Chronic Pain
Conditions
Keywords
Chronic Pain, Military, Veteran, Online, Acceptance
Brief summary
This study will evaluate the usefulness of an online, self-directed treatment for chronic pain that has been designed specifically for individuals who are currently or have previously served in the military.
Detailed description
This study will evaluate the efficacy of an eight-module, online, self-directed treatment for chronic pain using Acceptance-Based Behavioural Therapy (ABBT) as the treatment modality. The online modules are tailored to the unique issues of individuals with a military background. The modules will be delivered via the WebCAPSI Therapy program, an online, password-protected program that allows participants to anonymously progress through all modules at their own pace. ABBT modules cover the following: Introduction, Acceptance, Values, Cognitive Defusion, Mindfulness, Exercise/Pacing/Communication Skills, Self-as-Context, and Willingness. Modules encourage understanding of the information through audio files, military-specific vignettes, written materials, and homework exercises. Modules are designed to be completed in 60 minutes or less. Participants will have access to the online treatment for a three month period and will be encouraged to complete one module per week.
Interventions
BEHAVIORALOnline ABBT for Chronic Pain in Military
Participants will complete an 8-module, self-paced, online program for chronic pain using Acceptance-Based Behavioural Therapy (ABBT) as the therapeutic modality.
Sponsors
University of Manitoba
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Chronic pain condition of duration 6 months or longer * Patient at OSI Clinic in Winnipeg * Access to a computer with internet at least once per week for 60 minutes
Exclusion criteria
* Active psychosis * Actively suicidal * Unstable living conditions * Seriously impaired concentration * Inability to read and write in English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Pittsburgh Sleep Quality Index | 8 weeks | A self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval |
| Change from baseline in McGill Pain Questionnaire - Short Form | 8 weeks | A brief self-report questionnaire that measures sensory and affective components of clinical pain. |
| Change from baseline in Chronic Pain Acceptance Questionnaire - Revised | 8 weeks | A 20-item measure of acceptance of chronic pain with items scored from 0 = Never true to 6 = Always true. |
| Change from baseline in Pain Catastrophizing Scale | 8 weeks | One of the most widely used instruments for measuring catastrophic thinking related to pain. A 13-item measure with items rated from 0 = Not at all to 4 = All the time. |
| Change from baseline in Tampa Scale for Kinesiophobia | 8 weeks | A self-report measure of fear of movement and/or re-injury. 17 items rated from 1 = strongly disagree to 4 = strongly agree |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Beck Depression Inventory - Second Edition | 3 months | A 21 item self-report measure of severity of depressive symptoms. |
| Change from baseline in Beck Anxiety Inventory | 3 months | A 21-item self-report measure assessing severity of symptoms of anxiety |
| Change from baseline in PTSD Checklist - Military Version | 3 months | A 17-item self-report measure assessing severity of PTSD symptoms related to stressful military experiences. |
| Client Satisfaction Questionnaire | At completion of module, approximately 8 weeks | An eight item questionnaire regarding client satisfaction with the treatment. |
Countries
Canada
Outcome results
None listed