NCT04104542

Brief Summary

Subject Population: Active duty (AD) women with chronic pelvic pain (CPP) have different demands and stressors placed on them compared with their civilian counterparts. Due to a decrease in functionality from pain, not addressing these women's untreated CPP could be detrimental in readiness missions. With limited studies on AD women with CPP or sufficient treatments available, this study seeks to compare the effects on pain, depression, and inflammation in the mindfulness-based stress reduction (MBSR) group with a self-paced Healthy Lifestyle (HL) education control. Research Design: This randomized controlled trial will compare depression, pain, and biomarkers known for inflammation and pain in AD women with CPP pre-post an 8-week MBSR online intervention (n=55) with a self-directed Healthy Lifestyle control (n=55). Instruments: All participants will complete a demographic worksheet, Five Facets of Mindfulness Questionnaire (FFQ), a brief pain inventory (BPI), and a Patient Health Questionnaire (PHQ-9) pre-post intervention (MBSR or HL). Procedure: Participants will have 8-weeks of online training with voice-over slides in RedCap. The primary investigator will contact participants weekly for both groups and review diaries to help monitor fidelity and guide progress. Blood will be drawn for biomarkers for inflammation and pain and questionnaires will be completed pre-post intervention.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
41

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jun 2019

Shorter than P25 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

First Submitted

Initial submission to the registry

May 1, 2019

Completed
1 month until next milestone

Study Start

First participant enrolled

June 1, 2019

Completed
4 months until next milestone

First Posted

Study publicly available on registry

September 26, 2019

Completed
5 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2019

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2019

Completed
Last Updated

July 12, 2022

Status Verified

July 1, 2022

Enrollment Period

4 months

First QC Date

May 1, 2019

Last Update Submit

July 9, 2022

Conditions

Keywords

militarychronic pelvic paininflammationmindfulness

Outcome Measures

Primary Outcomes (1)

  • Brief Pain Inventory Questionnaire measuring participants pelvic pain

    Brief Pain Inventory - Short Form (BPI-sf) is a 9 item self-administered questionnaire used to evaluate the severity of a patient's pain and the impact of this pain on their daily functioning. The participant rates their worst, least, average, and current pain intensity, lists current treatments and their perceived effectiveness, and rate the degree that pain interferes with general activity, mood, walking ability, normal work, relations with other persons, sleep, and enjoyment of life on a 10 point scale. The BPI-sf is a modification of the Brief Pain Inventory - Long Form. Pelvic pain as measured by the Brief Pain Inventory questionnaire for each participant before the interventions and at 6 weeks. The BPIsf assesses severity of pain (4 items) and the impact of pain on daily function (7 items). Self-report Likert type scale measuring from no pain (0) to maximum pain (10).

    pre- and at the end of the intervention (6 weeks)

Secondary Outcomes (3)

  • Five Facets of Mindfulness Questionnaire measuring mindfulness

    pre- and at the end of the intervention (6 weeks)

  • Patient Health Questionnaire -9 (PHQ-9) measuring depression

    pre- and at the end of the intervention (6 weeks)

  • Inflammation changes as measured in ng/ml of Interluekin-8, Interleukin 1ra, and Tumor Necrosis Factor-a pre- and post- intervention (6 weeks)/Physiologic parameter

    pre- and at the end of the intervention (6 weeks)

Study Arms (4)

Mindfulness MTHM

EXPERIMENTAL

online mindfulness based stress reduction training

Behavioral: Mindfulness based stress reduction

Mindfulness JBSA

EXPERIMENTAL

online mindfulness based stress reduction training

Behavioral: Mindfulness based stress reduction

Healthy Lifestyle MTHM

SHAM COMPARATOR

online healthy lifestyle training

Behavioral: Healthy Lifestyle

Healthy Lifestyle JBSA

SHAM COMPARATOR

online healthy lifestyle training

Behavioral: Healthy Lifestyle

Interventions

on-line training on the website = www.palousemindfulness.com

Also known as: MBSR
Mindfulness JBSAMindfulness MTHM

Diet and Exercise

Also known as: HL
Healthy Lifestyle JBSAHealthy Lifestyle MTHM

Eligibility Criteria

Age21 Years - 50 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility DetailsActive Duty Female
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • years of age
  • active duty female
  • English as first language
  • diagnosed with chronic pelvic pain
  • Has access to a computer, telephone, and wifi
  • Will not PCS or deploy in the next 3 months without access to computer
  • consent form signed

You may not qualify if:

  • abdominal or pelvic surgery in last 6 months
  • known vaginal or pelvic infection at the time of study enrollment, not currently being treated
  • menopausal
  • pregnant
  • breastfeeding
  • underlying disease including: diabetes, tumors, auto-immune disorders

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Univeristy of Missouri-Kansas City

Kansas City, Missouri, 64108, United States

Location

Related Publications (1)

  • Crisp CD, Baldi R, Fuller M, Abreu E, Nackley AG. Complementary Approaches for Military Women with Chronic Pelvic Pain: A Randomized Trial. J Integr Complement Med. 2023 Jan;29(1):22-30. doi: 10.1089/jicm.2022.0616. Epub 2022 Oct 12.

MeSH Terms

Conditions

DepressionPelvic Inflammatory DiseaseInflammation

Interventions

Mindfulness-Based Stress Reduction

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehaviorPelvic InfectionInfectionsAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

MindfulnessCognitive Behavioral TherapyBehavior TherapyPsychotherapyBehavioral Disciplines and Activities

Study Officials

  • Carol D Crisp, PhD (c)

    University of Missouri, Kansas City

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

May 1, 2019

First Posted

September 26, 2019

Study Start

June 1, 2019

Primary Completion

October 1, 2019

Study Completion

October 31, 2019

Last Updated

July 12, 2022

Record last verified: 2022-07

Data Sharing

IPD Sharing
Will not share

Locations