Ignite Creation Date:
2024-05-05 @ 5:04 PM
Last Modification Date:
2024-10-26 @ 9:27 AM
Study NCT ID:
NCT00371267
Status:
COMPLETED
Last Update Posted:
2014-11-06
First Post:
2006-08-31
Brief Title:
Telephone-Delivered Cognitive Behavior Therapy for Chronic Pain
Sponsor:
US Department of Veterans Affairs
Organization:
VA Office of Research and Development
Study Overview
Official Title:
Telephone-Delivered Cognitive Behavior Therapy for Chronic Pain
Status:
COMPLETED
Status Verified Date:
2014-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to determine whether telephone-delivered cognitive behavior therapy is effective in the treatment of chronic pain To examine the effectiveness of this approach a two-arm randomized clinical trial was conducted with 98 individuals 55 years of age and older who suffered from chronic pain recruited from a primary care clinic at the VA Medical Center in San Francisco and affiliated VA Community-based Outpatient Clinics CBOCs in Santa Rosa San Bruno Ukiah and Eureka
Detailed Description:
Chronic pain represents an epidemic in the United States and a serious public health problem particularly among adults over the age of 55 In the Veterans Health Administration VHA nearly 50 of patients seen in primary care settings report disabling pain symptoms Persistent pain in older adults is often associated with disability emotional distress and increased health care utilization and cost Since an increase in the number of older adults is anticipated over the next two decades the problem of chronic pain in this age group will take on increased importance
Although cognitive behavior therapy CBT aimed at improving coping skills is now commonly employed within interdisciplinary pain management programs access to these interventions is often limited due to the distance from clinical care and disabling impact of pain In addition the dropout rate in studies of face-to-face CBT for chronic pain further detracts from its impact in pain management A telephone-delivered version of CBT for chronic pain overcomes these barriers to access
To examine the effectiveness of this approach a two-arm randomized clinical trial was conducted with 98 individuals 55 years of age and older who suffered from chronic pain recruited from a primary care clinic at the VA Medical Center in San Francisco and affiliated VA Community-based Outpatient Clinics CBOCs in Santa Rosa San Bruno Ukiah and Eureka In Study Arm 1 patients received telephone-based cognitive behavior therapy T-CBT and in Study Arm 2 patients received pain education T-ED matched with Study Arm 1 for amount of contact time Patients in both groups received 12 sessions of telephone-based individual therapy over a 20-week period Pain management outcomes were measured at mid-treatment 10 weeks post-treatment 20 weeks and at 3-month 32 weeks and 6-month 46 weeks follow-up Outcome variables included measures of pain symptoms physical limitations coping emotional distress and health-related quality of life The study hypothesis assessment methodology and intervention procedures were based on the cognitive-behavioral model of chronic pain
Although cognitive behavior therapy CBT aimed at improving coping skills is now commonly employed within interdisciplinary pain management programs access to these interventions is often limited due to the distance from clinical care and disabling impact of pain In addition the dropout rate in studies of face-to-face CBT for chronic pain further detracts from its impact in pain management A telephone-delivered version of CBT for chronic pain overcomes these barriers to access
To examine the effectiveness of this approach a two-arm randomized clinical trial was conducted with 98 individuals 55 years of age and older who suffered from chronic pain recruited from a primary care clinic at the VA Medical Center in San Francisco and affiliated VA Community-based Outpatient Clinics CBOCs in Santa Rosa San Bruno Ukiah and Eureka In Study Arm 1 patients received telephone-based cognitive behavior therapy T-CBT and in Study Arm 2 patients received pain education T-ED matched with Study Arm 1 for amount of contact time Patients in both groups received 12 sessions of telephone-based individual therapy over a 20-week period Pain management outcomes were measured at mid-treatment 10 weeks post-treatment 20 weeks and at 3-month 32 weeks and 6-month 46 weeks follow-up Outcome variables included measures of pain symptoms physical limitations coping emotional distress and health-related quality of life The study hypothesis assessment methodology and intervention procedures were based on the cognitive-behavioral model of chronic pain
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None