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Individual Differences in Placebo Analgesic Effects

Person by Situation Interaction: Matching Suggestions to Participants' Motivational Styles

Status
Not yet recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04669093
Enrollment
60
Registered
2020-12-16
Start date
2026-09-30
Completion date
2027-12-31
Last updated
2025-12-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Brief summary

This study examines the effects of placebo suggestions tailored to match or mismatch individual participants' motivational styles-an issue of person-situation 'fit' with important effects in public health settings, but which has been ignored in past research.

Interventions

BEHAVIORALPlacebo cream- promotion suggestion

Over-the-counter hand cream will be applied to participants' skin, but they will be told that they are given a highly efficient topical analgesic cream. The suggestion will be based on a promotion approach (promoting good feelings).

BEHAVIORALPlacebo cream- prevention suggestion

Over-the-counter hand cream will be applied to participants' skin, but they will be told that they are given a highly efficient topical analgesic cream. The suggestion will be based on a prevention approach (preventing pain).

BEHAVIORALControl cream

In a control condition, with the same cream as in the placebo interventions, participants will be instructed that the cream is a control cream with no effects.

Sponsors

Trustees of Dartmouth College
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
SINGLE (Subject)

Masking description

Participants will not be aware of the type of suggestion (or the fact there are different types of suggestions) during the experiment. They will be debriefed upon the study's conclusion.

Intervention model description

This is a within-participant design. Each participant will participate in two sessions. In both sessions, an over-the-counter hand cream will be applied to their skin, accompanied by a placebo suggestion that the cream is analgesic. In one session, the suggestion will match the participant's motivational style, and in the other session the suggestion will not match their motivational style. The order of sessions will be counterbalanced across participants. Each session will also include a control condition, in which participants will be told that the cream has no affect. The same over-the-counter hand cream will be used in all sessions.

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy participants * Dominant promotion focus or dominant prevention focus (based on our screening)

Exclusion criteria

* Currently or recently suffered from chronic pain (based on screening) * Cannot tolerate heat pain applied to the forearm, based on a calibration task at the beginning of the experiment

Design outcomes

Primary

MeasureTime frameDescription
Changes in subjective ratings of acute thermal painMeasured repeatedly, immediately after thermal stimuli on the day of participation. Averaged and compared across interventions.Following each thermal stimulus, participants are asked to rate how painful it was, on a semi-circular computerized scale. Ratings are based on the angle (0-180), with higher angle representing higher pain ratings. We will average and compare the pain ratings within participant across interventions.
Changes in subjective ratings of pain expectationsMeasured repeatedly, immediately before thermal stimuli on the day of participation. Averaged and compared across interventions.Before each thermal stimulus, participants are asked to rate how painful they expect the next stimulus to be, on a semi-circular computerized scale. Ratings are based on the angle (0-180), with higher angle representing higher expectations ratings. We will average and compare the expectation ratings within participant across interventions.

Secondary

MeasureTime frameDescription
Facial expressionsImmediate response measured during painful stimulation on the day of participation. Averaged and compared across interventions.We will obtain facial video recordings of participants with a video camera. We will analyze these data according to Facial Action Units (facial expressions) that are known to be related to pain, and compare them across interventions.
Thermal imaging of the faceImmediate response measured during painful stimulation on the day of participation. Averaged and compared across interventions.We will obtain thermal recordings of participant's face with an infrared camera, and compare the heat signature of the face (the temperature in different parts of the face) across interventions.
Changes in skin conductance response measured with a Biopac deviceImmediate response measured during painful stimulation on the day of participation. Averaged and compared across interventions.Skin conductance will be measured. We will compare the skin conductance response to pain stimuli within participant across interventions.
Changes in heart rate measured with a Biopac deviceImmediate response measured during painful stimulation on the day of participation. Averaged and compared across interventions.Heart rate will be measured. We will compare the heart rate in response to pain stimuli within participant across interventions.

Countries

United States

Contacts

Primary ContactTor D Wager, PhD
Tor.D.Wager@Dartmouth.edu(603)-646-2196

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026