NCT07850271

Brief Summary

The goal of this clinical trial is to learn whether HypnoPain Relief (HPR), a brief clinical hypnosis intervention, can help reduce pain and improve quality of life in adults with osteoarthritis. The main questions it aims to answer are: Does HypnoPain Relief reduce pain intensity in adults with osteoarthritis? Does HypnoPain Relief improve osteoarthritis related functioning and quality of life? Researchers will compare participants receiving the HypnoPain Relief intervention with participants receiving a neutral visual exposure condition to see whether the clinical hypnosis intervention improves pain and quality of life outcomes. Participants will: Complete questionnaires about pain, physical functioning, quality of life, emotional symptoms, and psychological well being before and after the intervention and during follow up assessments. Receive either two individual sessions of HypnoPain Relief or two sessions of neutral visual exposure. Complete follow up assessments after the intervention to evaluate changes over time. Participate in physiological measurements during intervention sessions, including brain activity, heart rate variability, skin response, and body temperature measurements.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
4mo left

Started May 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

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

Study Progress57%
May 2026Jan 2027

Study Start

First participant enrolled

May 1, 2026

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2026

Completed
18 days until next milestone

First Submitted

Initial submission to the registry

September 17, 2026

Completed
13 days until next milestone

First Posted

Study publicly available on registry

September 30, 2026

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 30, 2027

Expected
Last Updated

September 30, 2026

Status Verified

September 1, 2026

Enrollment Period

4 months

First QC Date

September 17, 2026

Last Update Submit

September 24, 2026

Conditions

Keywords

OsteoarthritisChronic painClinical hypnosisHypnosisPain managementQuality of lifeRandomized controlled trial

Outcome Measures

Primary Outcomes (2)

  • Change in Numeric Rating Scale Pain Intensity Score

    Pain intensity will be assessed using the 11 point Numeric Rating Scale (NRS), ranging from 0 (no pain) to 10 (worst possible pain). The primary outcome will be the change in pain intensity score from baseline to posttest following completion of the HypnoPain Relief intervention compared with the control condition. Unit of Measure: NRS score (0-10).

    Baseline to posttest (after completion of Session 2; approximately 1-2 weeks), and 2 week follow up.

  • Change in Total WOMAC Score

    Osteoarthritis related symptoms and functional impairment will be assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). The total WOMAC score represents overall osteoarthritis related pain, stiffness, and physical functioning, with higher scores indicating greater symptom severity and functional limitation. Unit of Measure: WOMAC total score.

    : Baseline to posttest (after completion of Session 2; approximately 1-2 weeks) and 2 week follow up.

Secondary Outcomes (1)

  • Change in HADS Anxiety and Depression Subscale Score

    Baseline to posttest (after completion of Session 2; approximately 1-2 weeks), and 2 week follow up.

Other Outcomes (2)

  • Change in Resting State Psychophysiological Measures Following Clinical Hypnosis Intervention

    EEG frequency band power (µV²) and HRV parameters (e.g., RMSSD in milliseconds)

  • Participant Experiences and Acceptability of the Clinical Hypnosis Intervention

    Four week follow up after completion of the intervention

Study Arms (2)

HypnoPain Relief (HPR)

EXPERIMENTAL

HypnoPain Relief (HPR) is a structured individual clinical hypnosis intervention developed for adults with osteoarthritis related pain. The intervention consists of two sessions delivered by a trained therapist. Each session includes therapeutic preparation, hypnotic induction and deepening, therapeutic suggestions targeting pain modulation, and ego strengthening with post hypnotic suggestion. The intervention follows a standardized treatment manual based on established clinical hypnosis principles.

Behavioral: HypnoPain Relief (HPR)

Neutral Visual Exposure Waitlist Control

OTHER

Participants assigned to this arm receive two brief neutral visual exposure sessions during the waiting period. During each session, participants view standardized neutral images for approximately 15 minutes without clinical hypnosis procedures or therapeutic intervention. Participants complete outcome assessments before and after the control period. After completion of the posttest assessment, participants are offered one session of HypnoPain Relief as a delayed intervention opportunity.

Other: Neutral Visual Exposure Waitlist Control

Interventions

HypnoPain Relief (HPR) is a structured individual clinical hypnosis intervention developed for adults with osteoarthritis related pain. The intervention consists of two sessions delivered by a trained therapist. Each session includes therapeutic preparation, hypnotic induction and deepening, therapeutic suggestions targeting pain modulation, and ego strengthening with post hypnotic suggestion. The intervention follows a standardized treatment manual based on established clinical hypnosis principles.

HypnoPain Relief (HPR)

Participants assigned to this arm receive two brief neutral visual exposure sessions during the waiting period. During each session, participants view standardized neutral images for approximately 15 minutes without clinical hypnosis procedures or therapeutic intervention. Participants complete outcome assessments before and after the control period. After completion of the posttest assessment, participants are offered one session of HypnoPain Relief as a delayed intervention opportunity.

Neutral Visual Exposure Waitlist Control

Eligibility Criteria

Age30 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adults aged 18 to 80 years.
  • Diagnosis of osteoarthritis confirmed through clinical examination or radiological assessment by a medical professional.
  • Chronic pain associated with osteoarthritis with a minimum duration of three months.
  • Pain intensity related to osteoarthritis assessed using the Numeric Rating Scale (NRS).
  • Able to read and understand Indonesian.
  • Not currently receiving regular psychological therapy.
  • Willing and able to participate in all study procedures.
  • Provide written informed consent before participation.

You may not qualify if:

  • Diagnosis of severe psychiatric disorders, including schizophrenia, bipolar disorder, or major depressive disorder with current suicide risk.
  • Diagnosis of neurological disorders associated with seizure risk, such as epilepsy.
  • Current regular use of medications with significant central sedative effects, including benzodiazepines, opioid analgesics at sedating doses, or sedating antihistamines.
  • Current participation in hypnosis or other similar nonpharmacological psychological interventions during the study period.
  • Hearing impairment or communication difficulties that prevent understanding of study procedures or completing questionnaires.
  • Serious concurrent medical conditions that may interfere with participation, such as advanced cancer or severe cardiovascular disease.
  • Inability or unwillingness to complete the intervention sessions and follow up assessments.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Faculty of Psychology

Yogyakarta, Special Region of Yogyakarta, 55281, Indonesia

Location

MeSH Terms

Conditions

OsteoarthritisChronic PainAgnosia

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsPerceptual DisordersNeurobehavioral ManifestationsNervous System Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Masking Details
Participants are blinded to the specific intervention condition assigned to them. The intervention provider cannot be blinded due to differences in the procedures delivered between the clinical hypnosis intervention and the control condition. Outcome assessors responsible for administering and scoring self report measures are blinded to participant allocation. The qualitative interview coding process is conducted by assessors independent of intervention delivery and blinded to allocation status.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: This is a two arm, parallel group randomized controlled trial comparing a clinical hypnosis intervention (HypnoPain Relief) with an attention matched waitlist control condition. Participants are randomly assigned to either the intervention group or control group and are assessed at baseline, after completion of the intervention, and during follow up assessments.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

September 17, 2026

First Posted

September 30, 2026

Study Start

May 1, 2026

Primary Completion

August 30, 2026

Study Completion (Estimated)

January 30, 2027

Last Updated

September 30, 2026

Record last verified: 2026-09

Data Sharing

IPD Sharing
Will not share

De-identified data may be shared upon reasonable request after study completion and publication, subject to ethics approval.

Locations