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Internet-based Cognitive Behavioural Treatment for Chronic Back Pain

Primary Purpose

Back Pain Lower Back Chronic

Status
Completed
Phase
Not Applicable
Locations
Sweden
Study Type
Interventional
Intervention
Guided Internet-based cognitive behavioural treatment
Sponsored by
Linkoeping University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Back Pain Lower Back Chronic focused on measuring chronic back pain, internet based treatment, pain management programme, cognitive behavioural therapy, minimal therapist contact

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • age between 18-65 years
  • access to the Internet
  • having been in contact with a physician
  • back pain of chronic nature
  • in current employment or on short-term sick leave(not longer than 6 months)

Exclusion Criteria:

  • wheelchair user
  • surgical treatment planned
  • history of cardiovascular treatment
  • severe depression

Sites / Locations

  • Uppsala University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Internet delivered CBT

Control condition

Arm Description

Internet delivered cognitive behavioral intervention, 8 weeks treatment.

Wait-list condition, received treatment after post-treatment assessment.

Outcomes

Primary Outcome Measures

Coping Strategies Questionnaire - catastrophizing subscale (CSQ)
Change from baseline in the catastrophizing subscale to two weeks post treatment.

Secondary Outcome Measures

Multidimensional Pain Inventory (MPI)
MPI, assess psychosocial and behavioural consequences of pain. It´s divided into 2 sections and consisting of 8 scales. These are: Pain Severity, Interference, Life Control, Affective Distress, Support, Punishing Responses, Solicitous Responses and Distracting Responses.
Pain and Impairment Relationship Scale (PAIRS)
The questionnaire assesses beliefs and attitudes that patients have regarding pain and ability to function despite discomfort.
Hospital Anxiety and Depression Scale(HADS).
HADS is designed to measure anxiety and depression in non-psychiatric patients treated at hospital clinics.
Quality of Life Inventory (QOLI)
The assessment yields an overall score and profile for 16 areas of life: health, self-esteem, goals and values, money, work, play, learning, creativity, helping, love, friends, children, relatives, home, neighbourhood and community.

Full Information

First Posted
April 4, 2011
Last Updated
April 5, 2011
Sponsor
Linkoeping University
Collaborators
Uppsala University
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1. Study Identification

Unique Protocol Identification Number
NCT01329861
Brief Title
Internet-based Cognitive Behavioural Treatment for Chronic Back Pain
Official Title
Guided Internet-based Cognitive Behavioural Treatment for Chronic Back Pain Reduces Catastrophizing:a Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
April 2011
Overall Recruitment Status
Completed
Study Start Date
June 2004 (undefined)
Primary Completion Date
May 2005 (Actual)
Study Completion Date
August 2005 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Linkoeping University
Collaborators
Uppsala University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of this study was to investigate whether an Internet-based cognitive behavioural intervention would have an effect on the symptoms of chronic back pain.
Detailed Description
All participants were screened in a live, structured interview before inclusion. It´s a experimental design with a treatment and a control group measured before and after a treatment period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Back Pain Lower Back Chronic
Keywords
chronic back pain, internet based treatment, pain management programme, cognitive behavioural therapy, minimal therapist contact

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
54 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Internet delivered CBT
Arm Type
Experimental
Arm Description
Internet delivered cognitive behavioral intervention, 8 weeks treatment.
Arm Title
Control condition
Arm Type
No Intervention
Arm Description
Wait-list condition, received treatment after post-treatment assessment.
Intervention Type
Behavioral
Intervention Name(s)
Guided Internet-based cognitive behavioural treatment
Intervention Description
Eight weeks internet-based cognitive behavioural treatment. Treatment consisted of education, cognitive skills acquisition, behavioural rehearsal, generalization and maintenance.
Primary Outcome Measure Information:
Title
Coping Strategies Questionnaire - catastrophizing subscale (CSQ)
Description
Change from baseline in the catastrophizing subscale to two weeks post treatment.
Time Frame
Two weeks pre treatment to two weeks post treatment
Secondary Outcome Measure Information:
Title
Multidimensional Pain Inventory (MPI)
Description
MPI, assess psychosocial and behavioural consequences of pain. It´s divided into 2 sections and consisting of 8 scales. These are: Pain Severity, Interference, Life Control, Affective Distress, Support, Punishing Responses, Solicitous Responses and Distracting Responses.
Time Frame
Change from baseline Two weeks pre treatment to two weeks post treatment
Title
Pain and Impairment Relationship Scale (PAIRS)
Description
The questionnaire assesses beliefs and attitudes that patients have regarding pain and ability to function despite discomfort.
Time Frame
Change from baseline Two weeks pre treatment to two weeks post treatment.
Title
Hospital Anxiety and Depression Scale(HADS).
Description
HADS is designed to measure anxiety and depression in non-psychiatric patients treated at hospital clinics.
Time Frame
Change from baseline Two weeks pre treatment to two weeks post treatment.
Title
Quality of Life Inventory (QOLI)
Description
The assessment yields an overall score and profile for 16 areas of life: health, self-esteem, goals and values, money, work, play, learning, creativity, helping, love, friends, children, relatives, home, neighbourhood and community.
Time Frame
Change from baseline Two weeks pre treatment to two weeks post treatment.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: age between 18-65 years access to the Internet having been in contact with a physician back pain of chronic nature in current employment or on short-term sick leave(not longer than 6 months) Exclusion Criteria: wheelchair user surgical treatment planned history of cardiovascular treatment severe depression
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Gerhard Andersson, Professor
Organizational Affiliation
Linkoeping University
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Monica Buhrman, MSc
Organizational Affiliation
Uppsala University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Elisabeth Nilsson-Ihrfelt, MSc
Organizational Affiliation
Uppsala University
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Maria Jannert, MSc
Organizational Affiliation
Linkoeping University
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Lars Ström, PhD
Organizational Affiliation
Livanda (private practice) Västerås
Official's Role
Study Chair
Facility Information:
Facility Name
Uppsala University
City
Uppsala
Country
Sweden

12. IPD Sharing Statement

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Internet-based Cognitive Behavioural Treatment for Chronic Back Pain

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