Evaluating the Effectiveness of an ACT-Based Bibliotherapy Intervention Among Adults Living With Chronic Pain

NCT03924687 | Completed

• 1 other identifier: CER-15-215-07.23
• Study Type: interventional
• Target: 140
• Locations: 0 countries
• Sites: N/A

Brief Summary

Chronic pain has a significant impact on the physical and psychological functioning of those living with this condition. It is now recognized that Acceptance and Commitment Therapy (ACT) is an effective intervention in managing chronic pain; however, several barriers limit its accessibility. The current study aims to evaluate the effectiveness of an eight-week bibliotherapy-type self-administered psychological intervention with minimal therapeutic contact, based on ACT, in the management of chronic pain. This study is a randomized controlled trial with two groups (one experimental group and one wait-list control group). Participants will be randomly assigned to each condition and measures will be taken at pretest, posttest and three months following the intervention.

Conditions

Chronic Pain

Keywords

chronic pain; Acceptance or Commitment Therapy (ACT); self-help; pain-related disability; psychological inflexibility; depression; pain acceptance; bibliotherapy

Outcome Measures

Primary Outcomes (2)

• Change in Pain-related disability

  Brief Pain Inventory (BPI; Interference subscale; Cleeland \& Ryan 1994; Poundja, Fikretoglu, Guay, \& Brunet 2007; Tyler, Jensen, Engel, \& Schwartz 2002)

  Change from week 1 to week 9

• Change in Pain-related disability

  Brief Pain Inventory (BPI; Interference subscale; Cleeland \& Ryan 1994; Poundja, Fikretoglu, Guay, \& Brunet 2007; Tyler, Jensen, Engel, \& Schwartz 2002)

  Change from week 9 and week 21 (ACT group only)

Secondary Outcomes (7)

• Change in Depressive symptoms

  Change from week 1 to week 9

• Change in Depressive symptoms

  Change from week 9 and week 21 (ACT group only)

• Change in Pain acceptance

  Change from week 1 to week 9

• Change in Pain acceptance

  Change from week 9 and week 21 (ACT group only)

• Change in Psychological inflexibility

  Change from week 1 to week 9

Study Arms (2)

ACT group

EXPERIMENTAL

ACT group: participants receiving the 8-week bibliotherapy intervention based on Acceptance and Commitment Therapy

Behavioral: Acceptance and Commitment Therapy (ACT) bibliotherapy for chronic pain

control group

NO INTERVENTION

Wait-list control condition: participants placed on a wait-list (and receiving the intervention following the 9 week duration of the intervention)

Interventions

Acceptance and Commitment Therapy (ACT) bibliotherapy for chronic pain BEHAVIORAL

The intervention consisted of the book "Libérez-vous de la douleur par la méditation et l'ACT" (Dionne, 2014) and a participant workbook, along with two phone calls of approximately 15 minutes each and weekly e-mails presenting the week's content. Participants also had access to audio meditation exercises on the book's website (http://liberezvousdeladouleur.com/meditations/).

ACT group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• being 18 years of age or older
• having suffered from daily pain for more than three months
• having reading and writing abilities in French equivalent or superior to grade 8
• having access to Internet at home and having a valid e-mail address
• not having previously completed an ACT-type psychotherapy, not having practiced mindfulness meditation regularly and not having read a bibliotherapy on ACT for pain
• having stable medication for at least one month, if applicable.

Sponsors & Collaborators

• Université du Québec à Trois-Rivières: lead

Related Publications (7)

• Hann, K. E. J., & McCracken, L. M. (2014). A systematic review of randomized controlled trials of Acceptance and Commitment Therapy for adults with chronic pain: Outcome domains, design quality, and efficacy. Journal of Contextual Behavioral Science, 3(4), 217-227. http://dx.doi.org/http://dx.doi.org/10.1016/j.jcbs.2014.10.001

  BACKGROUND

• Hughes LS, Clark J, Colclough JA, Dale E, McMillan D. Acceptance and Commitment Therapy (ACT) for Chronic Pain: A Systematic Review and Meta-Analyses. Clin J Pain. 2017 Jun;33(6):552-568. doi: 10.1097/AJP.0000000000000425.

  PMID: 27479642 BACKGROUND

• Boulanger, A., Charbonneau, C., Choinière, M., Laliberté, J., & St-Hilaire, F. (2015). Renforcer les services de première ligne, développer les connaissances et les compétences des patients et des professionnels de la santé afin de mieux prévenir et traiter la douleur chronique.

  BACKGROUND

• Hogg MN, Gibson S, Helou A, DeGabriele J, Farrell MJ. Waiting in pain: a systematic investigation into the provision of persistent pain services in Australia. Med J Aust. 2012 Apr 2;196(6):386-90. doi: 10.5694/mja12.10140.

  PMID: 22471539 BACKGROUND

• Jamison RN, Gintner L, Rogers JF, Fairchild DG. Disease management for chronic pain: barriers of program implementation with primary care physicians. Pain Med. 2002 Jun;3(2):92-101. doi: 10.1046/j.1526-4637.2002.02022.x.

  PMID: 15102155 BACKGROUND

• Hayes, S. C., Strosahl, K. D., & Wilson, K., G. (2012). Acceptance and commitment therapy : the process and practice of mindful change (2nd ed.). New York: Guilford Press.

  BACKGROUND

• Veillette J, Martel ME, Dionne F. A randomized controlled trial evaluating the effectiveness of an acceptance and commitment therapy-based bibliotherapy intervention among adults living with chronic pain. Can J Pain. 2019 Nov 26;3(1):209-225. doi: 10.1080/24740527.2019.1678113. eCollection 2019.

  PMID: 35005411 DERIVED

MeSH Terms

Conditions

Chronic Pain; Depression

Interventions

Bibliotherapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Psychotherapy; Behavioral Disciplines and Activities

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: Associate Professor

Study Record Dates

• First Submitted: April 8, 2019
• First Posted: April 23, 2019
• Study Start: March 28, 2016
• Primary Completion: August 1, 2016
• Study Completion: August 1, 2016
• Last Updated: April 23, 2019

Record last verified: 2019-04

Data Sharing

• IPD Sharing: Will not share