Psychosocial Support for Acute Hospital Pain and Distress
1 other identifier
interventional
244
1 country
1
Brief Summary
The purpose of this randomized study is to determine the impact of three different types of psychosocial support delivered by social workers to patients reporting uncontrolled pain during a hospital stay. This study will examine the differential effects of brief mindfulness training, therapeutic suggestion, and psychoeducation for patients reporting uncontrolled pain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2015
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 26, 2015
CompletedFirst Posted
Study publicly available on registry
October 28, 2015
CompletedStudy Start
First participant enrolled
November 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2018
CompletedMarch 6, 2020
March 1, 2020
2.9 years
October 26, 2015
March 4, 2020
Conditions
Outcome Measures
Primary Outcomes (2)
Pain intensity (numeric rating scale)
0-10 scale
Immediately prior to and following intervention
Pain unpleasantness (numeric rating scale)
0-10 scale
Immediately prior to and following intervention
Secondary Outcomes (6)
Use of opioid analgesics
24 hours prior to and following intervention
Anxiety (numeric rating scale)
Immediately prior to and following intervention
Relaxation (numeric rating scale)
Immediately prior to and following intervention
Desire for opioids (numeric rating scale)
Immediately prior to and following intervention
Positive body sensations (numeric rating scale)
Immediately prior to and following intervention
- +1 more secondary outcomes
Study Arms (3)
Mindfulness
EXPERIMENTAL15 minute mindfulness session
Suggestion
EXPERIMENTAL15 minute therapeutic suggestion session
Psychoeducation
ACTIVE COMPARATOR15 minute psychoeducation session
Interventions
The 15 minute mindfulness session is a scripted mindfulness exercise that incorporates mindfulness principles of intentionally paying attention to present-moment experience in a non-judgmental fashion.
The 15 minute suggestion session is a scripted suggestion exercise that incorporates imagery and suggestions for changes in cognition, emotion, and body sensations.
The 15 minute psychoeducation session is a supportive session in which behavioral coping strategies for pain management are discussed.
Eligibility Criteria
You may qualify if:
- English-speaking males or females 18 or older within the University of Utah Hospital system reporting "intolerable pain" or "inadequate pain control" on the Clinically Aligned Pain Assessment Tool (CAPA; Donaldson \& Chapman, 2013).
You may not qualify if:
- Altered mental status due to delirium, psychosis, or pharmacological sedation as determined by clinical assessment.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Utah Hospital
Salt Lake City, Utah, 84112, United States
Related Publications (2)
Donaldson, G., & Chapman, C.R. (2013). Pain management is more than just a number. University of Utah Health/Department of Anesthesiology. Salt Lake City, Utah: Department of Anesthesiology.
BACKGROUNDGarland EL, Baker AK, Larsen P, Riquino MR, Priddy SE, Thomas E, Hanley AW, Galbraith P, Wanner N, Nakamura Y. Randomized Controlled Trial of Brief Mindfulness Training and Hypnotic Suggestion for Acute Pain Relief in the Hospital Setting. J Gen Intern Med. 2017 Oct;32(10):1106-1113. doi: 10.1007/s11606-017-4116-9. Epub 2017 Jul 12.
PMID: 28702870DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Eric L Garland, PhD
University of Utah
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
October 26, 2015
First Posted
October 28, 2015
Study Start
November 1, 2015
Primary Completion
October 1, 2018
Study Completion
October 1, 2018
Last Updated
March 6, 2020
Record last verified: 2020-03