Internet-based Pain Self-management for Persons With Acute Recurrent and Chronic Pancreatitis Pain
| Status: | Recruiting |
|---|---|
| Conditions: | Gastrointestinal, Gastrointestinal |
| Therapuetic Areas: | Gastroenterology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/6/2019 |
| Start Date: | February 1, 2018 |
| End Date: | December 31, 2020 |
| Contact: | Tonya M Palermo, PhD |
| Email: | tonya.palermo@seattlechildrens.org |
| Phone: | 2068844208 |
Development and Feasibility Testing of an Internet-based Pain Self-management Program for Persons With Acute Recurrent and Chronic Pancreatitis Pain (The IMPACT Study)
Pain is the cardinal symptom of acute recurrent and chronic pancreatitis, and available
medical treatments have limited efficacy. Pain self-management programs equip patients to
minimize the impact of chronic painful conditions on activity, health, and psychosocial
functioning. The purpose of the current study is to pilot the use of Internet-delivered pain
self-management course in adults with chronic and acute recurrent pancreatitis to generate
preliminary feasibility and acceptability data to inform design of a subsequent large
randomized controlled trial.
medical treatments have limited efficacy. Pain self-management programs equip patients to
minimize the impact of chronic painful conditions on activity, health, and psychosocial
functioning. The purpose of the current study is to pilot the use of Internet-delivered pain
self-management course in adults with chronic and acute recurrent pancreatitis to generate
preliminary feasibility and acceptability data to inform design of a subsequent large
randomized controlled trial.
Acute recurrent pancreatitis (ARP) and chronic pancreatitis (CP) are associated with high
disease burden across the lifespan. Recurring abdominal pain is the most prevalent and
distressing symptom. Pain severity reduces health-related quality of life for individuals
with CP and is associated with increased fatigue, anxiety and depressive symptoms, lower
general health status, and reduced physical and role functioning. Medical therapies for CP
pain have limited efficacy. Cognitive-behavioral interventions (CBT) offer safe and effective
alternatives to pharmacological treatments for pain management. In other chronic painful
conditions including gastrointestinal disorders, CBT interventions have been effective for
reducing pain and pain impact including disability and depressive symptoms. CBT is
traditionally provided by trained psychologists working with individual patients one-on-one
or in small groups. Access to CBT is limited by availability of providers, with long waiting
lists at centers offering CBT. The Internet is an ideal medium to provide pain
self-management interventions that are low-cost and sustainable, and internet-based CBT has
shown efficacy in children and adults with chronic pain, allowing clinics to greatly extend
their reach to patients. The purpose of this study is to test the acceptability, feasibility,
and preliminary efficacy of an Internet-delivered CBT pain self-management course for adults
with acute recurrent and chronic pancreatitis pain.
disease burden across the lifespan. Recurring abdominal pain is the most prevalent and
distressing symptom. Pain severity reduces health-related quality of life for individuals
with CP and is associated with increased fatigue, anxiety and depressive symptoms, lower
general health status, and reduced physical and role functioning. Medical therapies for CP
pain have limited efficacy. Cognitive-behavioral interventions (CBT) offer safe and effective
alternatives to pharmacological treatments for pain management. In other chronic painful
conditions including gastrointestinal disorders, CBT interventions have been effective for
reducing pain and pain impact including disability and depressive symptoms. CBT is
traditionally provided by trained psychologists working with individual patients one-on-one
or in small groups. Access to CBT is limited by availability of providers, with long waiting
lists at centers offering CBT. The Internet is an ideal medium to provide pain
self-management interventions that are low-cost and sustainable, and internet-based CBT has
shown efficacy in children and adults with chronic pain, allowing clinics to greatly extend
their reach to patients. The purpose of this study is to test the acceptability, feasibility,
and preliminary efficacy of an Internet-delivered CBT pain self-management course for adults
with acute recurrent and chronic pancreatitis pain.
Inclusion Criteria:
1. Age ≥ 18 years
2. Able and willing to provide informed consent for participation in this study
3. Meet CPDPC criteria for diagnosis of either suspected CP (CPDPC "yellow zone") or
definite CP (CPDPC "red zone")
4. Have personal internet access on any device (e.g., phone, tablet, computer)
5. Has experienced pain intensity rated as 4 or higher on a 0-10 scale in the last month
Exclusion Criteria:
1. Currently undergoing treatment for cancer
2. Inability to understand English well enough to complete questionnaires or to
participate in treatment
3. Severe depression (i.e., indicated by a score > 22 on the Patient Health Questionnaire
(PHQ-9)
4. Significant suicidal ideation (i.e., indicated by a score > 2 to Question 9 of the
PHQ-9)
5. Acutely suicidal or recent history of attempted suicide or self-harm (i.e., last 12
months)
6. Currently receiving treatment with a psychologist
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