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Chronic PainNCT05754190

Assessing Symptom and Mood Dynamics in Pain Using the Smartphone Application SOMA

An observational study of Chronic Pain and Acute Pain, run by Brown University at 1 site 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
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Trial summary

This study relies on the use of a smartphone application (SOMA) that the investigators developed for tracking daily mood, pain, and activity status in acute pain, chronic pain, and healthy controls over four months.The primary goal of the study is to use fluctuations in daily self-reported symptoms to identify… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Chronic Pain, Acute Pain, Post Operative Pain
What is being tested?
SOMA pain manager smartphone application
Type of treatment
Medical device
How many people
800 participants
Where
1 siteUnited States
Study dates
20 Jun 2023to 30 May 2026
Phase
Observational
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
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Any person who fits the eligibility criteria for acute pain, chronic pain, or healthy control groups will be eligible to participate in the general parent study. Healthy controls or participants who have a diagnosis of chronic low back pain, failed back surgery syndrom or fibromyalgia are eligible to participate in the in-person EEG sub-study. Participants will be recruited from around Rhode Island and surrounding regions via online ads, listserv announcements, local healthcare clinics, rehab and nursing facilities, word of mouth, social media, and targeted newspaper/magazine/public transportation advertisements. Chronic pain participants eligible for the in-person EEG testing will be recruited via these methods as well as targeted recruitment with physicians treating these patients.

Who may be able to join

  • Chronic pain group:
  • Age above 18
  • Access to a personal smartphone and a stable internet connection
  • Average pain intensity score of greater than 3 in the past week or
  • Average pain interference score of greater than 3 in the past week or
  • Average pain distress score of greater than 3 in the past week
Show all 31Show fewer
  • Pain duration: greater than 6 months
  • Acute pain group:
  • Age above 18
  • Access to a personal smartphone and a stable internet connection
  • Average pain intensity score of greater than 3 in the past week
  • ○ or
  • Average pain interference score of greater than 3 in the past week
  • ○ or
  • Average pain distress score of greater than 3 in the past week
  • Pain duration: less than 3 months
  • Pain cause: Due to recent surgery, injury, acute illness, or childbirth (within the past 3 months)
  • Healthy control group:
  • Age above 18
  • Access to a personal smartphone and a stable internet connection
  • Average pain intensity score of less than 3 in the past week
  • Average pain interference score of less than 3 in the past week
  • Average pain distress score of less than 3 in the past week
  • No surgery, injury, acute illness, or childbirth (within the past 3 months)
  • In person EEG testing [Sub-Study only]:
  • Same as in General App Study Above and additionally:
  • Current diagnosis of Fibromyalgia, Chronic Low Back Pain or Failed Back Surgery Syndrome OR
  • No current or prior history of chronic pain
  • If participant has chronic low back pain or failed back surgery syndrome: are they planning to have either a radio-frequency ablation, back surgery, or spinal cord stimulation implant in the next few months
  • If participant has chronic low back pain or failed back surgery syndrome: have they received insurance approval for the procedure?
  • Ok with EEC/ECG measures

Who cannot join

  • Chronic pain group:
  • recent injury or surgery unrelated to the pain in the past 3 months
  • difficulty participating for technical/logistical issues (e.g., no computer, incompatible smartphone, can't commit to 4 months study participation);
  • Not fluent in English (difficulty understanding questions)
  • Current primary or metastatic cancer (organic cause of pain)
  • Acute pain group:
Show all 27Show fewer
  • History of Chronic Pain (Pain lasting for more than 6 months)
  • difficulty participating for technical/logistical issues (e.g., no computer, incompatible smartphone, can't commit to 4 months study participation);
  • Not fluent in English (difficulty understanding questions)
  • Current primary or metastatic cancer (organic cause of pain)
  • Healthy control group:
  • History of Chronic Pain (Pain lasting for more than 6 months)
  • difficulty participating for technical/logistical issues (e.g., no computer, incompatible smartphone, can't commit to 4 months study participation);
  • Not fluent in English (difficulty understanding questions)
  • -In person EEG testing [Sub-study only]: [will interfere with EEG data collection safety or quality]:
  • Same as in General App Study Above and additionally:
  • Baldness
  • Pregnancy
  • Dreadlocks
  • Left-handedness
  • Use of a wheelchair
  • Heart failure diagnosis
  • Current or prior experience with acute psychosis or mania
  • implanted pacemaker, neurostimulator or any other head or heart implants
  • require a hearing aid to hear properly
  • claustrophobia
  • metal fragments in the body

Trial locations and contacts

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

Frederike H Petzschner, PhD contact

401-863-6272

frederike_petzschner@brown.edu

Chloe S Zimmerman, MD/PhD student contact

401-863-6272

chloe_zimmerman@brown.edu

United States1 site, 1 recruiting
  • Brown University

    Providence, Rhode Island, 02912

    Frederike H Petzschner, PhD, 401-863-6272, frederike_petzschner@brown.edu

    Chloe S Zimmerman, MD/PhD Student, 401-863-6272, chloe_zimmerman@brown.edu

    Recruiting

Other trials in United States

About this study

This study relies on the use of a smartphone application (SOMA) that the investigators developed for tracking daily mood, pain, and activity status in acute pain, chronic pain, and healthy controls over four months.The primary goal of the study is to use fluctuations in daily self-reported symptoms to identify computational predictors of acute-chronic pain transition, pain recovery, and/or chronic pain maintenance or flareups. The general study will include anyone with current acute or chronic pain, while a smaller sub-study will use a subset of patients from the chronic pain group who have been diagnosed with chronic low back pain, failed back surgery syndrome, or fibromyalgia. These sub-study participants will first take part in one in-person EEG testing session while completing simple interoception and reinforcement learning tasks and then begin daily use of the SOMA app. Electrophysiologic and behavioral data from the EEG testing session will be used to determine predictors of treatment response in the sub-study.

Read the detailed description

The investigators aim to study the temporal dynamics of pain and links between self-reported pain, mood/emotion, and activities using the daily tracking app SOMA. The experience of pain fluctuates over time, specifically in patients who suffer from chronic pain and those who are transitioning from an acute to a chronic state. Emotions and mood directly influence the experience of pain and may contribute to its chronification. The investigators will use statistical and computational approaches to better understand the dynamics of these reported daily symptoms to identify computational predictors of transition from acute to chronic pain. Specifically, the investigators hypothesize that certain symptom clusters will co-occur in time and be linked to external life events (e.g. emotional and physical stress) and emotional states (e.g. worry). Statistical/computational analysis of pain dynamics could therefore identify indicators for change points in the transition from acute to chronic pain.

Being tested
SOMA pain manager smartphone application
Keywords
digital health, e-health, smartphone application, chronic pain, acute pain, symptom tracking, experience sampling methodology, ecological momentary assessment, pain self-management
Medical subject headings
Chronic Pain, Acute Pain, Pain, Postoperative, Fibromyalgia, Irritable Bowel Syndrome, Temporomandibular Joint Disorders, Arthritis, Failed Back Surgery Syndrome

What participants receive

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

  • SOMA pain manager smartphone applicationDevice

    SOMA is a smartphone application developed for acute and chronic pain patients to track daily mood and pain symptoms and overall activity.

Study groups in NCT05754190
Study groupRoleWhat they receive
Healthy Controls[general study + sub study] No history of chronic pain
Receives: Device: SOMA pain manager smartphone application
Acute pain[general study] Pain duration < 3 months
Receives: Device: SOMA pain manager smartphone application
Chronic pain[general study] Pain duration > 6 months [sub-study] diagnosis of chronic low back pain, failed back surgery syndrome, or fibromyalgia
Receives: Device: SOMA pain manager smartphone application

What is being measured

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

  1. [General Study] Acute-Chronic Pain Transition Probability

    Test whether daily affect (incl. mood), pain, activities, and other factors measured by the SOMA app can predict transition from acute to chronic pain, pain recovery, or pain maintenance using mixed effects linear regression model-based analyses to predict long- term pain scores such as pain intensity, unpleasantness, and/or interference

    Measured: T1 [4 months of daily app use]

Secondary outcomes (14)
  1. [General Study] Feasibility of long-term app use

    Percentage of Soma users in acute and chronic pain groups who engage with the app for 4 months

    Measured: T1 [4 months of daily app use]

  2. [General Study] App Engagement

    Evaluate user engagement based on number of completed daily ESM assessments per person in the acute and chronic pain groups over the 4 months of app use

    Measured: T1 [4 months of daily app use]

  3. [General Study] Pain Dynamics

    Test whether variability in daily pain location, intensity, unpleasantness, and interference, and daily pain expectations and prediction errors in the SOMA app can predict long-term pain scores in cross sectional between-group and longitudinal within-subject model-based analyses

    Measured: T0 [Baseline], T1 [4 months of daily app use], T2 [4 months], T3 [8 months], T4 [12 months]

  4. [General Study] Activity Dynamics

    Test whether types or number of daily activities, the effect of activities on pain, and activity expectations for the next day can predict long-term pain scores in cross sectional and longitudinal model-based analyses.

    Measured: T0 [Baseline], T1 [4 months of daily app use], T2 [4 months], T3 [8 months], T4 [12 months]

  5. [General Study] Pain Beliefs

    Test whether questionnaire scores related to pain beliefs and personal/health history at T0 can predict long-term pain scores in cross sectional between-group and longitudinal within-subject model-based analyses

    Measured: T0 [Baseline], T2 [4 months], T3 [8 months], T4 [12 months]

  6. [General study] Mood Dynamics

    Test whether variability in daily mood ratings and mood prediction errors can predict long-term pain scores in cross sectional between-group and longitudinal within-subject model-based analyses.

    Measured: T0 [Baseline], T1 [4 months of daily app use], T2 [4 months], T3 [8 months], T4 [12 months]

  7. [General Study] Association between mood, pain, and activity

    Assess the effect of mood, pain, pain prediction errors and mood prediction errors on future activities in cross sectional between-group and longitudinal within-subject model based analyses.

    Measured: T0 [Baseline], T1 [4 months of daily app use], T2 [4 months], T3 [8 months], T4 [12 months]

  8. [General Study] Mood homeostasis as measured by SOMA app mood screens

    Assess mood homeostasis using SOMA mood screens in cross sectional between-group and longitudinal within-subject model based analyses.

    Measured: T0 [Baseline], T1 [4 months of daily app use], T2 [4 months], T3 [8 months], T4 [12 months]

  9. [General Study] Effect of Treatments on pain and mood as measured by SOMA app screens

    Assess the effect of pain treatments on mood, pain and activities using the dedicated SOMA screens for these measures in cross sectional between-group and longitudinal within-subject model based analyses.

    Measured: T0 [Baseline], T1 [4 months of daily app use], T2 [4 months], T3 [8 months], T4 [12 months]

  10. [General Study] Avoidance Learning task-computer game

    Test harm avoidance learning and generalization differences between pain patients and healthy controls using a computerized reinforcement learning game.

    Measured: T0 [Baseline], T2 [4 months]

  11. [Sub-Study] Avoidance Learning Task-EEG

    Test whether EEG frontal theta band power is increased during prediction error processing and harm avoidance contexts in a reinforcement learning task in cross-sectional between-group analyses.

    Measured: T0 [Baseline]

  12. [Sub-Study] Cardiac Interoceptive Attention Task-EEG

    Test whether cross-sectional differences in EEG-measured Heartbeat-evoked potential (HEP) amplitude when attending to interoceptive vs exteroceptive stimuli differ between pain patients and healthy controls and test relationship to questionnaire measures at baseline and follow-up.

    Measured: T0 [Baseline], T1 [4 months of daily app use], T2 [4 months], T3 [8 months], T4 [12 months]

  13. [Sub-study] Resting state- EEG

    Test cross-sectional differences in EEG-measured Resting State Activity between pain groups and healthy controls and test relationships between resting EEG measures and questionnaire results at baseline and follow-up

    Measured: T0 [Baseline], T1 [4 months of daily app use], T2 [4 months], T3 [8 months], T4 [12 months]

  14. [Sub-study] Treatment outcome prediction in chronic low back pain and failed back surgery syndrome patients

    Test whether baseline EEG HEP and questionnaire measures predict pain scores at T3 following invasive back treatments (eg back surgery, spinal cord stimulation, radio-frequency ablation) that occur during T1.

    Measured: T0 [Baseline], T1 [4 months of daily app use], T2 [4 months], T3 [8 months], T4 [12 months]

Timeline

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

  1. First posted3 Mar 2023
  2. Study start20 Jun 2023
  3. Primary completion30 May 2026 (estimated)
  4. Study completion30 May 2026 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
800 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05754190
Sponsor's protocol ID
2022003301
Status last verified
Sep 2025
First submitted
8 Feb 2023
Last updated
19 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Anyone interested in IPD should reach out to the Principal Investigator

Publications

  • Voscopoulos C, Lema M. When does acute pain become chronic? Br J Anaesth. 2010 Dec;105 Suppl 1:i69-85. doi: 10.1093/bja/aeq323.

    PubMed 21148657
  • Apkarian AV, Baliki MN, Farmer MA. Predicting transition to chronic pain. Curr Opin Neurol. 2013 Aug;26(4):360-7. doi: 10.1097/WCO.0b013e32836336ad.

    PubMed 23823463
  • Baliki MN, Petre B, Torbey S, Herrmann KM, Huang L, Schnitzer TJ, Fields HL, Apkarian AV. Corticostriatal functional connectivity predicts transition to chronic back pain. Nat Neurosci. 2012 Jul 1;15(8):1117-9. doi: 10.1038/nn.3153.

    PubMed 22751038
  • Hashmi JA, Baliki MN, Huang L, Baria AT, Torbey S, Hermann KM, Schnitzer TJ, Apkarian AV. Shape shifting pain: chronification of back pain shifts brain representation from nociceptive to emotional circuits. Brain. 2013 Sep;136(Pt 9):2751-68. doi: 10.1093/brain/awt211.

    PubMed 23983029
  • Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine (Phila Pa 1976). 2002 Mar 1;27(5):E109-20. doi: 10.1097/00007632-200203010-00017.

    PubMed 11880847

Questions about this trial

What is this clinical trial studying?

An observational study of Chronic Pain and Acute Pain, run by Brown University at 1 site 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 31 inclusion and 27 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 19 Sep 2025. 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 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 Frederike H Petzschner, PhD (401-863-6272, frederike_petzschner@brown.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

[General Study] Acute-Chronic Pain Transition Probability (time frame: T1 [4 months of daily app use]). 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 NCT05754190, which also lists 5 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 19 Sep 2025.

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Clinical Trial NCT05754190 | AzTrials