatment, 3 month follow-up)
- depressive symptoms(immediately post-treatment, 3 month follow-up)
研究者
Tonya Palermo
Professor, Anesthesiology and Pain Medicine
Seattle Children's Hospital