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PainNCT03421795

Effectiveness of a Pain Assessment and Management Program for Respite Workers Supporting Children With Disabilities

A study testing Let's Talk About Pain Training and Family Centered Care Training in people with Pain, run by University of Guelph at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study investigates the impact of pain training delivery for respite care providers who support children with developmental disabilities on (a) pain assessment and management-related knowledge, (b) participant self-rated perceptions of the feasibility, confidence and skill in pain assessment and management, and… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Pain
What is being tested?
Let's Talk About Pain Training and Family Centered Care Training
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
178 participants
Where
1 siteCanada
Study dates
8 May 2017to 2 Aug 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Over the age of 18
  • Proficient in the English language
  • Active respite worker who provides respite care to children (age 0 - 18) with developmental disabilities

Who cannot join

  • n/a

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • University of Guelph

    Guelph, Ontario, N1G2W1

Other trials in Canada

About this study

Official title: Let's Talk About Pain: A Randomized Controlled Trial Testing the Effectiveness of a Pain Assessment and Management Training Program for Respite Workers Supporting Children With Intellectual and Developmental Disabilities

This study investigates the impact of pain training delivery for respite care providers who support children with developmental disabilities on (a) pain assessment and management-related knowledge, (b) participant self-rated perceptions of the feasibility, confidence and skill in pain assessment and management, and (c) strategy use. Half of the participants will receive the pain training, while half will receive the training about family-centered care, and be offered the pain training after completion of the follow-up.

Read the detailed description

Background Information: Everyday pain is common in children with intellectual/developmental disabilities (I/DD). Inadequately managed pain in this population is a common problem, and this is likely due to these children's inability to communicate pain effectively. Unfortunately, many of these children are unable to accurately self-report or effectively communicate the pain experience. Thus, caregivers are often responsible for assessing their pain. Research has focused on professionals and parents, but it is also common for children with I/DD to receive care from others including respite workers. The investigators recently found a difference between pain beliefs held by respite workers and individuals with little to no experience with this population. Specifically, respite workers believed that a significantly larger percentage of children with severe I/DD sensed less pain than typically developing children. This is contrary to research suggesting that children with I/DD have similar pain perception but communicate it differently (e.g., through idiosyncratic behaviours). Thus, it is possible that respite workers miss critical cues when children with I/DD are in pain. As such, the investigators have developed and successfully piloted a pain training program targeted to respite workers who support children with I/DD. This program demonstrated initial success in improving respite workers' pain-related knowledge, as well as their perceptions of the feasibility of and their own confidence and skill in pain assessment and management with this population of children.

Within a randomized control trial, the objectives of this study are to further test the effectiveness of the Let's Talk About Pain respite worker training program on respite workers' (a) pain-related knowledge, (b) self-rated perceptions of the feasibility of and their own confidence and skill in pain assessment and management, and (c) use of pain assessment and management strategies specific to children with I/DD in respite settings. Participants will complete questionnaires immediately before and after provision of a pain training (or control training). Approximately one month after the training, participants will complete these questionnaires for a third time and participate in a focus group regarding their pain assessment and management strategy use.

The long term objectives of this line of research are to: 1) increase pain assessment and management abilities of respite workers, and, consequently, 2) decrease levels of suffering and ill-managed pain in children with I/DD.

Conditions
Pain
Being tested
Let's Talk About Pain Training, Family Centered Care Training
Keywords
pain assessment/management, developmental disabilities, children, education, respite workers
Medical subject headings
Pain, Developmental Disabilities

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Let's Talk About Pain TrainingOther

    See arm/group descriptions.

  • Family Centered Care TrainingOther

    See arm/group descriptions.

Study groups in NCT03421795
Study groupRoleWhat they receive
Let's Talk About Pain TrainingExperimentalParticipants complete pre-, post- and follow-up measures, and receive a pain training program. The pain assessment and management training will be based on a training previously developed and piloted by Genik et al. (2017). The training will be facilitated by the same researcher (L.G.) throughout the study.
Receives: Other: Let's Talk About Pain Training
Family Centered Care TrainingSham comparatorParticipants complete all of the same measures as those in the intervention, but receive a training about family centered care. This training will be facilitated by Andrea Cross (PhD Candidate) from CanChild and will be related to the F-words of childhood disability (function, family, fitness, fun, friends, future; Rosenbaum \& Gorter, 2012) .
Receives: Other: Family Centered Care Training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Within intervention group change from baseline in scores on Questionnaire for Understanding Pain in Individuals with Intellectual and Developmental Disabilities - Revised

    Pain-related knowledge assessment

    Measured: Baseline (within 30 minutes prior to start of training), Post (within 30 minutes after completion of training)

  2. Within intervention group change (i.e., maintenance) from post in scores on Questionnaire for Understanding Pain in Individuals with Intellectual and Developmental Disabilities - Revised

    Pain-related knowledge assessment

    Measured: Post (within 30 minutes after completion of training), Follow-Up (approximately one month after training)

  3. Between group difference in scores on Questionnaire for Understanding Pain in Individuals with Intellectual and Developmental Disabilities - Revised

    Pain-related knowledge assessment

    Measured: Post (within 30 minutes after completion of training)

  4. Between group difference in scores on Questionnaire for Understanding Pain in Individuals with Intellectual and Developmental Disabilities - Revised

    Pain-related knowledge assessment

    Measured: Follow-Up (approximately one month after training)

Secondary outcomes (24)
  1. Between group difference in ratings of the feasibility of pain assessment

    Researcher generated scale measuring participants' perceptions of the feasibility of pain assessment; 0 (Not feasible at all) - 10 (highly/extremely feasible) Likert Scale. Higher scores are better.

    Measured: Post (within 30 minutes after completion of training)

  2. Between group difference in ratings of the feasibility of pain assessment

    Researcher generated scale measuring participants' perceptions of the feasibility of pain assessment; 0 (Not feasible at all) - 10 (highly/extremely feasible) Likert Scale. Higher scores are better.

    Measured: Follow-Up (approximately one month after training)

  3. Between group difference ratings of the feasibility of pain management

    Researcher generated scale measuring participants' perceptions of the feasibility of pain management; 0 (Not feasible at all) - 10 (highly/extremely feasible) Likert Scale. Higher scores are better.

    Measured: Post (within 30 minutes after completion of training)

  4. Between group difference ratings of the feasibility of pain management

    Researcher generated scale measuring participants' perceptions of the feasibility of pain management; 0 (Not feasible at all) - 10 (highly/extremely feasible) Likert Scale. Higher scores are better.

    Measured: Follow-Up (approximately one month after training)

  5. Between group difference ratings of perceived confidence in pain assessment abilities

    Researcher generated scale measuring participants' perceptions of their own confidence in their pain assessment abilities; 0 (Not confident at all) - 10 (highly/extremely confident) Likert Scale. Higher scores are better.

    Measured: Post (within 30 minutes after completion of training)

  6. Between group difference ratings of perceived confidence in pain assessment abilities

    Researcher generated scale measuring participants' perceptions of their own confidence in their pain assessment abilities; 0 (Not confident at all) - 10 (highly/extremely confident) Likert Scale. Higher scores are better.

    Measured: Follow-Up (approximately one month after training)

  7. Between group difference ratings of perceived confidence in pain management abilities

    Researcher generated scale measuring participants' perceptions of their own confidence in their pain management abilities; 0 (Not confident at all) - 10 (highly/extremely confident) Likert Scale. Higher scores are better.

    Measured: Post (within 30 minutes after completion of training)

  8. Between group difference ratings of perceived confidence in pain management abilities

    Researcher generated scale measuring participants' perceptions of their own confidence in their pain management abilities; 0 (Not confident at all) - 10 (highly/extremely confident) Likert Scale. Higher scores are better.

    Measured: Follow-Up (approximately one month after training)

  9. Between group difference ratings of perceived skill in pain assessment

    Researcher generated scale measuring participants' perceptions of their own skill in pain assessment; 0 (Not skilled at all) - 10 (highly/extremely skilled) Likert Scale. Higher scores are better.

    Measured: Post (within 30 minutes after completion of training)

  10. Between group difference ratings of perceived skill in pain assessment

    Researcher generated scale measuring participants' perceptions of their own skill in pain assessment; 0 (Not skilled at all) - 10 (highly/extremely skilled) Likert Scale. Higher scores are better.

    Measured: Follow-Up (approximately one month after training)

  11. Between group difference ratings of perceived skill in pain management

    Researcher generated scale measuring participants' perceptions of their own skill in pain management; 0 (Not skilled at all) - 10 (highly/extremely skilled) Likert Scale. Higher scores are better.

    Measured: Post (within 30 minutes after completion of training)

  12. Between group difference ratings of perceived skill in pain management

    Researcher generated scale measuring participants' perceptions of their own skill in pain management; 0 (Not skilled at all) - 10 (highly/extremely skilled) Likert Scale. Higher scores are better.

    Measured: Follow-Up (approximately one month after training)

  13. Within intervention group change from baseline in ratings of the feasibility of pain assessment

    Researcher generated scale measuring participants' perceptions of the feasibility of pain assessment; 0 (Not feasible at all) - 10 (highly/extremely feasible) Likert Scale. Higher scores are better.

    Measured: Baseline (within 30 minutes prior to start of training), Post (within 30 minutes after completion of training)

  14. Within intervention group change from baseline in ratings of the feasibility of pain management

    Researcher generated scale measuring participants' perceptions of the feasibility of pain management; 0 (Not feasible at all) - 10 (highly/extremely feasible) Likert Scale. Higher scores are better.

    Measured: Baseline (within 30 minutes prior to start of training), Post (within 30 minutes after completion of training)

  15. Within intervention group change from baseline in ratings of perceived confidence in pain assessment

    Researcher generated scale measuring participants' perceptions of their own confidence in their pain assessment abilities; 0 (Not confident at all) - 10 (highly/extremely confident) Likert Scale. Higher scores are better.

    Measured: Baseline (within 30 minutes prior to start of training), Post (within 30 minutes after completion of training)

  16. Within intervention group change from baseline in ratings of perceived confidence in pain management

    Researcher generated scale measuring participants' perceptions of their own confidence in their pain management abilities; 0 (Not confident at all) - 10 (highly/extremely confident) Likert Scale. Higher scores are better.

    Measured: Baseline (within 30 minutes prior to start of training), Post (within 30 minutes after completion of training)

  17. Within intervention group change from baseline in ratings of perceived skill in pain assessment

    Researcher generated scale measuring participants' perceptions of their own skill in pain assessment; 0 (Not skilled at all) - 10 (highly/extremely skilled) Likert Scale. Higher scores are better.

    Measured: Baseline (within 30 minutes prior to start of training), Post (within 30 minutes after completion of training)

  18. Within intervention group change from baseline in ratings of perceived skill in pain management

    Researcher generated scale measuring participants' perceptions of their own skill in pain management; 0 (Not skilled at all) - 10 (highly/extremely skilled) Likert Scale. Higher scores are better.

    Measured: Baseline (within 30 minutes prior to start of training), Post (within 30 minutes after completion of training)

  19. Within intervention group change (i.e., maintenance) from post in ratings of the feasibility of pain assessment

    Researcher generated scale measuring participants' perceptions of the feasibility of pain assessment; 0 (Not feasible at all) - 10 (highly/extremely feasible) Likert Scale. Higher scores are better.

    Measured: Post (within 30 minutes after completion of training), Follow-Up (approximately one month after training)

  20. Within intervention group change (i.e., maintenance) from post in ratings of the feasibility of pain management

    Researcher generated scale measuring participants' perceptions of the feasibility of pain management; 0 (Not feasible at all) - 10 (highly/extremely feasible) Likert Scale. Higher scores are better.

    Measured: Post (within 30 minutes after completion of training), Follow-Up (approximately one month after training)

  21. Within intervention group change (i.e., maintenance) from post in ratings of perceived confidence in pain assessment

    Researcher generated scale measuring participants' perceptions of their own confidence in their pain assessment abilities; 0 (Not confident at all) - 10 (highly/extremely confident) Likert Scale. Higher scores are better.

    Measured: Post (within 30 minutes after completion of training), Follow-Up (approximately one month after training)

  22. Within intervention group change (i.e., maintenance) from post in ratings of perceived confidence in pain management

    Researcher generated scale measuring participants' perceptions of their own confidence in their pain management abilities; 0 (Not confident at all) - 10 (highly/extremely confident) Likert Scale. Higher scores are better.

    Measured: Post (within 30 minutes after completion of training), Follow-Up (approximately one month after training)

  23. Within intervention group change (i.e., maintenance) from post in ratings of perceived skill in pain assessment

    Researcher generated scale measuring participants' perceptions of their own skill in pain assessment; 0 (Not skilled at all) - 10 (highly/extremely skilled) Likert Scale. Higher scores are better.

    Measured: Post (within 30 minutes after completion of training), Follow-Up (approximately one month after training)

  24. Within intervention group change (i.e., maintenance) from post in ratings of perceived skill in pain management

    Researcher generated scale measuring participants' perceptions of their own skill in pain management; 0 (Not skilled at all) - 10 (highly/extremely skilled) Likert Scale. Higher scores are better.

    Measured: Post (within 30 minutes after completion of training), Follow-Up (approximately one month after training)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Feb 2018
  2. Study start8 May 2017
  3. Primary completion3 Jul 2018
  4. Study completion2 Aug 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a multi-centre clustered parallel RCT with an intervention group (pain training) and control group (control training about family centered care, with an option to receive pain training after follow-up).
Masking
None (open label)
Enrolment
178 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03421795
Sponsor's protocol ID
REB16-12-696
Status last verified
May 2019
First submitted
12 Dec 2017
Last updated
7 May 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Dubois A, Capdevila X, Bringuier S, Pry R. Pain expression in children with an intellectual disability. Eur J Pain. 2010 Jul;14(6):654-60. doi: 10.1016/j.ejpain.2009.10.013. Epub 2009 Dec 5.

    PubMed 19963417
  • Twycross A, Williams A. Establishing the validity and reliability of a pediatric pain knowledge and attitudes questionnaire. Pain Manag Nurs. 2013 Sep;14(3):e47-53. doi: 10.1016/j.pmn.2011.03.001. Epub 2011 Apr 17.

    PubMed 23972870
  • Chen-Lim ML, Zarnowsky C, Green R, Shaffer S, Holtzer B, Ely E. Optimizing the assessment of pain in children who are cognitively impaired through the quality improvement process. J Pediatr Nurs. 2012 Dec;27(6):750-9. doi: 10.1016/j.pedn.2012.03.023. Epub 2012 Apr 10.

    PubMed 22497741
  • Genik LM, McMurtry CM, Breau LM. Caring for children with intellectual disabilities part 1: Experience with the population, pain-related beliefs, and care decisions. Res Dev Disabil. 2017 Mar;62:197-208. doi: 10.1016/j.ridd.2017.01.020. Epub 2017 Feb 14.

    PubMed 28208103
  • Genik LM, McMurtry CM, Breau LM, Lewis SP, Freedman-Kalchman T. Pain in Children With Developmental Disabilities: Development and Preliminary Effectiveness of a Pain Training Workshop for Respite Workers. Clin J Pain. 2018 May;34(5):428-437. doi: 10.1097/AJP.0000000000000554.

    PubMed 28877138
  • Breau LM, MacLaren J, McGrath PJ, Camfield CS, Finley GA. Caregivers' beliefs regarding pain in children with cognitive impairment: relation between pain sensation and reaction increases with severity of impairment. Clin J Pain. 2003 Nov-Dec;19(6):335-44. doi: 10.1097/00002508-200311000-00001.

    PubMed 14600533
  • Genik LM, McMurtry CM, Barata PC, Barney CC, Lewis SP. Study protocol for a multi-centre parallel two-group randomized controlled trial evaluating the effectiveness and impact of a pain assessment and management program for respite workers supporting children with disabilities. Paediatr Neonatal Pain. 2020 Apr 26;2(1):7-13. doi: 10.1002/pne2.12014. eCollection 2020 Mar.

    PubMed 35547857

Questions about this trial

What is this clinical trial studying?

A study testing Let's Talk About Pain Training and Family Centered Care Training in people with Pain, run by University of Guelph at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 May 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Within intervention group change from baseline in scores on Questionnaire for Understanding Pain in Individuals with Intellectual and Developmental Disabilities - Revised (time frame: Baseline (within 30 minutes prior to start of training), Post (within 30 minutes after completion of training)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03421795, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 May 2019.

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