Internet-based Acceptance Based Psychotherapy As an Adjunct to Chronic Pain Rehabilitation
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Internet delivered acceptance and commitment therapy.
- Who it may be relevant to
- Registry conditions: Chronic Pain. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Sweden
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The goal of this clinical trial is to evaluate how an acceptance based internet-delivered psychological treatment (IACT) tailored to patients with chronic pain is perceived, and if it meets the needs and expectations of those enrolled. The main question it aims to answer is: What are the expectations of patients with chronic pain prior to IACT treatment, and how do they experience IACT during and after treatment? Participants will be offered a 7 week long treatment with therapist support. They will be interviewed before treatment starts, once during treatment, and again after treatment is completed.
Detailed description
This research project aims to interview adults with chronic pain to explore their expectations before, during, and after receiving internet-based Acceptance and Commitment Therapy (IACT). IACT aims to increase accessibility to psychological treatment by overcoming geographical, economic, social, or physical barriers. The study will investigate how IACT is received and how patient expectations align with their treatment experiences. This is important because previous studies have shown that chronic pain patients' experiences with IACT vary greatly, and there is limited knowledge about their specific needs and expectations regarding internet-based psychological treatment.
Chronic pain is a widespread and challenging condition affecting approximately 20% of the population. Internet-delivered psychological treatments, such as IACT, have emerged in the past 20 years, showing promising results in managing chronic pain. However, research on patient expectations and experiences with IACT remains limited. This qualitative study will use semi-structured interviews to gather data from 10-15 adults with chronic pain. Three interviews will be conducted per participant: before, during, and after IACT treatment. Thematic analysis will be used to analyze the interview transcripts.
The IACT treatment will consist of 7 modules delivered over 7 weeks. The study's findings will hopefully contribute to a better understanding of how expectations and needs influence the treatment process and outcomes for individuals with chronic pain receiving IACT. This knowledge can inform the development and delivery of more effective and patient-centered IACT programs.
Interventions
- Behavioral Internet delivered acceptance and commitment therapy
7 week long treatment with therapist asynchronous support in mainly text format. Treatment includes for example mindfulness, psychoeducation, values, and self-compassion
Primary outcome measures
- Main outcome - qualitative [Time frame: Before treatment starts, once in the middle of treatment (3 weeks after start), and after treatment has ended (at 7 weeks post start).]
Secondary outcome measures (10)
- Quantitative - Brief Pain Inventory [Time frame: Pre and post (7 weeks)]
- Quantitative - Chronic Pain Acceptance Questionnaire 8 [Time frame: pre and post (7 weeks)]
- Quantitative -Pain Self-Efficacy Questionnaire 8 [Time frame: pre and post (7 weeks)]
- Quantitative - Pain Catastrophizing Scale [Time frame: pre and post (7 weeks)]
- Quantitative - Numeric rating scale [Time frame: Pre and post (7 weeks)]
- Quantitative -Patient Global Impression of Change [Time frame: Post only (7 weeks)]
- Quantitative - Brunnsviken Brief Quality of Life Scale [Time frame: Pre and post (7 weeks)]
- Quantitative - Patient Health Questionnaire 9 [Time frame: Pre and post (7 weeks)]
- Quantitative - Generalized Anxiety Disorder 7 [Time frame: Pre and post (7 weeks)]
- Quantitative - Negative effects questionnaire [Time frame: Post only (7 weeks)]
Eligibility criteria
Inclusion criteria
- Participants must be adults with sufficient understanding of Swedish to speak and read, have internet access, and currently be a patient at the Pain and Rehabilitation Clinic in Linköping.
Exclusion criteria
- Severe cognitive problems, or severe mental illness such as a psychotic episode
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Sweden · 1 center
- Pain and Rehabilitation Clinic — Linköping
Identifiers
NCT: NCT06816082 · 2024-06790-01