None listed
Conditions
Brief summary
The primary objective is to evaluate the feasibility of an Internet-delivered psychology pain self-management program, the Youth Pain Course (YPC), for Australian adolescents with chronic pain. This will be achieved through the following aims: 1. Assessing the acceptability of the YPC, via levels of treatment engagement, adherence, and adolescent- and carer-reported treatment satisfaction. 2. Determining the potential efficacy of the YPC on improving disability, pain severity and emotional functioning, post-treatment and at 6-months follow-up. 3. Exploring the demographic and clinical moderators (predictors) of treatment feasibility, including acceptability, efficacy, and costs. 4. Completing a preliminary cost-consequence analysis examining the costs of the treatment to providers, adolescents, and their carers, in relation to a range of potential economic outcomes.
Interventions
The Youth Pain Course is an Internet-delivered psychological pain management program.
Youth component
The course contains 6 child modules, delivered over 8 weeks.
The modules provide adolescents with information and skills for the management of chronic pain generally as well as the comorbid pain-related disability, anxiety and depression that often result. Module content is structured around four themes, common in Cognitive Behaviour Therapy (CBT)-based psychological pain management intervent
The Youth Pain Course is an Internet-delivered psychological pain management program. Youth component The course contains 6 child modules, delivered over 8 weeks. The modules provide adolescents with information and skills for the management of chronic pain generally as well as the comorbid pain-related disability, anxiety and depression that often result. Module content is structured around four themes, common in Cognitive Behaviour Therapy (CBT)-based psychological pain management interventions: (1) Education, (2) Behavioural skills, (3) Cognitive strategies, and (4) Relapse prevention. Modules are delivered online and a mix of static information, audio and videos, they are released every week or other-week over the 8-weeks, and should take participants 20-30minutes to work through. Lessons will be accompanied by an activity adolescents will work through during the week, and detailed examples of adolescents with different chronic pain conditions to illustrate how to integrate the skills learnt into every-day life. Parent/guardian component Parents/guardians have access to the youth course materials from their own login and will also be provided with their own online materials to support their child. For example, education and skills in adaptive communication, responding to pain, reinforcing adolescent activity despite pain, supporting autonomy, and modelling behaviour. This content will be delivered via 3-4 modules, released over the first 5 weeks of the course (weekly or fortnightly). Clinician contact Each week, youth and parents/guardians will have brief contact with a trial clinician (approximately 15 minutes per participant), who will support the family’s progress through the course via phone calls or through a private messaging system, per participant preference. Trial clinicians will be nationally registered psychologists. Adherence Adherence to the course will be monitored via the number of logins to the platform, % of modules accessed, and volume of contact with the clinician. Questionnaires All participants will be asked to complete questionnaire at the following timepoints: - Pre-treatment (20 minutes) - Midway through treatment (week 5; 5 minutes) - Post-treatment (15 minutes) - 6 months follow-up (15 minutes)
Sponsors
Macquarie University
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
12 Years to No maximum
Healthy volunteers
No
Inclusion criteria
a) Aged between 12-17 b) Presence of persistent or recurrent pain for three months or more. c) Experiencing the impact of pain on at least one area of daily functioning. d) Lives with a parent/guardian who is willing to take part in the trial.
Exclusion criteria
Adolescent exclusion criteria are: a) Imminently suicidal or unable to keep themselves safe. b) Parent/guardian-reported child developmental disability which would impede participation. c) Does not have access to the internet. d) Unable to read and understand English. Parent/guardian exclusion criteria are: a) Imminently suicidal or unable to keep themselves safe. b) Does not have access to the internet. c) Unable to read and understand English.
Outcome results
None listed