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Pain, ChronicPROGRESSNCT05612750

Comparative Effectiveness of Online 8-session CBT vs. 1-Session Empowered Relief for Chronic Pain - The PROGRESS Study

A study testing Cognitive Behavioral Therapy (CBT) and Empowered Relief in people with Pain, Chronic and Lupus, run by Stanford University at 5 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of this study is to conduct a pragmatic clinical trial comparing the effectiveness of: (1) 8-week cognitive behavioral therapy for chronic pain (pain-CBT; sixteen hours total treatment time); and (2) a 1-session pain relief skills intervention for chronic pain (Empowered Relief; two hours total treatment… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Pain, Chronic, Lupus, Pelvic Pain
What is being tested?
Cognitive Behavioral Therapy (CBT) and Empowered Relief
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,650 participants
Where
5 sitesUnited States
Study dates
1 Jan 2023to 1 May 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

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

  • At least 18 years of age or older of either sex (and all genders).
  • Chronic pain (pain that occurs on at least half of the days of 3 months or more).
  • Past-month average pain intensity score of at least 3/10.
  • Ability to adhere to and complete study protocols.

Who cannot join

  • Inability to provide informed consent.
  • Cognitive impairment, non-English speaking, or psychological factors that would preclude comprehension of material and/or full participation in the study including group treatment.
  • Active suicidality documented in medical records.
  • Study staff may exclude individuals with a known history of disruptive behavior to minimize contamination of the learning environment for an entire treatment cohort.
  • Receipt of either study treatment in the past 3 months.

Trial locations and contacts

5 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Emma A Adair, BS contact

6097448937

eadair@stanford.edu

Corinne Jung, PhD contact

(650) 724-0522

Cejung@stanford.edu

5 sites in 1 country

United States5 sites, 5 recruiting
  • Lehigh Valley Health Network

    Allentown, Pennsylvania, 18103

    Elizabeth Heggan, BS, elizabeth_a.heggan@lvhn.org

    Steve Denton, LCSW

    Recruiting
  • SCAN Health Plan

    Long Beach, California, 90806

    Gabby Riazi, MPH, (562) 308-5880 ext. 5880, g.riazi@scanhealthplan.com

    Gabrielle Riazi, MPH

    Recruiting
  • Humana

    Louisville, Kentucky, 40202

    Arayam Hailu, BS, 650-887-4497, arayamyh@stanford.edu

    Jackie Miefert, MS

    Not yet recruiting
  • Phoenix VA Health Care System

    Phoenix, Arizona, 85012

    Ken Cook, CCRC, 602.277.5551 ext. 2451, arthur.cook@va.gov

    Aram Mardian, MD

    Not yet recruiting
  • Intermountain Healthcare

    Salt Lake City, Utah, 84103

    Anne Haroldsen

    Joel Porter, MD

    Recruiting

Other trials in United States

About this study

Official title: Comparative Effectiveness of Online Cognitive Behavioral Therapy vs. An Online Single-Session Pain Relief Skills Class for Chronic Pain - The PROGRESS Study

The purpose of this study is to conduct a pragmatic clinical trial comparing the effectiveness of: (1) 8-week cognitive behavioral therapy for chronic pain (pain-CBT; sixteen hours total treatment time); and (2) a 1-session pain relief skills intervention for chronic pain (Empowered Relief; two hours total treatment time).

Read the detailed description

The purpose of this study is to conduct a pragmatic clinical trial comparing the effectiveness: (1) 8-session cognitive behavioral therapy for chronic pain (pain-CBT); and (2) a 1-session pain relief skills intervention for chronic pain (Empowered Relief). The investigators aim to understand for patients which treatment works best.

Online evidence-based behavioral treatment for pain will greatly expand access to patients across the U.S. living with diverse chronic pain conditions. Results from this study will fill several critical gaps in evidence that are preventing patients and physicians from making informed decisions about their pain care.

This study will provide a low-cost, relatively low-risk, widely available and feasible protocol that directly addresses the needs of millions of community-based outpatients and their physicians.

Being tested
Cognitive Behavioral Therapy (CBT), Empowered Relief
Keywords
Young adult, Lupus, Pelvic Pain, Behavioral Health
Medical subject headings
Chronic Pain, Pelvic Pain

What participants receive

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

  • Cognitive Behavioral Therapy (CBT)Behavioural

    A trained psychologist delivers 8 sessions of low-literacy CBT (the LAMP protocol) to groups of patients who were randomized to this treatment arm.

  • Empowered ReliefBehavioural

    A certified instructor delivers 1 session of pain relief skills intervention (Empowered Relief) to groups of patients who were randomized to this treatment arm.

Study groups in NCT05612750
Study groupRoleWhat they receive
Lupus Chronic Pain CohortExperimental150 participants with Lupus and Chronic Pain
Receives: Behavioral: Cognitive Behavioral Therapy (CBT); Behavioral: Empowered Relief
Chronic Pelvic PainExperimental150 participants with Chronic Pelvic Pain
Receives: Behavioral: Cognitive Behavioral Therapy (CBT); Behavioral: Empowered Relief
Young Adult (18-23) Chronic PainExperimental150 participants ages 18-23 with Chronic Pain
Receives: Behavioral: Cognitive Behavioral Therapy (CBT); Behavioral: Empowered Relief
PRIME SampleExperimental1200 participants with chronic pain
Receives: Behavioral: Cognitive Behavioral Therapy (CBT); Behavioral: Empowered Relief

What is being measured

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

  1. Pain Intensity

    Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)

    Measured: 1 months

  2. Pain Intensity

    Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)

    Measured: 2 months

  3. Pain Intensity

    Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)

    Measured: 3 months

  4. Pain Intensity

    Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)

    Measured: 6 months

  5. Pain Interference

    Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)

    Measured: 1 month

  6. Pain Interference

    Compare study treatments for primary outcomes post-treatment with the PROMIS Pain Interference 6-item scale.

    Measured: 2 months

  7. Pain Interference

    Compare study treatments for primary outcomes post-treatment with the PROMIS Pain Interference 6-item scale.

    Measured: 3 months

  8. Pain Interference

    Compare study treatments for primary outcomes post-treatment with the PROMIS Pain Interference 6-item scale.

    Measured: 6 months

Secondary outcomes (36)
  1. Sleep Disturbance

    Compare treatment groups on the PROMIS Sleep Disturbance 6-item

    Measured: 1 month

  2. Sleep Disturbance

    Compare treatment groups on the PROMIS Sleep Disturbance 6-item

    Measured: 2 months

  3. Sleep Disturbance

    Compare treatment groups on the PROMIS Sleep Disturbance 6-item

    Measured: 3 months

  4. Sleep Disturbance

    Compare treatment groups on the PROMIS Sleep Disturbance 6-item

    Measured: 6 months

  5. Pain Bothersomeness

    Compare treatment groups for Pain Bothersomeness on a Numeric Rating Scale (0-10)

    Measured: 1 month

  6. Pain Bothersomeness

    Compare treatment groups for Pain Bothersomeness on a Numeric Rating Scale (0-10)

    Measured: 2 months

  7. Pain Bothersomeness

    Compare treatment groups for Pain Bothersomeness on a Numeric Rating Scale (0-10)

    Measured: 3 months

  8. Pain Bothersomeness

    Compare treatment groups for Pain Bothersomeness on a Numeric Rating Scale (0-10)

    Measured: 6 months

  9. Pain Catastrophizing

    Pain Catastrophizing Scale is a 13-item measure with a total score ranging from 0-52 with higher scores indicative of more catastrophizing.

    Measured: 1 months

  10. Pain Catastrophizing

    Pain Catastrophizing Scale is a 13-item measure with a total score ranging from 0-52 with higher scores indicative of more catastrophizing.

    Measured: 2 months

  11. Pain Catastrophizing

    Pain Catastrophizing Scale is a 13-item measure with a total score ranging from 0-52 with higher scores indicative of more catastrophizing. We aim to obtain >30% reduction in PCS scores after the intervention

    Measured: 3 months

  12. Pain Catastrophizing

    Pain Catastrophizing Scale is a 13-item measure with a total score ranging from 0-52 with higher scores indicative of more catastrophizing.

    Measured: 6 months

  13. Anxiety

    Compare treatment groups for anxiety using the PROMIS Anxiety 6-item

    Measured: 1 month

  14. Anxiety

    Compare treatment groups for anxiety using the PROMIS Anxiety 6-item

    Measured: 2 months

  15. Anxiety

    Compare treatment groups for anxiety using the PROMIS Anxiety 6-item

    Measured: 3 months

  16. Anxiety

    Compare treatment groups for anxiety using the PROMIS Anxiety 6-item

    Measured: 6 months

  17. Satisfaction with Social Roles/Responsibilities

    Compare treatment groups for PROMIS 6 item Satisfaction with Social Roles/Responsibilities

    Measured: 1 month

  18. Satisfaction with Social Roles/Responsibilities

    Compare treatment groups for PROMIS 6 item Satisfaction with Social Roles/Responsibilities

    Measured: 2 months

  19. Satisfaction with Social Roles/Responsibilities

    Compare treatment groups for PROMIS 6 item Satisfaction with Social Roles/Responsibilities

    Measured: 3 months

  20. Satisfaction with Social Roles/Responsibilities

    Compare treatment groups for PROMIS 6 item Satisfaction with Social Roles/Responsibilities

    Measured: 6 months

  21. Patient Global Impression of Change

    Compare treatment groups for PROMISE 1 item Global Impression of Change scale

    Measured: 1months

  22. Patient Global Impression of Change

    Compare treatment groups for PROMISE 1 item Global Impression of Change scale

    Measured: 2 month

  23. Patient Global Impression of Change

    Compare treatment groups for PROMISE 1 item Global Impression of Change scale

    Measured: 3 months

  24. Patient Global Impression of Change

    Compare treatment groups for PROMISE 1 item Global Impression of Change scale

    Measured: 6 months

  25. Depression

    Compare study treatments for primary outcomes post-treatment with the PROMIS 6 item Depression scale.

    Measured: 1 month

  26. Depression

    Compare study treatments for primary outcomes post-treatment with the PROMIS 6 item Depression scale.

    Measured: 2 months

  27. Depression

    Compare study treatments for primary outcomes post-treatment with the PROMIS 6 item Depression scale.

    Measured: 3 months

  28. Depression

    Compare study treatments for primary outcomes post-treatment with the PROMIS 6 item Depression scale.

    Measured: 6 months

  29. Fatigue

    Compare study treatments for primary outcomes post-treatment with the PROMIS 6 item Fatigue scale.

    Measured: 1 month

  30. Fatigue

    Compare study treatments for primary outcomes post-treatment with the PROMIS 6 item Fatigue scale.

    Measured: 2 months

  31. Fatigue

    Compare study treatments for primary outcomes post-treatment with the PROMIS 6 item Fatigue scale.

    Measured: 3 months

  32. Fatigue

    Compare study treatments for primary outcomes post-treatment with the PROMIS 6 item Fatigue scale.

    Measured: 6 months

  33. Anger

    Compare study treatments for primary outcomes post-treatment with the PROMIS 5 item Anger scale.

    Measured: 1 month

  34. Anger

    Compare study treatments for primary outcomes post-treatment with the PROMIS 5 item Anger scale.

    Measured: 2 months

  35. Anger

    Compare study treatments for primary outcomes post-treatment with the PROMIS 5 item Anger scale.

    Measured: 3 months

  36. Anger

    Compare study treatments for primary outcomes post-treatment with the PROMIS 5 item Anger scale.

    Measured: 6 months

Timeline

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

  1. First posted10 Nov 2022
  2. Study start1 Jan 2023
  3. Primary completion1 May 2029 (estimated)
  4. Study completion1 May 2029 (estimated)

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
A pragmatic clinical trial randomizing to one of two (standard of care) online group behavioral treatments: (1) 8-session cognitive behavioral therapy for chronic pain (pain-CBT); and (2) single-session pain relief skills intervention for chronic pain (Empowered Relief).
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
1,650 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05612750
Sponsor's protocol ID
IRB-65439
Acronym
PROGRESS
Status last verified
Apr 2026
First submitted
5 Aug 2022
Last updated
11 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Falasinnu T, Hailu AY, Monson EA, Clifton J, Torres C, Dildine TC, Dorsonne B, Heggan E, Riazi G, Slater K, Poupore-King H, Perez L, Hellewell J, Tian L, Denton S, DeVries A, Miefert J, Mackey SC, Cheung M, Darnall BD. Empowered Relief vs Cognitive Behavioral Therapy for Patients With Systemic Lupus Erythematosus and Chronic Pain: Study Protocol for a National, Randomized, Noninferiority Trial. JMIR Res Protoc. 2026 Aug 25;15:e100104. doi: 10.2196/100104.

    PubMed 42641149
  • Adair Monson E, Mardian A, Saxena K, Dorsonne B, Hailu AY, Heggan E, Riazi G, Slater K, Poupore-King H, Clifton J, Perez L, Tian L, Porter J, Denton S, Hanson ER, Miefert J, Thorn BE, Mackey SC, Cheung M, Darnall BD. Randomized comparative effectiveness study of 1-session vs 8-session online behavioral treatment for chronic pain: protocol for the national PROGRESS study. Pain Med. 2026 Jul 1;27(7):839-850. doi: 10.1093/pm/pnag027.

    PubMed 41712512

Questions about this trial

What is this clinical trial studying?

A study testing Cognitive Behavioral Therapy (CBT) and Empowered Relief in people with Pain, Chronic and Lupus, run by Stanford University at 5 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 5 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: looking for participants now, as of the sponsor's last update on 11 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Emma A Adair, BS (6097448937, eadair@stanford.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain Intensity (time frame: 1 months). The study lists 8 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 NCT05612750, which also lists 2 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 11 May 2026.

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