Topic: Primary Care Research Network for England
Conditions
Interventions
Contextual CBT: Contextual Cognitive Behavioural Therapy for chronic pain focuses on undermining core processes of suffering and disability, including avoidance, preoccupation with the past or future,
Sponsors
Bath Royal National Hospital for Rheumatic Diseases (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Living with chronic pain every day or most days for three months or more 2. Having sought treatment for pain from the general practitioner (GP) in the past six months 3. Continuing analgesic use 4. Reporting significant interference with daily social or physical activities or reporting significant depression or anxiety related to pain 5. Aged at least 18 years 6. Willingness and ability to take part
Exclusion criteria
Exclusion criteria: 1. Inability to participate due to limits communicating in English 2. Inability to participate due to conditions such as severe depression, anxiety disorders, psychotic disorders, or personality disorders, or cognitive impairment 3. Presence of a disease condition that requires specialist medical assessment or treatment (such as a newly diagnosed rheumatologic condition and not currently in maintenance treatment), or cancer, or having a medical condition that makes moderate exercise or increasing activity inappropriate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Treatment evaluation: evaluated using measurement of recruitment rates, qualitative interview and a questionnaire to measure acceptability and credibility for patients. Timepoint(s): After treatment (or equivalent for control group) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Depression (PHQ-9); Timepoint(s): Before randomisation, after treatment (or equivalent for control group), and three months later 2. Health Survey (SF-36); Timepoint(s): Before randomisation, after treatment (or equivalent for control group), and three months later 3. Healthcare and medication use; Timepoint(s): Before randomisation, after treatment (or equivalent for control group), and three months later 4. Modified Patient Global Impression of Change Scale (PGIC); Timepoint(s): After treatment (or equivalent for control group), and three months later 5. Pain intensity; Timepoint(s): Before randomisation, after treatment (or equivalent for control group), and three months later 6. Quality of life (EuroQol EQ-5D); Timepoint(s): Before randomisation, after treatment (or equivalent for control group), and three months later 7. Roland Morris Disability Questionnaire (RMDQ); Timepoint(s): Before randomisation, after treatment (or equivalent for control group), and three months later 8. The Acceptance and Action Questionnaire - II (AAQ - II); Timepoint(s): Before randomisation, after treatment (or equivalent for control group), and three months later 9. The Chronic PAin Acceptance Questionnaire (CPAQ); Timepoint(s): Before randomisation, after treatment (or equivalent for control group), and three months later | — |
Countries
United Kingdom
Outcome results
None listed