Chronic Pain, Widespread, Spinal Cord Injuries
Conditions
Brief summary
To establish the effectiveness of an internet-delivered cognitive behavioural therapy pain management programme (CBT-PMP) on people with spinal cord injury pain compared with usual care.
Detailed description
A pilot prospective, single blinded, randomised controlled trial with two arms an internet-delivered CBT-PMP for chronic pain post spinal cord injury (SCI) and usual care. The CBT-PMP will contain 8 sessions over 8 weeks, with outcomes assessed at baseline, post intervention, and 6 months follow-up. Participants will be adults with chronic pain (pain \> 3 months), regular internet access and not undergoing any other psychological treatments. Following the study those in the intervention strand will be invited to complete a focus group to explore the subjects' overall experience of the online CBT-PMP.
Interventions
OTHERSPIRE
Online pain management programme.
Sponsors
Health Informatics Society of Ireland
Irish Society of Chartered Physiotherapists
Dearbhla Burke
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Traumatic or non-traumatic SCI * Chronic SCI pain of more than three months. * Discharged from acute hospital and rehabilitation services. * Males/Females \>18years. * Regular computer and Internet access and working knowledge of the internet. * Fluency in English (verbal and written).
Exclusion criteria
* Those who have completed a PMP before * Mental health issue which requiring psychiatric management. * Acute injury, currently under specialist medical care. * Patients with confounding co-morbidities such as cancer, unstable angina / uncontrolled cardiac arrhythmias/ severe aortic stenosis, acute systemic infection accompanied by fever, systemic/inflammatory diseases eg rheumatoid arthritis/substance abuse/significant mental health issues.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life | Change from baseline to six weeks and three months. | Quality of life as measured by the WHO QoL Bref |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mood | Change from baseline to six weeks and three months. | Mood measured using the Hospital Anxiety and Depression Scale |
| Pain | Change from baseline to six weeks and three months. | Pain measured using the International Spinal Cord Injury Pain Basic Dataset (ISCIPDS:B) (Version 1) |
| Sleep | Change from baseline to six weeks and three months. | Sleep quality using the Pittsburgh Sleep Quality Index |
| Pain acceptance | Change from baseline to six weeks and three months. | Pain acceptance measured using the chronic pain acceptance questionnaire |
| Patients impression of change | Change from baseline to six weeks and three months. | Patients impression of change as measured using the Patient's Global Impression of Change |
| Pain interference | Change from baseline to six weeks and three months. | Pain interference measured using the brief pain inventory |
Countries
Ireland
Outcome results
None listed