Clinical trial NCT01491269: Guided Internet-delivered Cognitive-behavioral Therapy for Former Chronic Pain Patients
Official title: Guided Internet-delivered Cognitive-behavioral Therapy for Former Chronic Pain Patients: Randomised Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Pain
Keywords: chronic pain
internet delivered CBT
tertiary intervention
mindfulness
applied relaxation
guided self help
Lead sponsor: Linkoeping University
Sponsor class: OTHER_GOV
First posted: 2011-12-13
Enrollment: 72
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

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.

Eligibility criteria: 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

Primary outcomes:
measure: The Coping Strategies Questionnaire (CSQ)
timeFrame: One week pre treatment, one week post treatment
Secondary outcomes:
measure: Hospital Anxiety and Depression Scale, HADS
timeFrame: One week pre treatment, one week post treatment
measure: Multidimensional Pain Inventory, MPI
timeFrame: One week pre treatment, one week post treatment
measure: Pain and Impairment Relationship Scale (PAIRS)
timeFrame: One week pre treatment, one week post treatment
measure: Quality of Life Inventory (QOLI)
timeFrame: One week pre treatment, one week post after treatment
measure: Chronic Pain Acceptance Questionnaire (CPAQ)
timeFrame: One week pre treatment, one week post treatment
Other outcomes:
Locations:
city: Uppsala
country: Sweden
facility: Uppsala University
Study officials:
affiliation: Linkoeping University
name: Gerhard Andersson, Professor
role: STUDY_DIRECTOR
affiliation: Uppsala University
name: Monica Buhrman, MSc
role: PRINCIPAL_INVESTIGATOR
affiliation: Uppsala University
name: Timo Hursti, PhD
role: STUDY_CHAIR
affiliation: Uppsala University
name: Torsten Gordh, Professor
role: STUDY_CHAIR
affiliation: Uppsala University
name: Anna Fredriksson, MSc
role: STUDY_CHAIR
affiliation: Uppsala University
name: Gunnel Edström, MSc
role: STUDY_CHAIR
affiliation: Uppsala University
name: Dorna Shaffi, MSc
role: STUDY_CHAIR
affiliation: Uppsala University
name: Carolina Törnqvist, MSc
role: STUDY_CHAIR
affiliation: Karolinska Institutet, Stockholm
name: Brjann Ljotsson, PhD
role: STUDY_CHAIR
References: