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The purpose of this study is to assess the efficacy of a resilience intervention in Veterans with chronic pain compared to wait list control.
After being consented and screened for eligibility, participants completed baseline assessments and then were randomized to either the study intervention or wait list control. Participants who were randomized to the study intervention completed post testing assessment measures within two weeks of the final treatment. Participants who were randomized to waitlist conditions completed post testing assessment measures within 2 weeks of the end of the waitlist condition and then subsequently received the study intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Behavioral Intervention | Active Comparator | The study intervention arm was a behavioral treatment that consisted of training resilient intrinsic self-regulation strategies to help alleviate chronic pain. |
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| Wait-list with no treatment | No Intervention | The control comparison arm consisted of a wait-list condition in which participants received no treatment during a time interval comparable to the intervention arm. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Resilient Intrinsic Self-Regulation Strategies in Extremes | Behavioral | The manualized intervention covered resilience strategies organized into four modules: (1) engagement, (2) social relatedness, (3) transformation of pain and (4) building a good life. The modules were delivered in 8 weekly sessions of 90 minutes each. |
| Measure | Description | Time Frame |
|---|---|---|
| RAND 36-item Health Survey (SF-36) - Mental Health and Physical Health subscales | assessment of positive emotional health | 2 weeks |
| PTSD Check List-5 | assessment of PTSD symptoms | 2 weeks |
| Patient Health Questionnaire, Depression Scale (PHQ-9) | assessment of depression symptoms | 2 weeks |
| Generalized Anxiety Disorder (GAD-7) | assessment of anxiety symptoms | 2 weeks |
| Pain Catastrophizing Scale | assessment of pain catastrophizing symptoms | 2 weeks |
| Physical Symptoms Scale (PHQ-15) | assessment of physical symptoms | 2 weeks |
| Insomnia Severity Index | assessment of insomnia symptoms | 2 weeks |
| West Haven-Yale Multidimensional Pain Inventory (WYMPI) | multidimensional assessment of pain | 2 weeks |
| Pain Outcomes Questionnaire (POQ) |
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Inclusion Criteria:
1.18-80 years of age 2. United States Veterans from the conflicts of OEF/OIF to Vietnam era 3. Self-identified chronic pain or chart diagnosis of chronic pain
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Martha Kent, PhD | Phoenix VAHCS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Phoenix VA Health Care System | Phoenix | Arizona | 85012 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33912102 | Derived | Kent M, Mardian AS, Regalado-Hustead ML, Gress-Smith JL, Ciciolla L, Kim JL, Scott BA. Adaptive Homeostatic Strategies of Resilient Intrinsic Self-Regulation in Extremes (RISE): A Randomized Controlled Trial of a Novel Behavioral Treatment for Chronic Pain. Front Psychol. 2021 Apr 12;12:613341. doi: 10.3389/fpsyg.2021.613341. eCollection 2021. |
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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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|
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multidimensional assessment of pain |
| 2 weeks |
| Neuropsychological Assessment Battery (NAB) - Word Generation subtest | neuropsychological assessment of executive functions | 2 weeks |
| Delis-Kaplan Executive Function System (D-KEFS) - Category Fluency, Category Switching, and Color-Word Switching subtests | neuropsychological assessement | 2 weeks |
| Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) | neuropsychological assessment of working memory, episodic memory, and complex attention | 2 weeks |