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This study is to compare the effect of pain management program. We compare life quality, pain scores, sleep, anxiety and depression scores, and self report measures before and after mindfulness based pain management workshops.
Chronic pain is a growing problem in modern society. One in every five person in developed countries have this condition. Chronic pain is pain that persists longer than six months. It lead to psychological disorders such as anxiety, depression, anger and chronic fatigue. It decreases life quality, lower self-esteem and decrease work force. Because of these factors and the high cost of treatment, it impacts social economics highly. Chronic pain is caused by wind-up effect of the nervous system which the inhibitory signals are impaired. The nervous systems is therefore tuned up. Mindfulness based pain management helps lower this wind-up effect by noticing self, to observe and release stress. It has been proven to alter brain activity, enhance self control, improve attention and decrease secretion of stress hormones. It decreases pain and allow patients to regain control of life.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pain management program | Experimental | All enrolled patients participate in a 20 hour pain management program over a period of 8 weeks. The program is based on Mindfulness Based Stress Reduction with modifications to fulfill needs of the Taiwanese chronic pain population. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pain management program | Behavioral | Mindfulness based stress reduction |
|
| Measure | Description | Time Frame |
|---|---|---|
| Baseline Brief Pain inventory | Assesses the severity of pain and its impact on functioning | Baseline |
| Four week Brief Pain inventory | Assesses the severity of pain and its impact on functioning | Participants answer questionnaire at 4 weeks into pain management program |
| Eight weeks Brief Pain inventory | Assesses the severity of pain and its impact on functioning | Participants answer questionnaire at 8 weeks into pain management program |
| One year Brief Pain inventory | Assesses the severity of pain and its impact on functioning | Participants answer questionnaire at one year after completion of pain management program |
| Measure | Description | Time Frame |
|---|---|---|
| Baseline Visual analog scale | Pain scale at numbers 0 to 10 | Baseline |
| Four week Visual analog scale | Pain scale at numbers 0 to 10 | Participants answer questionnaire at 4 weeks into pain management program |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wei-Nung Teng, MD, PhD | Contact | 886938593179 | wnteng@vghtpe.gov.tw | |
| Chun-Sung Sung, MD, PhD | Contact | 886938593136 | cssung@vghtpe.gov.tw |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Taipei Veterans General Hospital | Recruiting | Taipei | 11217 | Taiwan |
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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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| Eight week Visual analog scale | Pain scale at numbers 0 to 10 | Participants answer questionnaire at 8 weeks into pain management program |
| One year Visual analog scale | Pain scale at numbers 0 to 10 | Participants answer questionnaire at one year after completion of pain management program |
| Baseline Pain self-efficacy questionnaire | Assess the confidence people with ongoing pain have in performing activities while in pain. | Baseline |
| Four week Pain self-efficacy questionnaire | Assess the confidence people with ongoing pain have in performing activities while in pain. | Participants answer questionnaire at 4 weeks into pain management program |
| Eight week Pain self-efficacy questionnaire | Assess the confidence people with ongoing pain have in performing activities while in pain. | Participants answer questionnaire at 8 weeks into pain management program |
| One year Pain self-efficacy questionnaire | Assess the confidence people with ongoing pain have in performing activities while in pain. | Participants answer questionnaire at one year after completion of pain management program |
| Baseline Pain catastrophizing scale | self-report measurement tool that provided a valid index of catastrophizing in clinical and non-clinical populations | Baseline |
| Four week Pain catastrophizing scale | self-report measurement tool that provided a valid index of catastrophizing in clinical and non-clinical populations | Participants answer questionnaire at 4 weeks into pain management program |
| Eight week Pain catastrophizing scale | self-report measurement tool that provided a valid index of catastrophizing in clinical and non-clinical populations | Participants answer questionnaire at eight weeks into pain management program |
| One year Pain catastrophizing scale | self-report measurement tool that provided a valid index of catastrophizing in clinical and non-clinical populations | Participants answer questionnaire at one year after completion of pain management program |
| Baseline Depression, anxiety, and positive outlook scale | Assess mood in pain patients | Baseline |
| Four week Depression, anxiety, and positive outlook scale | Assess mood in pain patients | Participants answer questionnaire at 4 weeks into pain management program |
| Eight week Depression, anxiety, and positive outlook scale | Assess mood in pain patients | Participants answer questionnaire at 8 weeks into pain management program |
| One year Depression, anxiety, and positive outlook scale | Assess mood in pain patients | Participants answer questionnaire at one year after completion of pain management program |
| Baseline Chronic Pain Acceptance Questionnaire | Assessment of acceptance of pain. | Baseline |
| Four week Chronic Pain Acceptance Questionnaire | Assessment of acceptance of pain. | Participants answer questionnaire at 4 weeks into pain management program |
| Eight week Chronic Pain Acceptance Questionnaire | Assessment of acceptance of pain. | Participants answer questionnaire at 8 weeks into pain management program |
| One year Chronic Pain Acceptance Questionnaire | Assessment of acceptance of pain. | Participants answer questionnaire at one year after completion of pain management program |
| Baseline Five Facet Mindfulness Questionnaire | Assessment on the five aspects of mindfulness | Baseline |
| Four week Five Facet Mindfulness Questionnaire | Assessment on the five aspects of mindfulness | Participants answer questionnaire at 4 weeks into pain management program |
| Eight week Five Facet Mindfulness Questionnaire | Assessment on the five aspects of mindfulness | Participants answer questionnaire at 8 weeks into pain management program |
| One year Five Facet Mindfulness Questionnaire | Assessment on the five aspects of mindfulness | Participants answer questionnaire at one year after completion of pain management program |
| Baseline Pittsburgh Sleep Quality Index | Assesses sleep quality | Baseline |
| Four week Pittsburgh Sleep Quality Index | Assesses sleep quality | Participants answer questionnaire at four weeks into pain management program |
| Eight week Pittsburgh Sleep Quality Index | Assesses sleep quality | Participants answer questionnaire at 8 weeks into pain management program |
| One year Pittsburgh Sleep Quality Index | Assesses sleep quality | Participants answer questionnaire at one year after completion of pain management program |