Low Back Pain
Conditions
Keywords
Chronic low back pain, cognitive behavioral pain management, coping, mindfulness, physical activity, Back Pain Lower Back Chronic
Brief summary
This research will evaluate the efficacy of a new online self- help intervention, the Wellness Workbook, for individuals with chronic low back pain (CLBP). Participants will be randomly assigned to use the Wellness Workbook or alternative self-help materials and assessed at baseline, post-intervention (10 weeks) and at follow-up (18 weeks). Outcome measures include pain-related disability and pain severity.
Detailed description
This research will evaluate the efficacy of a new online self- help intervention, the Wellness Workbook, for individuals with chronic low back pain (CLBP). The Wellness Workbook is an interactive online intervention that uses evidence-based cognitive behavioral therapy (CBT) strategies, behavioral activation and mindfulness training to increase chronic pain patients' quality of life. 198 patients with chronic low back pain will be randomly assigned to use the Wellness Workbook or alternative self-help materials for 10 weeks. Participants will be assessed at baseline, post-intervention (10 weeks) and at follow-up (18 weeks). Outcome measures include pain-related disability, pain severity, physical activity, mindfulness and pain-related attitudes and beliefs.
Interventions
OTHERWellness Workbook
A web-based cognitive behavioral pain management intervention to help individuals with chronic low back pain (CLBP) learn adaptive coping and pain management skills, increase physical activity and manage stress. This is a 10 week intervention. Participants use one chapter of the workbook each week. Each chapter takes approximately 1.5 hours to complete.
OTHERPain Management Print Materials
Print materials comparable to the content within Wellness Workbook
Sponsors
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Talaria, Inc
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* currently experiencing chronic non-cancer pain in the lower back
Exclusion criteria
* has a health diagnosis that would prevent him/her from participating fully in the program (e.g., is receiving treatment for cancer) * does not have regular Internet access
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lower pain related disability and interference scores. | Baseline, 10 weeks, 18 weeks | As compared to the control group participants, CLBP patients who use the WW intervention will report lower pain-related disability and lower pain interference scores. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fewer pain-related disabling beliefs and attitudes. | Baseline, 10 weeks, 18 weeks | As compared to the control group participants, CLBP patients who use the WW will report fewer pain-related disabling beliefs and attitudes, have better self-efficacy for managing pain and negative affect and will score higher on mindfulness/present moment awareness. They will also have higher physical activity scores and lower depression scores. |
Countries
United States
Outcome results
None listed