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This study will evaluate the usefulness of an online, self-directed treatment for chronic pain that has been designed specifically for individuals who are currently or have previously served in the military.
This study will evaluate the efficacy of an eight-module, online, self-directed treatment for chronic pain using Acceptance-Based Behavioural Therapy (ABBT) as the treatment modality. The online modules are tailored to the unique issues of individuals with a military background. The modules will be delivered via the WebCAPSI Therapy program, an online, password-protected program that allows participants to anonymously progress through all modules at their own pace. ABBT modules cover the following: Introduction, Acceptance, Values, Cognitive Defusion, Mindfulness, Exercise/Pacing/Communication Skills, Self-as-Context, and Willingness. Modules encourage understanding of the information through audio files, military-specific vignettes, written materials, and homework exercises. Modules are designed to be completed in 60 minutes or less. Participants will have access to the online treatment for a three month period and will be encouraged to complete one module per week.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment arm | Other | This is an open-label pilot study with no control group. Participants pre-treatment scores are compared to their post-treatment scores. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Online ABBT for Chronic Pain in Military | Behavioral | Participants will complete an 8-module, self-paced, online program for chronic pain using Acceptance-Based Behavioural Therapy (ABBT) as the therapeutic modality. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in McGill Pain Questionnaire - Short Form | A brief self-report questionnaire that measures sensory and affective components of clinical pain. | 8 weeks |
| Change from baseline in Chronic Pain Acceptance Questionnaire - Revised | A 20-item measure of acceptance of chronic pain with items scored from "0 = Never true" to "6 = Always true". | 8 weeks |
| Change from baseline in Pain Catastrophizing Scale | One of the most widely used instruments for measuring catastrophic thinking related to pain. A 13-item measure with items rated from "0 = Not at all" to "4 = All the time." | 8 weeks |
| Change from baseline in Tampa Scale for Kinesiophobia | A self-report measure of fear of movement and/or re-injury. 17 items rated from "1 = strongly disagree" to "4 = strongly agree" | 8 weeks |
| Change from baseline in Pittsburgh Sleep Quality Index | A self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval | 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Client Satisfaction Questionnaire | An eight item questionnaire regarding client satisfaction with the treatment. | At completion of module, approximately 8 weeks |
| Change from baseline in Beck Depression Inventory - Second Edition |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pamela L Holens, Ph.D. | University of Manitoba | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| OSI Clinic, Deer Lodge Centre | Winnipeg | Manitoba | R3J 0L3 | Canada |
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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A 21 item self-report measure of severity of depressive symptoms.
| 3 months |
| Change from baseline in Beck Anxiety Inventory | A 21-item self-report measure assessing severity of symptoms of anxiety | 3 months |
| Change from baseline in PTSD Checklist - Military Version | A 17-item self-report measure assessing severity of PTSD symptoms related to stressful military experiences. | 3 months |