Acute Pain
Conditions
Brief summary
The purpose of this randomized study is to determine the impact of three different types of psychosocial support delivered by social workers to patients reporting uncontrolled pain during a hospital stay. This study will examine the differential effects of brief mindfulness training, therapeutic suggestion, and psychoeducation for patients reporting uncontrolled pain.
Interventions
BEHAVIORALMindfulness
The 15 minute mindfulness session is a scripted mindfulness exercise that incorporates mindfulness principles of intentionally paying attention to present-moment experience in a non-judgmental fashion.
BEHAVIORALSuggestion
The 15 minute suggestion session is a scripted suggestion exercise that incorporates imagery and suggestions for changes in cognition, emotion, and body sensations.
BEHAVIORALPsychoeducation
The 15 minute psychoeducation session is a supportive session in which behavioral coping strategies for pain management are discussed.
Sponsors
University of Utah
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* English-speaking males or females 18 or older within the University of Utah Hospital system reporting intolerable pain or inadequate pain control on the Clinically Aligned Pain Assessment Tool (CAPA; Donaldson & Chapman, 2013).
Exclusion criteria
* Altered mental status due to delirium, psychosis, or pharmacological sedation as determined by clinical assessment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity (numeric rating scale) | Immediately prior to and following intervention | 0-10 scale |
| Pain unpleasantness (numeric rating scale) | Immediately prior to and following intervention | 0-10 scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Relaxation (numeric rating scale) | Immediately prior to and following intervention | 0-10 scale |
| Desire for opioids (numeric rating scale) | Immediately prior to and following intervention | 0-10 scale |
| Use of opioid analgesics | 24 hours prior to and following intervention | The total amount of opioid analgesic use will be computed during the 24 hours prior to and following intervention. Opioid dose will be standardized and calculated using conventional morphine daily equivalent equianalgesic conversion tables. |
| Use of non-opioid analgesics (NSAID) | Within 24 hours prior to and following intervention | The total amount of opioid analgesic use will be computed during the 24 hours prior to and following intervention. NSAID dose will be standardized and calculated using conventional NSAID equianalgesic conversion tables. |
| Positive body sensations (numeric rating scale) | Immediately prior to and following intervention | 0-10 scale |
| Anxiety (numeric rating scale) | Immediately prior to and following intervention | 0-10 scale |
Countries
United States
Outcome results
None listed