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Chronic Pain | Internet Intervention for Adolescents With Chronic Pain

Chronic Pain research study

What is the primary objective of this study?

The purpose of this study is to evaluate the efficacy of a web-based (i.e., internet) behavioral program to reduce pain and improve functioning in children and adolescents with chronic pain. We hypothesize that children and adolescents in families that receive the web-based behavioral program will report reduced pain levels and improved daily functioning compared to children and their parents who receive online patient education.

Who is eligible to participate?

Inclusion Criteria: - Literate in English - Age 11-17 years - Pain present for at least 3 months duration - Pain occurs at least 1 time per week and interferes with daily functioning - Pain is not related to a chronic disease - Receiving evaluation or treatment in a pediatric pain clinic - Has access to a computer, the Internet, and a phone Exclusion Criteria: - A serious comorbid chronic condition in the patient (e.g., diabetes, arthritis, cancer). - Non-English speaking - More than 4 sessions of CBT for pain management in the 6 months prior to the time of screening.

Which medical condition, disease, disorder, syndrome, illness, or injury is researched?

Chronic Pain

Abdominal Pain

Headache

Study Interventions

Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.

Behavioral:Online Behavioral InterventionThe online behavioral intervention is travel-themed and participants visit 8 destinations (1 per week) designed to take 30 min each to complete. The destinations serve as an online analog for the weekly sessions used when delivering behavioral interventions face-to-face. The 8 child destinations include: 1) education about chronic pain, 2) recognizing stress and negative emotions, 3) relaxation and distraction skills, 4) school, 5) cognitive skills, 6) sleep hygiene and lifestyle, 7) staying active, and 8) relapse prevention. The eight parent destinations include: 1) education about chronic pain, 2) recognizing stress and negative emotions, 3) operant strategies I, 4) operant strategies II, 5) modeling, 6) sleep hygiene and lifestyle, 7) communication, and 8) relapse prevention.

Other:Education: Online Patient EducationThe purpose of the online patient education group is to control for time, attention, and computer usage. Children and parents will be provided with access to a modified version of the study website that will provide links to information from publicly available educational websites about pediatric chronic pain management. Children and parents will log onto the web program weekly at the same interval as the Online Behavioral Intervention group. Children and parents will be asked to view 3 links each week and then report a few details pertaining to the content of what they viewed.

Study Arms

Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.

Online Behavioral InterventionIn addition to standard medical care, children and parents in the online behavioral intervention will receive access to the full web-based program including education about chronic pain, training in behavioral and cognitive coping skills, instruction in increasing activity participation, and education about pain behaviors and parental operant strategies using an engaging, interactive format on the Internet.

Online Patient EducationThe Online Patient Education group will serve as an attention control condition. In addition to standard medical care, children and parents will be provided with access to a modified version of the study website that will provide information from publicly available educational websites about pediatric chronic pain management.

Study Status

Completed

Start Date: May 2011

Completed Date: November 2015

Phase: Phase 2

Type: Interventional

Design:

Primary Outcome: Activity limitations

Secondary Outcome: Depression and pain-specific anxiety

Study sponsors, principal investigator, and references

Principal Investigator: Tonya M. Palermo, Ph.D.

Lead Sponsor: Seattle Children's Hospital

Collaborator:

More information:https://clinicaltrials.gov/show/NCT01316471

Palermo TM, Law EF, Zhou C, Holley AL, Logan D, Tai G. Trajectories of change during a randomized controlled trial of internet-delivered psychological treatment for adolescent chronic pain: how does change in pain and function relate? Pain. 2015 Apr;156(4):626-34. doi: 10.1097/01.j.pain.0000460355.17246.6c.

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