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Sponsored by: |
University of Washington |
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Information provided by: | University of Washington |
ClinicalTrials.gov Identifier: | NCT00663663 |
Treatments focusing on providing education about chronic pain and how to change how a person thinks and behaves regarding his/her pain have been used to treat chronic pain in the general population. The purpose of this study is to see if these treatments conducted over the telephone can help reduce the negative consequences that pain often causes in terms of a person's mood, daily activities, and enjoyment of life can help reduce pain in persons with multiple sclerosis, spinal cord injury or an acquired amputation. We are also interested to find out if these treatments decrease a person's pain.
Condition | Intervention |
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Chronic Pain Multiple Sclerosis Amputation Spinal Cord Injuries |
Behavioral: Telephone-Delivered Cognitive Behavioral Therapy (T-CBT) Behavioral: Telephone Delivered Education Control Intervention (T-Ed) |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Single Blind (Outcomes Assessor), Parallel Assignment, Efficacy Study |
Official Title: | Efficacy of Telephone-Delivered Cognitive Behavioral Therapy for Chronic Pain |
Estimated Enrollment: | 160 |
Study Start Date: | November 2009 |
Estimated Study Completion Date: | October 2012 |
Estimated Primary Completion Date: | October 2011 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Experimental
T-CBT will consist of eight 60-minute sessions conducted by phone over eight weeks (1 session/week on average). The T-CBT intervention will include: (1) education about the role of cognitions (particularly catastrophizing) and pain beliefs (including control) in chronic pain and adjustment; (2) instruction in how to identify negative thinking and cognitive distortions about pain; (3) instruction in thought-stopping and cognitive-restructuring techniques, including challenging negative thoughts and core beliefs about pain; (4) instruction in utilization of positive coping self-statements; (5) relaxation techniques; (6) activity pacing and scheduling; (7) coping with pain flare-ups; and (8) relapse prevention/maintenance of gains. Each T-CBT session will include a brief relaxation exercise practiced over the phone.
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Behavioral: Telephone-Delivered Cognitive Behavioral Therapy (T-CBT)
T-CBT will consist of eight 60-minute sessions conducted by phone over eight weeks. The T-CBT intervention will include: (1) education about the role of cognitions (particularly catastrophizing) and pain beliefs (including control) in chronic pain and adjustment; (2) instruction in how to identify negative thinking and cognitive distortions about pain; (3) instruction in thought-stopping and cognitive-restructuring techniques, including challenging negative thoughts and core beliefs about pain; (4) instruction in utilization of positive coping self-statements; (5) relaxation techniques; (6) activity pacing and scheduling; (7) coping with pain flare-ups; and (8) relapse prevention/maintenance of gains. Each T-CBT session will include a brief relaxation exercise practiced over the phone.
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2: Active Comparator
The telephone-delivered education intervention (T-Ed) will consist of eight 60-minute sessions conducted by phone over eight weeks (1 session/week on average), scheduled at times convenient for participants (including evenings and weekends if necessary). The sessions will cover a variety of topics, including the definition of chronic pain, the physiological processes underlying chronic pain, common pain-related conditions such as sleep disturbance, and the effects of chronic pain.
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Behavioral: Telephone Delivered Education Control Intervention (T-Ed)
The T-Ed was designed to be a credible intervention comparable to the T-CBT in terms of control for the effects of natural history/time, treatment dosing, measurement processes, attention, the nonspecific effects of therapeutic alliance, and effects of having a manualized treatment with specific therapist procedures. T-Ed will consist of eight 60-minute sessions conducted by phone over eight weeks (1 session/week on average), scheduled at times convenient for participants (including evenings and weekends if necessary). The sessions will cover a variety of topics, including the definition of chronic pain, the physiological processes underlying chronic pain, common pain-related conditions such as sleep disturbance, and the effects of chronic pain.
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Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Eric S Weitz, B.S. | 206-616-2198 | eweitz3@u.washington.edu |
Contact: Kevin J Gertz, B.A. | 206-616-9058 | kjgertz@u.washington.edu |
United States, Washington | |
University of Washington | |
Seattle, Washington, United States, 98195 |
Principal Investigator: | Dawn M. Ehde, Ph.D | University of Washington |
Responsible Party: | University of Washington ( Dawn M. Ehde, Ph.D, Professor ) |
Study ID Numbers: | 33597, R01 HD 57916-01 |
Study First Received: | April 18, 2008 |
Last Updated: | October 1, 2008 |
ClinicalTrials.gov Identifier: | NCT00663663 |
Health Authority: | United States: Institutional Review Board |
Autoimmune Diseases Demyelinating Diseases Spinal Cord Diseases Wounds and Injuries Central Nervous System Diseases Disorders of Environmental Origin Demyelinating diseases Pain |
Sclerosis Trauma, Nervous System Signs and Symptoms Spinal Cord Injuries Multiple Sclerosis Neurologic Manifestations Demyelinating Autoimmune Diseases, CNS Autoimmune Diseases of the Nervous System |
Pathologic Processes Immune System Diseases Nervous System Diseases |