Clinical trial NCT03679871: Spiritual Assessment in Chronic Pain Patients
Official title: Spiritual Assessment in Chronic Pain Patients: Construction and Validation of a Screening Tool in Health Care
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Pain
Spirituality
Lead sponsor: University of Zurich
Sponsor class: OTHER
Collaborators: name: Swiss National Science Foundation
First posted: 2018-09-20
Enrollment: 225
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: The World Health Organization's (WHO) understanding of health(care) is incrementally incorporating the spiritual dimensions equivalent to the physical, psychological and social ones. Yet, it remains widely neglected in multi-modal, interprofessional chronic pain therapy. To support gaining access to chronic pain patients' spiritual needs and concerns within therapy, a screening tool has been constructed based on foregoing qualitative research and literature. The screening tool is to be validated with chronic pain patients in clinical settings.

Detailed description: Addressing spiritual concerns and needs in chronic pain therapy is in line with the World Health Organization's (WHO) understanding of health(care) and would improve health care for this patient group. An applicable screening tool for chronic pain patients' spiritual concerns and needs must be empirically based. Based on preceding focus group interviews with patients and with health care professionals in various clinical settings and literature analysis, a screening tool has been constructed. This tool aims at supporting health care professionals as well as chronic pain patients in gaining access to spiritual concerns and needs for incorporation in multi-modal, interprofessional pain therapy. In this project the screening tools' psychometric properties will be tested with in five distinct clinical in- and out-patient settings.

Eligibility criteria: Inclusion Criteria:

* Sufficient command of German language as assessed by local study coordinator
* Confirmed medical and/or nursing diagnosis of chronic pain
* Suffering pain for ≥ 6 months
* Pain intensity was≥ 5 on a 11-point numeric Rating scale (NRS; 0 = no pain, 10 = worst pain imaginable) during the last episode of pain

Exclusion Criteria:

* Life threatening diagnosis (e.g. cancer) that would introduce end-of-life topics as primary aspect
* Cognitive disorders that would impair participation

Primary outcomes:
measure: Psychometric properties of "Spiritual Resources and Distress" questionnaire
timeFrame: 8 months
Secondary outcomes:
Other outcomes:
Locations:
city: Langenthal
country: Switzerland
facility: Klinik SGM Langenthal
state: Bern
city: Davos
country: Switzerland
facility: Zürcher RehaZentrum Davos
state: Graubünden
city: Nottwil
country: Switzerland
facility: Schweizer Paraplegiker Zentrum, Zentrum für Schmerzmedizin
state: Luzern
city: Zürich
country: Switzerland
facility: Arztpraxis Professor Sprott
city: Zürich
country: Switzerland
facility: Universitätsspital Zürich, Institut für Anästhesiologie, Schmerzambulatorium
city: Zürich
country: Switzerland
facility: Universitätsspital Zürich, Klinik für Konsiliarpsychiatrie und Psychosomatik
Study officials:
affiliation: University of Zurich
name: Michael Rufer, Prof., MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Perrin J, Streeck N, Naef R, Rufer M, Peng-Keller S, Rettke H. Comparing perspectives: patients' and health care professionals' views on spiritual concerns and needs in chronic pain care - a qualitative study. BMC Health Serv Res. 2021 May 26;21(1):504. doi: 10.1186/s12913-021-06508-y.