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The purpose of this randomized study is to determine the impact of three different types of psychosocial support delivered by social workers to patients reporting uncontrolled pain during a hospital stay. This study will examine the differential effects of brief mindfulness training, therapeutic suggestion, and psychoeducation for patients reporting uncontrolled pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mindfulness | Experimental | 15 minute mindfulness session |
|
| Suggestion | Experimental | 15 minute therapeutic suggestion session |
|
| Psychoeducation | Active Comparator | 15 minute psychoeducation session |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mindfulness | Behavioral | The 15 minute mindfulness session is a scripted mindfulness exercise that incorporates mindfulness principles of intentionally paying attention to present-moment experience in a non-judgmental fashion. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity (numeric rating scale) | 0-10 scale | Immediately prior to and following intervention |
| Pain unpleasantness (numeric rating scale) | 0-10 scale | Immediately prior to and following intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Use of opioid analgesics | The total amount of opioid analgesic use will be computed during the 24 hours prior to and following intervention. Opioid dose will be standardized and calculated using conventional morphine daily equivalent equianalgesic conversion tables. | 24 hours prior to and following intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eric L Garland, PhD | University of Utah | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Utah Hospital | Salt Lake City | Utah | 84112 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Donaldson, G., & Chapman, C.R. (2013). Pain management is more than just a number. University of Utah Health/Department of Anesthesiology. Salt Lake City, Utah: Department of Anesthesiology. | ||
| 28702870 | Derived | Garland EL, Baker AK, Larsen P, Riquino MR, Priddy SE, Thomas E, Hanley AW, Galbraith P, Wanner N, Nakamura Y. Randomized Controlled Trial of Brief Mindfulness Training and Hypnotic Suggestion for Acute Pain Relief in the Hospital Setting. J Gen Intern Med. 2017 Oct;32(10):1106-1113. doi: 10.1007/s11606-017-4116-9. Epub 2017 Jul 12. |
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| ID | Term |
|---|---|
| D059787 | Acute Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D064866 | Mindfulness |
| D013404 | Suggestion |
| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| Suggestion | Behavioral | The 15 minute suggestion session is a scripted suggestion exercise that incorporates imagery and suggestions for changes in cognition, emotion, and body sensations. |
|
| Psychoeducation | Behavioral | The 15 minute psychoeducation session is a supportive session in which behavioral coping strategies for pain management are discussed. |
|
| Anxiety (numeric rating scale) |
0-10 scale |
| Immediately prior to and following intervention |
| Relaxation (numeric rating scale) | 0-10 scale | Immediately prior to and following intervention |
| Desire for opioids (numeric rating scale) | 0-10 scale | Immediately prior to and following intervention |
| Positive body sensations (numeric rating scale) | 0-10 scale | Immediately prior to and following intervention |
| Use of non-opioid analgesics (NSAID) | The total amount of opioid analgesic use will be computed during the 24 hours prior to and following intervention. NSAID dose will be standardized and calculated using conventional NSAID equianalgesic conversion tables. | Within 24 hours prior to and following intervention |
| D006990 | Hypnosis |
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |