None listed
Conditions
Brief summary
This study aims to evaluate whether an online intervention helping people understand the science of pain and self-management strategies for endometriosis can help people with suspected endometriosis in their journey into, and recovery from, their first laparoscopy (surgery to diagnose and treat endometriosis). Previous work in back pain and surgery has shown this type of intervention can help to reduce pain, improve recovery from surgery, and reduce someone's overall healthcare usage after back surgery. We have recently work with people with pelvic pain and endometriosis to understand more about what they value in terms of learning about pain and self-management in order to recover. Now we want to turn these findings into an online intervention and evaluate its feasibility, acceptability, and preliminary efficacy in those with suspected endometriosis about to undergo their first laparoscopy.
Interventions
The intervention is an online, self-paced pain science education and self-management education package. The intervention will be hosted on the EndoZone website and contains a series of self-paced modules. The modules cover topics such as the basic pathophysiology of endometriosis and pain, pelvic anatomy, changes in the body systems when pain persists, and self-management strategies such as movement, stress management, and identification and management of triggers. Modules contain various activities to facilitate learning. Examples include educational videos on the anatomy of the pelvis; videos of patient stories; graphics on the biology of pain; and interactive tasks such as pair-matching and multiple choice questions. These activities have been specifically developed for this study. Content was devised to facilitate learning of the key education concepts outlined by Mardon et al. (2024), in addition to unpublished data by Mardon et al. (2024) collected specifically for this trial. Participants will access the intervention individually and be required to complete the intervention in the month prior to their first laparoscopy for suspected endometriosis. The intervention takes approximately 6 hours to complete. Intervention adherence will be assessed at 2-weeks pre-laparoscopy (i.e., 2-weeks after access to the intervention is provided to participants). Where participants have not completed =50% of the intervention, they will receive a reminder telephone call. Participants in the intervention group will continue to receive standard care through their chosen medical provider. This trial will be run separately, and in addition to the standard care they receive.
Sponsors
Study design
Eligibility
Inclusion criteria
Females (assigned at birth); undergoing their first laparoscopic surgery to investigate/diagnose/treat endometriosis; report greater than or equal to 3/10 (NRS) period pain (dysmenorrhoea) for at least 2 out of their last 3 menstrual cycles OR report greater than or equal to 3/10 (NRS) pelvic pain on most days for at least the last3 months; living in Australia
Exclusion criteria
Unable to speak and understand (verbal and written) English; pelvic or abdominal surgery in the past 12 months