Chronic Pain
Conditions
Brief summary
The purpose of this research study is to investigate potential benefits of a behavioral intervention for co-occurring chronic pain and distress that is delivered in a primary care clinic.
Interventions
BEHAVIORALPsychotherapy
Participants will complete 5, 60 minutes sessions. At each session, participants will learn strategies that have been shown to improve pain functioning and/or mood for patients who have chronic pain. The intervention will be delivered in the patient's primary care clinic.
Sponsors
Henry Ford Health System
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
* Chronic pain condition * A current patient within the Henry Ford Health System Academic Internal Medicine Clinic in Detroit * Has been within the Henry Ford Health System for at least 6 months
Exclusion criteria
* Current behavioral health treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital Anxiety and Depression Scale | 5 weeks post-baseline | This measure assesses the severity of depression and anxiety. Scores on each of the subscale (e.g., depression and anxiety) range from 0-21 with higher scores indicating greater severity. |
| Brief Pain Inventory | 5 weeks post-baseline | The Brief Pain Inventory measures pain severity and pain functioning. Pain severity is comprised of 4 questions on a 0-10 scale for pain at it's worst in the past week, the least in the past week, on average, and then currently. Each item is scored separately and higher scores indicate greater pain severity. There are then 12 daily activities in which the participants rates on a scale of 0-10 regarding how much the pain interferes with the activity (10 being the highest interference). These are all scored separately. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Insomnia Severity Index | Administered at baseline, 5 weeks post-baseline, and 1 month and 6-month follow-ups | This measure assess difficulty with sleep. Total scores range from 0-28, with greater numbers indicating greater sleep difficulty. |
| Pain Catastrophizing Scale | Administered at baseline, 5 weeks post-baseline, and 1 month and 6-month follow-ups | This measure assesses catastrophizing thoughts about pain. Total scores range from 0-52 with higher scores indicating greater catastrophizing. The three subscales are rumination (range= 0-16), magnification (range= 0-12), and helplessness (range= 0-24). |
| Satisfaction with Life Scale | Administered at baseline, 5 weeks post-baseline, and 1 month and 6-month follow-ups | This measure assesses how satisfied a patient is with their life. Total scores range from 7-35 with higher scores indicating greater satisfaction. |
| Health care utilization | Measured 6 months before and 6 months after study enrollment | The number of primary and specialty care visits, prescriptions written, emergency room visits, and hospital admissions |
Other
| Measure | Time frame | Description |
|---|---|---|
| Mindful Attention Awareness Scale | Administered at baseline, 5 weeks post-baseline, and 1 month and 6-month follow-ups | This measure assess the extent to which someone is using mindful awareness. Total scores range from 15-90 with greater scores indicating greater mindfulness. |
| Montreal Cognitive Assessment | Administered at baseline | Brief screen of cognitive functioning; scores range from 0-30 |
| Brief Medical Numbers Test | Administered at baseline | Brief screen of health numeracy; scores range from 0-4 |
| Rapid Estimate of Adult Learning in Medicine | Administered at baseline | Brief screen of health literacy; patients are categorized into a reading level: at least 9th grade, 7th-8th grade, 4th-6th grade, and 3rd grade or less |
| Chronic Pain Acceptance Questionnaire | Administered at baseline, 5 weeks post-baseline, and 1 month and 6-month follow-ups | This measure assess acceptance of chronic pain. Total scores range from 0-120 with higher scores indicating greater acceptance. There are 2 subscales: Activity Engagement (range= 0-66) and Pain Willingness (range= 0-54). |
Countries
United States
Outcome results
None listed