Clinical trial NCT06816082: Internet-based Acceptance Based Psychotherapy As an Adjunct to Chronic Pain Rehabilitation
Official title: Internet-based Acceptance Based Psychotherapy As an Adjunct to Chronic Pain Rehabilitation
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Chronic Pain
Keywords: chronic pain
acceptance and commitment therapy
internet delivered treatment
Lead sponsor: Linkoeping University
Sponsor class: OTHER_GOV
First posted: 2025-02-10
Enrollment: 15
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* 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.

Exclusion Criteria:

* Severe cognitive problems, or severe mental illness such as a psychotic episode

Primary outcomes:
measure: Main outcome - qualitative
timeFrame: Before treatment starts, once in the middle of treatment (3 weeks after start), and after treatment has ended (at 7 weeks post start).
Secondary outcomes:
measure: Quantitative - Brief Pain Inventory
timeFrame: Pre and post (7 weeks)
measure: Quantitative - Chronic Pain Acceptance Questionnaire 8
timeFrame: pre and post (7 weeks)
measure: Quantitative -Pain Self-Efficacy Questionnaire 8
timeFrame: pre and post (7 weeks)
measure: Quantitative - Pain Catastrophizing Scale
timeFrame: pre and post (7 weeks)
measure: Quantitative - Numeric rating scale
timeFrame: Pre and post (7 weeks)
measure: Quantitative -Patient Global Impression of Change
timeFrame: Post only (7 weeks)
measure: Quantitative - Brunnsviken Brief Quality of Life Scale
timeFrame: Pre and post (7 weeks)
measure: Quantitative - Patient Health Questionnaire 9
timeFrame: Pre and post (7 weeks)
measure: Quantitative - Generalized Anxiety Disorder 7
timeFrame: Pre and post (7 weeks)
measure: Quantitative - Negative effects questionnaire
timeFrame: Post only (7 weeks)
Other outcomes:
Locations:
city: Linköping
country: Sweden
facility: Pain and Rehabilitation Clinic
state: Östergötland
Study officials:
affiliation: Region Östergötland
name: Nina Bendelin, PhD
role: PRINCIPAL_INVESTIGATOR
References: