Back Pain, Chronic Back Pain, Chronic Pain, Neck Pain
Conditions
Brief summary
The investigators are conducting a trial that evaluates the feasibility of telehealth group pain reprocessing therapy (PRT), with no comparison group, for the treatment of chronic back pain in a population of veterans. PRT is a psychotherapy for chronic pain that aims to help patients reconceptualize their pain as a non-dangerous signal. It has been shown to be effective in a previous RCT (n=151).
Interventions
BEHAVIORALPain Reprocessing Therapy (PRT)
PRT is a psychological intervention for chronic pain patients with a primary nociplastic component. PRT aims to help patients reconceptualize their pain as a non-dangerous signal that is not indicative of tissue pathology or structural abnormality. Through decreasing the threat level of their chronic pain, the pain itself can also resolve.
Sponsors
VA Eastern Colorado Health Care System
University of Colorado, Denver
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* At least 6 months of back pain with last week average back pain at least 4/10 * Able to attend at least 7/8 telehealth group sessions * Access to safe living space, quite room, reliable internet, and electronic device that can be used to attend telehealth therapy sessions.
Exclusion criteria
* Leg pain that is worse than back pain * Suicide attempt, SI, HI, or inpatient psychiatric hospitalization in the past 5 years * Not receiving/has not received disability or workers compensation related to back pain in the past 2 years. * Is not currently involved in litigation regarding chronic back pain. * Current misuse or overuse of alcohol or drugs * Major surgery or other major medical events in the next 6 months * Known vertebral/spinal fracture or tumor. * Back surgery within last 2 years * Difficulty controlling bowel movements * Current or recent diagnosis of cancer * Current or recent diagnosis of severe cardiovascular disease * Unexplained or unintended greater than 20 pound weight loss in the past year * Diagnosis of rheumatoid arthritis, polymyalgia rheumatica, scleroderma, Lupus, polymyositis, or other specific inflammatory disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PEG-3 Average Pain in last week | Baseline, Post-treatment, and 2-months post-treatment | 0-10 scale that asks participant to rate their average pain (0=No pain, 10=Pain as bad as possible) in the last week |
Countries
United States
Outcome results
None listed