Online Chronic Pain Therapy for Adults

Study Overview
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Brief Summary
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This study will evaluate the usefulness of an online, self-directed treatment for chronic pain that has been designed specifically for individuals who are currently or have previously served in the military.

Detailed Description
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This study will evaluate the efficacy of an eight-module, online, self-directed treatment for chronic pain using Acceptance-Based Behavioural Therapy (ABBT) as the treatment modality. The online modules are tailored to the unique issues of individuals with a military background. The modules will be delivered via the WebCAPSI Therapy program, an online, password-protected program that allows participants to anonymously progress through all modules at their own pace. ABBT modules cover the following: Introduction, Acceptance, Values, Cognitive Defusion, Mindfulness, Exercise/Pacing/Communication Skills, Self-as-Context, and Willingness. Modules encourage understanding of the information through audio files, military-specific vignettes, written materials, and homework exercises. Modules are designed to be completed in 60 minutes or less. Participants will have access to the online treatment for a three month period and will be encouraged to complete one module per week.

Official Title
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Online Chronic Pain Therapy for Adults

Conditions
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Chronic Pain

Intervention / Treatment
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* Behavioral: Online ABBT for Chronic Pain in Military


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Chronic pain condition of duration 6 months or longer Patient at OSI Clinic in Winnipeg Access to a computer with internet at least once per week for 60 minutes Exclusion Criteria: Active psychosis Actively suicidal Unstable living conditions Seriously impaired concentration Inability to read and write in English

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Treatment arm<br>This is an open-label pilot study with no control group. Participants pre-treatment scores are compared to their post-treatment scores. | Behavioral: Online ABBT for Chronic Pain in Military<br>* Participants will complete an 8-module, self-paced, online program for chronic pain using Acceptance-Based Behavioural Therapy (ABBT) as the therapeutic modality.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in McGill Pain Questionnaire - Short Form | A brief self-report questionnaire that measures sensory and affective components of clinical pain. | 8 weeks | 
| Change from baseline in Chronic Pain Acceptance Questionnaire - Revised | A 20-item measure of acceptance of chronic pain with items scored from 0 = Never true to 6 = Always true. | 8 weeks | 
| Change from baseline in Pain Catastrophizing Scale | One of the most widely used instruments for measuring catastrophic thinking related to pain. A 13-item measure with items rated from 0 = Not at all to 4 = All the time. | 8 weeks | 
| Change from baseline in Tampa Scale for Kinesiophobia | A self-report measure of fear of movement and/or re-injury. 17 items rated from 1 = strongly disagree to 4 = strongly agree | 8 weeks | 
| Change from baseline in Pittsburgh Sleep Quality Index | A self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Client Satisfaction Questionnaire | An eight item questionnaire regarding client satisfaction with the treatment. | At completion of module, approximately 8 weeks | 
| Change from baseline in Beck Depression Inventory - Second Edition | A 21 item self-report measure of severity of depressive symptoms. | 3 months | 
| Change from baseline in Beck Anxiety Inventory | A 21-item self-report measure assessing severity of symptoms of anxiety | 3 months | 
| Change from baseline in PTSD Checklist - Military Version | A 17-item self-report measure assessing severity of PTSD symptoms related to stressful military experiences. | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chronic Pain, Military, Veteran, Online, Acceptance