Guided Internet-delivered Acceptance and Commitment Therapy for Chronic Pain Patients

NCT01603797 | Completed

• 1 other identifier: smartaSIAMB_GA
• Study Type: interventional
• Target: 76
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this study was to investigate if guided internet-delivered acceptance and commitment therapy (ACT)would help chronic pain patients.

Conditions

Chronic Pain

Keywords

internetdelivered CBT; chronic pain; acceptance and commitment therapy; mindfulness; guided self help

Outcome Measures

Primary Outcomes (1)

• Chronic Pain Acceptance Questionnaire (CPAQ)

  CPAQ consists of 20 items divided into two subscales: activity engagement and pain willingness. Items are rated on a scale from 0 (never true) to 6 (always true). Higher scores denote greater activity engagement and pain willingness. Studies show acceptable reliability (α =.72-.92).

  One week pre- and post-treatment

Secondary Outcomes (5)

• Hospital and Anxiety Depression Scale (HADS)

  One week pre- and post- treatment

• The Coping Strategies Questionnaire (CSQ)

  One week pre- and post- treatment

• Multidimensional Pain Inventory (MPI-S)

  One week pre- and post- treatment

• The Pain and Impairment Relationship Scale (PAIRS)

  One week pre- and post- treatment

• Quality of Life Inventory (QOLI)

  One week pre- and post- treatment

Study Arms (2)

Internet delivered ACT

EXPERIMENTAL

Internet delivered acceptance and commitment therapy (ACT), 7 weeks treatment

Behavioral: Guided internet-delivered acceptance and commitment therapy

Online discussion forum

ACTIVE COMPARATOR

Active wait-list condition. Were offered to participate in a moderated online discussion forum. After post-treatment assessment the control group were offered treatment.

Behavioral: Guided internet-delivered acceptance and commitment therapy

Interventions

Guided internet-delivered acceptance and commitment therapy BEHAVIORAL

The treatment program consisted of seven sections and was based on ACT.The first part was about creative hopelessness and was followed in the next section by an introduction to willingness and to the process of acceptance of pain. Information and assignments about committed action and values were also part of the treatment program. Mindfulness exercises were a regular feature in the program. The last part was about how to maintain learned strategies but also an evaluation of the program.

Internet delivered ACT; Online discussion forum

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• that participants had undergone medical investigation (within one year)
• had regular access to the internet
• had functional impairment caused by chronic pain
• had internet access

You may not qualify if:

• ongoing medical investigations or treatment that could interfere with participation in the study, such as planned surgery and suffering from acute physical or psychological conditions
• not fluent in the Swedish language

Sponsors & Collaborators

• Gerhard Andersson: lead

Related Publications (1)

• Bendelin N, Bjorkdahl P, Risell M, Nelson KZ, Gerdle B, Andersson G, Buhrman M. Patients' experiences of internet-based Acceptance and commitment therapy for chronic pain: a qualitative study. BMC Musculoskelet Disord. 2020 Apr 6;21(1):212. doi: 10.1186/s12891-020-03198-1.

  PMID: 32252707 DERIVED

MeSH Terms

Conditions

Chronic Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Gerhard Andersson, Professor

  Linkoeping University

  STUDY DIRECTOR

• Monica Buhrman, MSc

  Uppsala University

  PRINCIPAL INVESTIGATOR

• Timo Hursti, PhD

  Uppsala University

  STUDY CHAIR

• Torsten Gordh, Professor

  Uppsala University

  STUDY CHAIR

• Tomas Furmark, Professor

  Uppsala University

  STUDY CHAIR

• Astrid Skoglund, MSc

  Uppsala University

  STUDY CHAIR

• Josefin Husell, MSc

  Uppsala University

  STUDY CHAIR

• Kristina Bergström, MSc

  Uppsala University

  STUDY CHAIR

• Nina Bendelin, MSc

  Linkoeping University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: May 19, 2012
• First Posted: May 22, 2012
• Study Start: February 1, 2010
• Primary Completion: May 1, 2010
• Study Completion: December 1, 2010
• Last Updated: October 3, 2012

Record last verified: 2012-10