Clinical trial NCT03991689: The Effect of Solution-focused Group Therapy for Pain Management in Patients With Spinal Cord Injury
Official title: The Effect of Solution-focused Group Therapy for Pain Management in Patients With Spinal Cord Injury
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pain Management
Life Quality
Spinal Cord Injuries
Keywords: spinal cord injury
pain management
pain intensity
pain self-efficacy
solution-focused group therapy
Lead sponsor: National Taipei University of Nursing and Health Sciences
Sponsor class: OTHER
First posted: 2019-06-19
Enrollment: 26
Sex: ALL
Minimum age (years): 20
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: Objective: to verify the effect of solution-focused group therapy (SFBT) on pain management as well as physiological, psychological and social adaptation in patients with spinal cord injury.

Setting: for matters of convenience, the samples were collected at medical and rehabilitation centers in Taiwan. Twenty-six patients with spinal cord injuries and neuropathic pain were invited to join the four pain management groups.

Method: In the case of patients with spinal cord injury affected by neuropathic pain, a solution-focused pain management group therapy was conducted once a week for 6 weeks, 90 minutes each time; fear avoidance theory and acceptance and commitment therapy was used for pain management, using solution-focus group counseling strategies to guide group members to achieve pain management goals by accepting pain and establishing goals.The group effectiveness was assessed before and after the group intervention in terms of pain intensity (0-10 numeric rating scale), brief pain inventory-pain inference, chronic pain self-efficacy scale, pain fear (0-10 numeric rating scale), depression (patient health questionnaire-9), demoralization (demoralization scale), post-traumatic growth inventory and life quality (WHOQOL-BREF). Then we analyzed the correlation between the difference values of the variables before and after the test in order to understand the clinical application of the pain management group therapy for patients with spinal cord injury.


Eligibility criteria: Inclusion Criteria:

* Patients diagnosed with spinal cord injury as being in compliance with the Taiwan National Health Insurance's definition

Exclusion Criteria:

* Psychiatric disabilities
* Intellectual disabilities
* Unconscious patients
* Patients in critical condition
* Bedridden patients

Primary outcomes:
measure: The pain intensity and pain fear scale
timeFrame: 6 weeks
measure: Brief Pain Inventory-Pain inference
timeFrame: 6 weeks
measure: Pain management self-efficacy subscale and symptom response self-efficacy subscale within Chronic Pain Self-Efficacy Scale (CPSS)
timeFrame: 6 weeks
measure: The depression scale uses Patient Health Questionnaires-9
timeFrame: 6 weeks
measure: Demoralization scale - Mandarin Version (DS-M)
timeFrame: 6 weeks
measure: Post-traumatic growth inventory (PTGI)
timeFrame: 6 weeks
measure: The quality of life adopts Taiwan's concise version of the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF-TW)
timeFrame: 6 weeks
Secondary outcomes:
Other outcomes:
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