Internet-based Cognitive Behavioural Treatment for Chronic Back Pain

This study has been completed.
Sponsor:
Collaborator:
Uppsala University
Information provided by:
Linkoeping University
ClinicalTrials.gov Identifier:
NCT01329861
First received: April 4, 2011
Last updated: April 5, 2011
Last verified: April 2011
  Purpose

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.


Condition Intervention
Back Pain Lower Back Chronic
Behavioral: Guided Internet-based cognitive behavioural treatment

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Guided Internet-based Cognitive Behavioural Treatment for Chronic Back Pain Reduces Catastrophizing:a Randomized Controlled Trial

Resource links provided by NLM:


Further study details as provided by Linkoeping University:

Primary Outcome Measures:
  • Coping Strategies Questionnaire - catastrophizing subscale (CSQ) [ Time Frame: Two weeks pre treatment to two weeks post treatment ] [ Designated as safety issue: No ]
    Change from baseline in the catastrophizing subscale to two weeks post treatment.


Secondary Outcome Measures:
  • Multidimensional Pain Inventory (MPI) [ Time Frame: Change from baseline Two weeks pre treatment to two weeks post treatment ] [ Designated as safety issue: No ]
    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) [ Time Frame: Change from baseline Two weeks pre treatment to two weeks post treatment. ] [ Designated as safety issue: No ]
    The questionnaire assesses beliefs and attitudes that patients have regarding pain and ability to function despite discomfort.

  • Hospital Anxiety and Depression Scale(HADS). [ Time Frame: Change from baseline Two weeks pre treatment to two weeks post treatment. ] [ Designated as safety issue: No ]
    HADS is designed to measure anxiety and depression in non-psychiatric patients treated at hospital clinics.

  • Quality of Life Inventory (QOLI) [ Time Frame: Change from baseline Two weeks pre treatment to two weeks post treatment. ] [ Designated as safety issue: No ]
    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.


Enrollment: 54
Study Start Date: June 2004
Study Completion Date: August 2005
Primary Completion Date: May 2005 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Internet delivered CBT
Internet delivered cognitive behavioral intervention, 8 weeks treatment.
Behavioral: Guided Internet-based cognitive behavioural treatment
Eight weeks internet-based cognitive behavioural treatment. Treatment consisted of education, cognitive skills acquisition, behavioural rehearsal, generalization and maintenance.
No Intervention: Control condition
Wait-list condition, received treatment after post-treatment assessment.

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.

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01329861

Locations
Sweden
Uppsala University
Uppsala, Sweden
Sponsors and Collaborators
Linkoeping University
Uppsala University
Investigators
Study Director: Gerhard Andersson, Professor Linköping University
Principal Investigator: Monica Buhrman, MSc Uppsala University
Study Chair: Elisabeth Nilsson-Ihrfelt, MSc Uppsala University
Study Chair: Maria Jannert, MSc Linköping University
Study Chair: Lars Ström, PhD Livanda (private practice) Västerås
  More Information

No publications provided

Responsible Party: Gerhard Andersson, professor, Linkoeping University
ClinicalTrials.gov Identifier: NCT01329861     History of Changes
Other Study ID Numbers: smarta2011
Study First Received: April 4, 2011
Last Updated: April 5, 2011
Health Authority: Sweden: Regional Ethical Review Board

Keywords provided by Linkoeping University:
chronic back pain
internet based treatment
pain management programme
cognitive behavioural therapy
minimal therapist contact

Additional relevant MeSH terms:
Back Pain
Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms

ClinicalTrials.gov processed this record on August 20, 2014