None listed
Conditions
Brief summary
This study aims to assess the effect of positive and negative expectations that develop in response to our daily experience. It is believed that positive expectations increase the benefit from pain program and negative expectations reduce the benefit from the same pain program. Study participants will be asked to fill out a daily questionnaire containing the same seven questions for 28 days when they attend the weekly CALM group program. This will then be assessed against changes in their pain psychometrics before and after the pain program.
Interventions
CALM is run for 3.5 hours every Friday for 5 weeks. We aim to run 10 groups in a calendar year. Each group has a few focus points e.g. managing thoughts, mindfulness, placing activity, ergonomics, exercise, sleep hygiene, diet, pain flare management etc.
CALM group program is part of our standard care. The patients will be attending the CALM group program regardless of whether they are in the study or not.
-All patient attending the weekly CALM group program run by Central Coast Integrated Pain
CALM is run for 3.5 hours every Friday for 5 weeks. We aim to run 10 groups in a calendar year. Each group has a few focus points e.g. managing thoughts, mindfulness, placing activity, ergonomics, exercise, sleep hygiene, diet, pain flare management etc. CALM group program is part of our standard care. The patients will be attending the CALM group program regardless of whether they are in the study or not. -All patient attending the weekly CALM group program run by Central Coast Integrated Pain Service (CCIPS) during the study period, will fill out a seven-question daily questionnaire for the 28 days between their first and last session. Each question has predetermined answers to select from as well as comments section for any thoughts they wish to express. -If the patient reports that something made their pain better, it will be recorded as a positive daily experience or placebo response. -If the patient reports that something made their pain worse it will be recorded as a negative daily experience or a nocebo response and if the patient was able to do something to make their pain better again, it will be recorded as nocebo correction. -Every patient fills out a national benchmarking ePPOC (electronic Persistent Pain Outcomes Collaboration) Questionnaire upon referral to a pain unit. If this was filled out more than 6 months prior to them commencing CALM, it is routine to ask for another benchmarking ePPOC questionnaire to be completed prior to commencement of CALM and this will be applicable to the study patients as well. -On the last day of the CALM group the patients fill out another ePPOC questionnaire which again is part of standard care. -Individual averages of placebo, nocebo and nocebo correction will be averaged out and compared with the change if any in their pre and post CALM ePPOC scores. -As per standard care, if at any time the patients are triggered by any aspect of CALM program or in the study by any aspect of daily questionnaire, they will be provided appropriate support in the form of urgent phone call by directly involved CCIPS staff (if not by PI), urgent individual appointment with pain specialist, referral to any other service as applicable and/or immediate removal form the study.
Sponsors
Dr Vidya Shirumalla
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
• All patients aged 18 years and above presenting for CALM group program run by Central Coast Integrated Pain Service over the study period.
Exclusion criteria
1. Refusal to consent 2. Poor literacy 3. Learning or behavioural issues 4. Other sensory barrier-visual, auditory etc 5. No or limited access to internet, poor phone connection eg remote regions.
Outcome results
None listed