Comparative Effectiveness of Online 8-session CBT vs. 1-Session Empowered Relief for Chronic Pain - The PROGRESS Study
PROGRESS
1 other identifier
interventional
1,650
1 country
5
Brief Summary
The purpose of this study is to conduct a pragmatic clinical trial comparing the effectiveness of: (1) 8-week cognitive behavioral therapy for chronic pain (pain-CBT; sixteen hours total treatment time); and (2) a 1-session pain relief skills intervention for chronic pain (Empowered Relief; two hours total treatment time).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2023
Longer than P75 for not_applicable
5 active sites
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
August 5, 2022
CompletedFirst Posted
Study publicly available on registry
November 10, 2022
CompletedStudy Start
First participant enrolled
January 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 1, 2029
April 20, 2026
April 1, 2026
6.3 years
August 5, 2022
April 15, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (8)
Pain Intensity
Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)
1 months
Pain Intensity
Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)
2 months
Pain Intensity
Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)
3 months
Pain Intensity
Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)
6 months
Pain Interference
Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)
1 month
Pain Interference
Compare study treatments for primary outcomes post-treatment with the PROMIS Pain Interference 6-item scale.
2 months
Pain Interference
Compare study treatments for primary outcomes post-treatment with the PROMIS Pain Interference 6-item scale.
3 months
Pain Interference
Compare study treatments for primary outcomes post-treatment with the PROMIS Pain Interference 6-item scale.
6 months
Secondary Outcomes (36)
Sleep Disturbance
1 month
Sleep Disturbance
2 months
Sleep Disturbance
3 months
Sleep Disturbance
6 months
Pain Bothersomeness
1 month
- +31 more secondary outcomes
Other Outcomes (1)
Exploratory Outcome Health Service Utilization
6 months
Study Arms (4)
Lupus Chronic Pain Cohort
EXPERIMENTAL150 participants with Lupus and Chronic Pain
Chronic Pelvic Pain
EXPERIMENTAL150 participants with Chronic Pelvic Pain
Young Adult (18-23) Chronic Pain
EXPERIMENTAL150 participants ages 18-23 with Chronic Pain
PRIME Sample
EXPERIMENTAL1200 participants with chronic pain
Interventions
A trained psychologist delivers 8 sessions of low-literacy CBT (the LAMP protocol) to groups of patients who were randomized to this treatment arm.
A certified instructor delivers 1 session of pain relief skills intervention (Empowered Relief) to groups of patients who were randomized to this treatment arm.
Eligibility Criteria
You may qualify if:
- At least 18 years of age or older of either sex (and all genders).
- Chronic pain (pain that occurs on at least half of the days of 3 months or more).
- Past-month average pain intensity score of at least 3/10.
- Ability to adhere to and complete study protocols.
You may not qualify if:
- Inability to provide informed consent.
- Cognitive impairment, non-English speaking, or psychological factors that would preclude comprehension of material and/or full participation in the study including group treatment.
- Active suicidality at screening.
- Study staff may exclude individuals with a known history of disruptive behavior to minimize contamination of the learning environment for an entire treatment cohort.
- Receipt of either study treatment in the past 3 months.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Stanford Universitylead
- Patient-Centered Outcomes Research Institutecollaborator
Study Sites (5)
Phoenix VA Health Care System
Phoenix, Arizona, 85012, United States
SCAN Health Plan
Long Beach, California, 90806, United States
Humana
Louisville, Kentucky, 40202, United States
Lehigh Valley Health Network
Allentown, Pennsylvania, 18103, United States
Intermountain Healthcare
Salt Lake City, Utah, 84103, United States
Related Publications (1)
Adair Monson E, Mardian A, Saxena K, Dorsonne B, Hailu AY, Heggan E, Riazi G, Slater K, Poupore-King H, Clifton J, Perez L, Tian L, Porter J, Denton S, Hanson ER, Miefert J, Thorn BE, Mackey SC, Cheung M, Darnall BD. Randomized Comparative Effectiveness Study of 1-Session vs. 8-Session Online Behavioral Treatment for Chronic Pain: Protocol for the national PROGRESS study. Pain Med. 2026 Feb 19:pnag027. doi: 10.1093/pm/pnag027. Online ahead of print.
PMID: 41712512DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Participants and research staff will know arm assignment. Co-investigators, project statisticians, and the protocol director at each study site will remain blinded until final assessment.
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
August 5, 2022
First Posted
November 10, 2022
Study Start
January 1, 2023
Primary Completion (Estimated)
May 1, 2029
Study Completion (Estimated)
May 1, 2029
Last Updated
April 20, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share