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Chronic PainNCT03582683

A Community-Based Chronic Pain Self-Management Program in West Virginia

A study testing Chronic Pain Self-Management Program (CPSMP) in people with Chronic Pain, run by West Virginia University at 2 sites in United States.

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

Chronic pain (CP) affects 1 in 3 US adults and costs up to $635 billion annually in medical costs and lost work productivity. Use of opioid medications for CP has risen in the US, and opioid overdose deaths have quadrupled, yet with no overall change in pain. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Chronic Pain
What is being tested?
Chronic Pain Self-Management Program (CPSMP)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
196 participants
Where
2 sitesUnited States
Study dates
18 Jun 2018to 9 Apr 2021
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
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults over age 18
  • Have chronic pain (pain on most days or everyday) for the past 3 months or more
  • Able to attend 1 CPSMP workshop a week over 6 weeks
  • Able to attend 3-4 testing sessions for data collection (testing sessions are scheduled before the workshops begin and then six months, one year and, for those assigned to the control group, one and a half years after the start of the study)

Who cannot join

  • Chronic pain caused by current cancer diagnosis or an open wound
  • Lack reliable transportation
  • Having surgery for the painful area in the next year
  • Not community-dwelling (i.e., living in a nursing home, assisted living or personal care home, mental hospital, or correctional facility)
  • Not willing to be randomized to either start CPSMP workshop now or in six months
  • Participation in another self-management program (e.g., Diabetes Self-Management Program) in the past 12 months
  • Unable to speak English

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • West Virginia School of Osteopathic Medicine

    Lewisburg, West Virginia, 24901

  • Mid-Ohio Valley Health Department

    Parkersburg, West Virginia, 26101

Other trials in United States

About this study

Official title: A Randomized Controlled Trial of a Community-Based Chronic Pain Self-Management Program in West Virginia

Chronic pain (CP) affects 1 in 3 US adults and costs up to $635 billion annually in medical costs and lost work productivity. Use of opioid medications for CP has risen in the US, and opioid overdose deaths have quadrupled, yet with no overall change in pain. Although one-third of US adults have CP, there is a lack of affordable, non-pharmacological, evidence-based, community-delivered interventions for people with CP.

One program, the Chronic Pain Self-Management Program (CPSMP), provides short-term improvements in pain but its long-term effects have not been evaluated. This study will examine the long-term effects of CPSMP in the medically underserved state of West Virginia (WV). The objectives of this community-engaged, randomized, wait-list controlled study are to: 1) determine the short- (26 weeks) and long-term (52 weeks) effectiveness of the 6-week CPSMP in adults with CP in WV; 2) evaluate the Reach (number of participants, completers), Effectiveness (outcomes), Adoption (number of sites, leaders, trainings), Implementation (fidelity), and Maintenance (satisfaction, continuation) of CPSMP using the RE-AIM Framework; and 3) disseminate the results to key stakeholders including evidence-based organizations, public health practitioners/researchers, and healthcare providers.

The study will enroll 240 participants in 24 workshops at 12 community-based sites in 2 counties in WV, Greenbrier (rural) and Wood (urban). Participants will attend free, 2.5-hour weekly sessions for 6 weeks. Self-reported, performance-based, and physiological data will be collected at baseline and 26, and 52 weeks after the start of the intervention. The primary outcomes are pain (severity, quality, interference, medication use), mental health (mood, anxiety, catastrophizing), function (self-efficacy, coping, health-related quality of life, sleep, fatigue, communication, physical activity), healthcare utilization, missed work days, and gait speed.

Read the detailed description

Chronic pain (CP) affects 1 in 3 US adults and costs up to $635 billion annually in medical costs and lost work productivity. The impact of CP is worse in people with both CP and comorbid chronic diseases such as arthritis, diabetes, and heart disease. Use of opioid medications for CP has risen in the US, and opioid overdose deaths have quadrupled, yet with no overall change in pain. Although one-third of US adults have CP, there is a lack of affordable, non-pharmacological, evidence-based, community-delivered interventions for people with CP. Thus, there is a vital need to rigorously test more interventions that can be brought to scale and widely disseminated in the US.

One program, the Chronic Pain Self-Management Program (CPSMP), provides short-term improvements in pain but its long-term effects have not been evaluated. This study will examine the long-term effects of CPSMP in the medically underserved state of West Virginia (WV). With one of the worst health profiles in the US, WV has the highest rates of arthritis, diabetes, heart disease, and drug overdose deaths, and therefore has a compelling need for the CPSMP. The objectives of this community-engaged, randomized, wait-list controlled study are to: 1) determine the short- (26 weeks) and long-term (52 weeks) effectiveness of the 6-week CPSMP in adults with CP in WV; 2) evaluate the Reach (number of participants, completers), Effectiveness (outcomes), Adoption (number of sites, leaders, trainings), Implementation (fidelity), and Maintenance (satisfaction, continuation) of CPSMP using the RE-AIM Framework; and 3) disseminate the results to key stakeholders including evidence-based organizations, public health practitioners/researchers, and healthcare providers.

The study will enroll 240 participants in 24 workshops at 12 community-based sites in 2 counties in WV, Greenbrier (rural) and Wood (urban). Participants will attend free, 2.5-hour weekly sessions for 6 weeks. Two trained leaders will facilitate group discussions on managing pain, emotions, depression, fatigue, and sleep; proper exercise, nutrition, and medication use; weight management; strategies for effective communication with healthcare professionals; evaluating treatments; and pacing/planning. Self-reported, performance-based, and physiological data will be collected at baseline and 26, and 52 weeks after the start of the intervention. The primary outcomes are pain (severity, quality, interference, medication use), mental health (mood, anxiety, catastrophizing), function (self-efficacy, coping, health-related quality of life, sleep, fatigue, communication, physical activity), healthcare utilization, missed work days, and gait speed.

Conditions
Chronic Pain
Being tested
Chronic Pain Self-Management Program (CPSMP)
Keywords
Self-Management Programs, Behavioral Health
Medical subject headings
Chronic Pain

What participants receive

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

  • Chronic Pain Self-Management Program (CPSMP)Behavioural

    Stanford University's Chronic Pain Self-Management Program (CPSMP) was developed by Sandra LeFort in 1996 and based on Stanford's Arthritis Self-Management Program and the Chronic Disease Self-Management Program. The 6-week community-delivered workshop consists of 2.5-hour weekly sessions for people with a primary or secondary diagnosis of Chronic Pain.

Study groups in NCT03582683
Study groupRoleWhat they receive
CPSMP InterventionExperimentalParticipants randomly assigned to this arm will, following a baseline assessment, immediately begin attending a 6-week Chronic Pain Self-Management Program (CPSMP) workshop.
Receives: Behavioral: Chronic Pain Self-Management Program (CPSMP)
Wait-list Control GroupActive comparatorParticipants assigned to this arm will wait six months after a baseline assessment and then attend the 6-week Chronic Pain Self-Management Program (CPSMP) workshop.
Receives: Behavioral: Chronic Pain Self-Management Program (CPSMP)

What is being measured

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

  1. Pain severity

    Using Stanford's 0-10 Pain Visual Numeric Scale participants will rate their pain in the past 2 weeks on an 11-item scale ranging from 0 (no pain) to 10 (severe pain).

    Measured: Change between baseline and 52 weeks

  2. Defense and Veterans Pain Rating Scale

    Using the Defense and Veterans Pain Rating Scale will rate their pain in the past 2 weeks on an 11-item scale ranging from 0 (no pain) to 10 (severe pain).

    Measured: Change between baseline and 52 weeks

Secondary outcomes (19)
  1. Pain interference with sleep

    Defense and Veterans Pain Rating Scale Supplemental Question (revised from 24 hours to past 2 weeks)

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  2. Pain frequency

    2016 NHIS (past 3 months)

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  3. Perceived disability

    Pain Disability Index

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  4. Pain avoidance

    Tampa Scale of Kinesiophobia. A total score is calculated that ranges from 17 (low degree of kinesiophobia) to 68 (a high degree of kinesiophobia)

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  5. Opioid misuse

    Screener and Opioid Assessment for Patients with Pain (SOAPP) v1.0-SF

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  6. Medication Usage

    Morphine milligram equivalents (MME) per day of current prescription or over-the-counter medications for pain, depression, anxiety, mood, or sleep (also usage of stimulants and muscle relaxers)

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  7. Mood

    Stanford Personal Health Questionnaire-Depression (PHQ-8)

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  8. Anxiety

    Generalized Anxiety Disorder-7 (GAD-7)

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  9. Catastrophizing

    Pain Catastrophizing Scale. The total score ranges from 0 (low catastrophizing) to 52 (high catastrophizing). There are 3 subscales (rumination, magnification, and helplessness)

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  10. Mindfulness

    5 Facet Mindfulness Questionnaire Short Form

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  11. Pain Self-Efficacy

    Pain Self-Efficacy Scale. The total score ranges from 0 (low self-efficacy) to 60 (high self-efficacy)

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  12. Coping

    Coping Strategies Questionnaire-Revised

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  13. Activation

    Patient Activation Measure

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  14. General Health Status

    2016 BRFSS question

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  15. Vitality

    SF-36 v1

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  16. Minutes of Physical Activity

    2016 NHIS questions

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

  17. Healthcare Utilization

    Emergency room visits and doctor/clinic visits

    Measured: Monthly for up to 12 months

  18. Work

    Number of days missed work and number of days in bed more than half of the day

    Measured: Monthly for up to 12 months

  19. Gait speed

    5- or 10-meter gait speed test

    Measured: Data will be collected at baseline, 26 weeks after the start of the study and 52 weeks after the study start.

Timeline

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

  1. First posted11 Jul 2018
  2. Study start18 Jun 2018
  3. Primary completion9 Apr 2021
  4. Study completion9 Apr 2021

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
After a baseline assessment, participants will be randomized to the CPSMP intervention or a 6-month, wait-list control group based on an allocation sequence based on class size, that will be stratified by site and allocated via opaque envelopes.
Masking
None (open label)
Enrolment
196 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03582683
Sponsor's protocol ID
3U48DP005004-04S1
Status last verified
Apr 2021
First submitted
14 Jun 2018
Last updated
12 Apr 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Chronic Pain Self-Management Program (CPSMP) in people with Chronic Pain, run by West Virginia University at 2 sites in United States.

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 4 inclusion and 7 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 12 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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. 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?

Pain severity (time frame: Change between baseline and 52 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 12 Apr 2021.

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