Abstract
BackgroundChronic pain is naturally aversive and often distressing for patients. Pain coping and self-regulatory skills have been shown to effectively reduce pain-related distress and other symptoms. In this trial, the primary goal is to pilot test the comparative efficacy of a single-session videoconference-delivered group pain education class to a waitlist control among patients with chronic pain.MethodsOur study is a randomized clinical trial pilot testing the superiority of our 2-h single-session videoconference-delivered group pain education class against a waitlist control. We will enroll 120 adult patients with mixed etiology chronic pain and randomize 1:1 to one of the two study arms. We hypothesize superiority for the pain education class for bolstering pain and symptom management. Team researchers masked to treatment assignment will assess the outcomes up to 3 months post-treatment.DiscussionThis study aims to test the utility of a single-session videoconference-delivered group pain education class to improve self-regulation of pain and pain-related outcomes. Findings from our project have the potential to significantly reduce barriers to effective psychological treatment for pain, optimizing the delivery of increasingly vital online and remote-delivered intervention options.Trial registrationClinicalTrials.govNCT04546685. Registered on 04 September 2020.
Highlights
Chronic pain is naturally aversive and often distressing for patients
We will conduct a randomized controlled trial comparing the preliminary effects of a singlesession videoconference-delivered pain education class compared to a waitlist control condition. (a) Hypothesis 1: The single-session intervention (Empowered Relief (ER)) will lead to greater reductions in pain catastrophizing compared to a usual care condition. (b) Hypothesis 2: ER will lead to greater reductions in pain bothersomeness and sleep disturbance compared to a usual care condition. (c) Hypothesis 3: ER will lead to greater reductions in pain intensity, anxiety, depression, and physical function compared to a usual care condition
The session intervention (SSI) (Empowered Relief) was the subject of a NIH-funded randomized controlled trial in chronic low back pain [29]; the findings showed that Empowered Relief was noninferior to an 8-week cognitive behavioral therapy and superior to a health education class for reducing pain catastrophizing and improving multiple secondary outcomes at 3 months post-treatment
Summary
Our study is a randomized clinical trial pilot testing the superiority of our 2-h single-session videoconference-delivered group pain education class against a waitlist control. We will enroll 120 adult patients with mixed etiology chronic pain and randomize 1:1 to one of the two study arms. We hypothesize superiority for the pain education class for bolstering pain and symptom management. Team researchers masked to treatment assignment will assess the outcomes up to 3 months post-treatment
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