NCT02676232

Brief Summary

Chronic and recurrent pain is a very important issue in the society, and its treatment is challenging. In children, one of the most common pain problems is recurrent abdominal pain. This problem can affect up to 12% of the children population, and can interfere on daily activities of both children and parents. Recurrent abdominal pain in children is also associated with other health problems, and can be related to problems in adulthood. Unfortunately, the current health system does not have an effective treatment for these children and their families. This is why the investigators propose an online intervention, DARWeb, for people in this situation. DARWeb provides an innovative solution using Information and Communication Technology to facilitate access. It is also innovative because it is directed towards secondary prevention, in contrast to the majority of current treatments available for pain problems that are focused in reducing the impact of pain when it is already severe. Thus, the objective of DARWeb is to provide information and teach strategies to children and their parents that help them to cope with pain and prevent pain interference in their daily lives (in the short, medium and long term). With this project, the investigators plan, first, to create a new version of their treatment program (DARWeb V2) from the results of the pilot study. Second, the investigators will test the effects of DARWeb V2 through a randomized clinical trial with a large sample, and they will assess the short, medium and long term effects. In addition, the investigators want to study which of the variables that are addressed in their intervention are responsible for the potential changes observed. The investigators expect that their treatment program will be effective to reduce pain in the short, medium and long term.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
61

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Sep 2014

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2014

Completed
1.4 years until next milestone

First Submitted

Initial submission to the registry

January 28, 2016

Completed
11 days until next milestone

First Posted

Study publicly available on registry

February 8, 2016

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2019

Completed
Last Updated

April 24, 2019

Status Verified

April 1, 2019

Enrollment Period

4.5 years

First QC Date

January 28, 2016

Last Update Submit

April 23, 2019

Conditions

Keywords

Online InterventionRecurrent Abdominal PainChildren

Outcome Measures

Primary Outcomes (6)

  • Pain Intensity

    Assessed with the abdominal Pain Index

    2 weeks after intervention

  • Pain Frequency

    Assessed with the abdominal Pain Index

    2 weeks after intervention

  • Pain Intensity

    Assessed with the abdominal Pain Index

    6 months after the intervention

  • Pain Intensity

    Assessed with the abdominal Pain Index

    12 months after the intervention

  • Pain Frequency

    Assessed with the abdominal Pain Index

    6 months after the intervention

  • Pain Frequency

    Assessed with the abdominal Pain Index

    12 months after the intervention

Secondary Outcomes (3)

  • Quality of life

    2 weeks after intervention; 6 and 12 months.

  • Disability

    2 weeks after intervention; 6 and 12 months.

  • Depression

    2 weeks after intervention; 6 and 12 months.

Study Arms (2)

Intervention

EXPERIMENTAL

Participants in this arm will follow DARWeb: an online psychosocial intervention for children with recurrent abdominal pain and their parents. This is composed by 7 units for parents and 7 units for children, that have been developed from the cognitive-behavioral model, including setting goals, relaxation and distraction techniques, changing maladaptive thoughts and assertive communication training. The team under the program only contact with families for sending reminders and to answer potential technical problems or doubts

Behavioral: DARWeb

Control

NO INTERVENTION

Participants allocated in this arm will not receive intervention. However, they will be invited to participate once the families allocated to the experimental group complete the program.

Interventions

DARWebBEHAVIORAL

Psychosocial Intervention from the cognitive-behavioral model, including different but related units for parents and children with recurrent abdominal pain.

Intervention

Eligibility Criteria

Age9 Years - 15 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • to 15 years
  • Recurrent abdominal pain (abdominal pain at least once at month during a period of three months)
  • Low level of disability

You may not qualify if:

  • Identifiable organic cause.
  • Disability preventing them to follow an online intervention.
  • Not having a computer with Internet access.
  • Not being able to read in Spanish language.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Universitat Oberta de Catalunya

Barcelona, 08018, Spain

Location

Related Publications (1)

  • Nieto R, Hernandez E, Boixados M, Huguet A, Beneitez I, McGrath P. Testing the Feasibility of DARWeb: An Online Intervention for Children With Functional Abdominal Pain and Their Parents. Clin J Pain. 2015 Jun;31(6):493-503. doi: 10.1097/AJP.0000000000000199.

    PMID: 25551478BACKGROUND

Related Links

MeSH Terms

Conditions

Abdominal Pain

Condition Hierarchy (Ancestors)

PainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsSigns and Symptoms, Digestive

Study Officials

  • Rubén Nieto, PhD

    Universitat Oberta de Catalunya

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Rubén Nieto Luna, PhD

Study Record Dates

First Submitted

January 28, 2016

First Posted

February 8, 2016

Study Start

September 1, 2014

Primary Completion

March 1, 2019

Study Completion

March 1, 2019

Last Updated

April 24, 2019

Record last verified: 2019-04

Data Sharing

IPD Sharing
Will not share

Locations