NCT06285864

Brief Summary

The ability to be connected and act according to bodily information is fundamental in chronic pain adjustment. This study aims to test the feasibility of an intervention designed to improve interoceptive sensibility, i.e., the ability to sense, interpret, and regulate bodily sensations in chronic musculoskeletal pain patients.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
71

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2024

Shorter than P25 for not_applicable

Geographic Reach
1 country

2 active sites

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

February 1, 2024

Completed
10 days until next milestone

Study Start

First participant enrolled

February 11, 2024

Completed
18 days until next milestone

First Posted

Study publicly available on registry

February 29, 2024

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 20, 2024

Completed
10 days until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2024

Completed
Last Updated

June 29, 2025

Status Verified

April 1, 2025

Enrollment Period

4 months

First QC Date

February 1, 2024

Last Update Submit

June 25, 2025

Conditions

Keywords

interoceptionmusculoskeletal painfeasibility

Outcome Measures

Primary Outcomes (5)

  • Feasibility - Sessions' acceptability

    Session evaluation checklist - 7 questions answered on a 5-point scale ranging from 1 (totally disagree) to 5 (completely agree), plus 1 open question asking for improvement suggestions.

    Up to 24 hours after each intervention session.

  • Feasibility - Program acceptability, appropriateness, and feasibility

    Program evaluation checklist: 21 questions answered on a 5-point scale ranging from 1 (totally disagree) to 5 (completely agree) plus 3 open questions.

    Up to 72 hours after the end of the intervention (T2)

  • Feasibility - Recruitment, retention, and attendance rates

    Number of participants recruited, number of participants included in the study (among those who are eligible), and average number of sessions attended in intervention by participants.

    Up to 12 weeks after the end of the intervention

  • Feasibility - safety/unexpected events

    Number and type of unexpected events reported by the participants during their participation in the intervention.

    Up to 12 weeks after the end of the intervention

  • Feasibility - Treatment Fidelity Check

    Sessions will be audio-recorded and an independent therapist will confirm if planned procedures were done.

    Up to 12 weeks after the end of the intervention.

Secondary Outcomes (9)

  • Interoceptive sensibility

    Within the 72-hour period before the first session (T0); up to 72 hours after the fourth session (T1), up to 72 hours after the last (eighth) session (T2), and one month after the last session (T3).

  • Psychological flexibility

    Within the 72-hour period before the first session (T0); up to 72 hours after the fourth session (T1), up to 72 hours after the last (eighth) session (T2), and one month after the last session (T3).

  • Emotion regulation

    Within the 72-hour period before the first session (T0); up to 72 hours after the fourth session (T1), up to 72 hours after the last (eighth) session (T2), and one month after the last session (T3).

  • Pain-related self-efficacy

    Within the 72-hour period before the first session (T0); up to 72 hours after the fourth session (T1), up to 72 hours after the last (eighth) session (T2), and one month after the last session (T3).

  • Pain catastrophizing

    Within the 72-hour period before the first session (T0); up to 72 hours after the fourth session (T1), up to 72 hours after the last (eighth) session (T2), and one month after the last session (T3).

  • +4 more secondary outcomes

Study Arms (2)

Interoception-based intervention

EXPERIMENTAL

The interoception-based intervention group will receive the intervention, which consists of 8 weekly sessions, of 1h30 hour, in groups (4-8 participants in each group).

Behavioral: Interoception-based intervention

Waiting list

NO INTERVENTION

The waiting list group will maintain their treatments as usual and receive the interoception-based intervention, at the end of the study.

Interventions

Intervention will include body awareness, sensorial, and relaxation exercises, plus homework.

Interoception-based intervention

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adult individuals (over 18 years old)
  • experiencing chronic musculoskeletal pain (≥ 3 months)
  • able to understand and speak portuguese

You may not qualify if:

  • neurodegenerative diseases
  • cancer pain
  • recent fractures, or surgeries (\< 3 months).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Iscte - University Institute of Lisbon

Lisbon, Lisbon District, 1649-026, Portugal

Location

University of Évora

Evora, Évora District, 7004-516, Portugal

Location

Related Publications (25)

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    PMID: 11059056BACKGROUND
  • Ferreira PL. [Development of the Portuguese version of MOS SF-36. Part II --Validation tests]. Acta Med Port. 2000 May-Jun;13(3):119-27. Portuguese.

    PMID: 11026151BACKGROUND
  • Sullivan, M. J. L., Bishop, S. R., & Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment, 7(4), 524-532. https://doi.org/10.1037/1040-3590.7.4.524

    BACKGROUND
  • Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP. Psychometric properties of the portuguese version of the Pain Self-Efficacy Questionnaire. Acta Reumatol Port. 2011 Jul-Sep;36(3):260-7.

    PMID: 22113601BACKGROUND
  • Kaufman EA, Xia M, Fosco G, Yaptangco M, Skidmore CR, Crowell SE. The Difficulties in Emotion Regulation Scale Short Form (DERS-SF): Validation and replication in adolescent and adult samples. Journal of Psychopathology and Behavioral Assessment. 2016;38(3):443-455. doi: 10.1007/s10862-015-9529-3.

    BACKGROUND
  • Nicholas MK. The pain self-efficacy questionnaire: Taking pain into account. Eur J Pain. 2007 Feb;11(2):153-63. doi: 10.1016/j.ejpain.2005.12.008. Epub 2006 Jan 30.

    PMID: 16446108BACKGROUND
  • Azevedo LF, Altamiro CP, Cláudia D, Luís A, Laurinda L, José R, Teresa P, Sílvia VS, Rosário A, Carlos JC, Maria CC, Duarte C, José C, Georgina C, Beatriz CL, Maria CL, Beatriz S, José CL. Tradução, adaptação cultural e estudo multicêntrico de validação de instrumentos para rastreio e avaliação do impacto da dor crónica. Dor 2007;15:6-56.

    BACKGROUND
  • Cleeland CS. Measurement of pain by subjective report. Advances in pain research and therapy: issues in pain measurement. Vol. 12. New York, NY: Raven Press, 1989. p. 391-403.

    BACKGROUND
  • Pais-Ribeiro J, Honrado A, Leal I. Contribuição para o estudo da adaptação portuguesa das Escalas de Ansiedade, Depressão e Stress (EADS) de 21 itens de Lovibond e Lovibond. Psicol Saúde Doenc¸ as 2004; 5:229-39.

    BACKGROUND
  • Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995 Mar;33(3):335-43. doi: 10.1016/0005-7967(94)00075-u.

    PMID: 7726811BACKGROUND
  • Von Korff M, DeBar LL, Krebs EE, Kerns RD, Deyo RA, Keefe FJ. Graded chronic pain scale revised: mild, bothersome, and high-impact chronic pain. Pain. 2020 Mar;161(3):651-661. doi: 10.1097/j.pain.0000000000001758.

    PMID: 31764390BACKGROUND
  • Esteve R, Ramirez-Maestre C, Peters ML, Serrano-Ibanez ER, Ruiz-Parraga GT, Lopez-Martinez AE. Development and Initial Validation of the Activity Patterns Scale in Patients With Chronic Pain. J Pain. 2016 Apr;17(4):451-61. doi: 10.1016/j.jpain.2015.12.009. Epub 2015 Dec 23.

    PMID: 26724275BACKGROUND
  • Mehling WE, Price C, Daubenmier JJ, Acree M, Bartmess E, Stewart A. The Multidimensional Assessment of Interoceptive Awareness (MAIA). PLoS One. 2012;7(11):e48230. doi: 10.1371/journal.pone.0048230. Epub 2012 Nov 1.

    PMID: 23133619BACKGROUND
  • Machorrinho J, Veiga G, Fernandes J, Mehling W, Marmeleira J. Multidimensional Assessment of Interoceptive Awareness: Psychometric Properties of the Portuguese Version. Percept Mot Skills. 2019 Feb;126(1):87-105. doi: 10.1177/0031512518813231. Epub 2018 Nov 19.

    PMID: 30451581BACKGROUND
  • Cimmino MA, Ferrone C, Cutolo M. Epidemiology of chronic musculoskeletal pain. Best Pract Res Clin Rheumatol. 2011 Apr;25(2):173-83. doi: 10.1016/j.berh.2010.01.012.

    PMID: 22094194BACKGROUND
  • Oliveira I, Garrido MV, Bernardes SF. On the body-mind nexus in chronic musculoskeletal pain: A scoping review. Eur J Pain. 2022 Jul;26(6):1186-1202. doi: 10.1002/ejp.1944. Epub 2022 Apr 4.

    PMID: 35315163BACKGROUND
  • Bonaz B, Lane RD, Oshinsky ML, Kenny PJ, Sinha R, Mayer EA, Critchley HD. Diseases, Disorders, and Comorbidities of Interoception. Trends Neurosci. 2021 Jan;44(1):39-51. doi: 10.1016/j.tins.2020.09.009.

    PMID: 33378656BACKGROUND
  • Khalsa SS, Adolphs R, Cameron OG, Critchley HD, Davenport PW, Feinstein JS, Feusner JD, Garfinkel SN, Lane RD, Mehling WE, Meuret AE, Nemeroff CB, Oppenheimer S, Petzschner FH, Pollatos O, Rhudy JL, Schramm LP, Simmons WK, Stein MB, Stephan KE, Van den Bergh O, Van Diest I, von Leupoldt A, Paulus MP; Interoception Summit 2016 participants. Interoception and Mental Health: A Roadmap. Biol Psychiatry Cogn Neurosci Neuroimaging. 2018 Jun;3(6):501-513. doi: 10.1016/j.bpsc.2017.12.004. Epub 2017 Dec 28.

    PMID: 29884281BACKGROUND
  • Hilton L, Hempel S, Ewing BA, Apaydin E, Xenakis L, Newberry S, Colaiaco B, Maher AR, Shanman RM, Sorbero ME, Maglione MA. Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis. Ann Behav Med. 2017 Apr;51(2):199-213. doi: 10.1007/s12160-016-9844-2.

    PMID: 27658913BACKGROUND
  • Chen WG, Schloesser D, Arensdorf AM, Simmons JM, Cui C, Valentino R, Gnadt JW, Nielsen L, Hillaire-Clarke CS, Spruance V, Horowitz TS, Vallejo YF, Langevin HM. The Emerging Science of Interoception: Sensing, Integrating, Interpreting, and Regulating Signals within the Self. Trends Neurosci. 2021 Jan;44(1):3-16. doi: 10.1016/j.tins.2020.10.007.

    PMID: 33378655BACKGROUND
  • Moreira, H., Gouveia, M. J., & Canavarro, M. C. (2022). A bifactor analysis of the Difficulties in Emotion Regulation Scale-Short Form (DERS-SF) in a sample of adolescents and adults. Current Psychology, 41(2), 757-782. https://doi.org/10.1007/s12144-019-00602-5

    BACKGROUND
  • Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83.

    PMID: 1593914BACKGROUND
  • Trindade, I. A., Ferreira, N. B., Mendes, A. L., Ferreira, C., Dawson, D., & Golijani-Moghaddam, N. (2021). Comprehensive assessment of Acceptance and Commitment Therapy processes (CompACT): Measure refinement and study of measurement invariance across Portuguese and UK samples. Journal of Contextual Behavioral Science, 21, 30-36. https://doi.org/10.1016/j.jcbs.2021.05.002

    BACKGROUND
  • Francis, A. W., Dawson, D. L., & Golijani-Moghaddam, N. (2016). The development and validation of the Comprehensive assessment of Acceptance and Commitment Therapy processes (CompACT). Journal of Contextual Behavioral Science, 5(3), 134-145. https://doi.org/10.1016/j.jcbs.2016.05.003

    BACKGROUND
  • Trindade, I. A., Vagos, P., Moreira, H., Fernandes, D. V., & Tyndall, I. (2022). Further validation of the 18-item Portuguese CompACT scale using a multi-sample design: Confirmatory factor analysis and correlates of psychological flexibility. Journal of Contextual Behavioral Science, 25, 1-9. https://doi.org/10.1016/j.jcbs.2022.06.003

    BACKGROUND

MeSH Terms

Conditions

Musculoskeletal PainChronic Pain

Condition Hierarchy (Ancestors)

Muscular DiseasesMusculoskeletal DiseasesPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Inês Oliveira, MSc

    Iscte-University Institute of Lisbon

    PRINCIPAL INVESTIGATOR
  • Sónia Bernardes, PhD

    Iscte-University Institute of Lisbon

    STUDY CHAIR
  • Margarida Garrido, PhD

    Iscte-University Institute of Lisbon

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
Participants will be unaware of their assigned treatment.
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MSc

Study Record Dates

First Submitted

February 1, 2024

First Posted

February 29, 2024

Study Start

February 11, 2024

Primary Completion

June 20, 2024

Study Completion

June 30, 2024

Last Updated

June 29, 2025

Record last verified: 2025-04

Data Sharing

IPD Sharing
Will share

IPD used in the results publication will be made available upon request (De-identified).

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
After the study publication.
Access Criteria
Researchers interested in accessing the IPD for further analysis or collaboration should submit a formal request to the authors. Requests will be evaluated based on ethical considerations, data access criteria, and adherence to data use agreements.

Locations