Chronic Pain
Conditions
Brief summary
The purpose of this study is to assess the efficacy of a resilience intervention in Veterans with chronic pain compared to wait list control.
Detailed description
After being consented and screened for eligibility, participants completed baseline assessments and then were randomized to either the study intervention or wait list control. Participants who were randomized to the study intervention completed post testing assessment measures within two weeks of the final treatment. Participants who were randomized to waitlist conditions completed post testing assessment measures within 2 weeks of the end of the waitlist condition and then subsequently received the study intervention.
Interventions
BEHAVIORALResilient Intrinsic Self-Regulation Strategies in Extremes
The manualized intervention covered resilience strategies organized into four modules: (1) engagement, (2) social relatedness, (3) transformation of pain and (4) building a good life. The modules were delivered in 8 weekly sessions of 90 minutes each.
Sponsors
Phoenix VA Health Care System
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1.18-80 years of age 2. United States Veterans from the conflicts of OEF/OIF to Vietnam era 3. Self-identified chronic pain or chart diagnosis of chronic pain
Exclusion criteria
1. Active suicidality of suicidal intent requiring a greater than outpatient level of care (Columbia Suicidality Rating Scale screen, C-SSRS) 2. Active alcohol abuse (Alcohol Use Disorder Identification Test, AUDIT-C) 3. Active psychosis (Psychosis Screener) 4. Current severe disabling illness 5. Inability to participate in a small group interactive setting 6. Inability to meet attendance requirement 7. Neurocognitive conditions other than TBI (e.g. dementia, Parkinsons, stroke) 8. Concurrently receiving Exposure Therapy, Cognitive Behavior Therapy, Acceptance and Commitment Therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Health Questionnaire, Depression Scale (PHQ-9) | 2 weeks | assessment of depression symptoms |
| Generalized Anxiety Disorder (GAD-7) | 2 weeks | assessment of anxiety symptoms |
| RAND 36-item Health Survey (SF-36) - Mental Health and Physical Health subscales | 2 weeks | assessment of positive emotional health |
| PTSD Check List-5 | 2 weeks | assessment of PTSD symptoms |
| Pain Catastrophizing Scale | 2 weeks | assessment of pain catastrophizing symptoms |
| Physical Symptoms Scale (PHQ-15) | 2 weeks | assessment of physical symptoms |
| Insomnia Severity Index | 2 weeks | assessment of insomnia symptoms |
| West Haven-Yale Multidimensional Pain Inventory (WYMPI) | 2 weeks | multidimensional assessment of pain |
| Pain Outcomes Questionnaire (POQ) | 2 weeks | multidimensional assessment of pain |
| Neuropsychological Assessment Battery (NAB) - Word Generation subtest | 2 weeks | neuropsychological assessment of executive functions |
| Delis-Kaplan Executive Function System (D-KEFS) - Category Fluency, Category Switching, and Color-Word Switching subtests | 2 weeks | neuropsychological assessement |
| Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) | 2 weeks | neuropsychological assessment of working memory, episodic memory, and complex attention |
Countries
United States
Outcome results
None listed