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Researchers at Florida State University are investigating how the length of treatment influences outcomes for individuals with chronic musculoskeletal pain. The goal is to identify the most effective balance between treatment duration and pain relief. There are three treatment conditions in this study: two different brief pain management trainings and one standard-length training. Participants will be randomized to either of the brief trainings, attending a single, 2-hour, online training session, in which a trained facilitator will teach pain management techniques that are backed by research. If randomized to receive the standard-length training, participants will attend eight, 2-hour, online training session over eight weeks, in which a trained facilitator will also teach research-backed pain management techniques. Short surveys will be required at seven different time points: before starting treatment, immediately after the pain-management training, and then 2, 6, 12, 24, and 36 weeks after the training.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Brief Mindfulness Oriented Recovery Enhancement (B-MORE) | Experimental | B-MORE is a 2-hour, single session adaptation of the traditional MORE program. |
|
| Empowered Relief (ER) | Experimental | ER is an evidence-based 2-hour single session intervention for chronic pain |
|
| Mindfulness Oriented Recovery Enhancement (MORE) | Experimental | MORE is an 8-week evidence-based treatment for chronic pain. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brief Mindfulness Oriented Recovery Enhancement | Behavioral | B-MORE is a 2-hour, single session adaptation of the traditional MORE program. |
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| Measure | Description | Time Frame |
|---|---|---|
| Recruitment Feasibility | Recruitment feasibility will be assessed via total enrollment and randomization numbers within the first 6 months of the study. Study team projects that it will be feasible to recruit and randomize 30 adults with CMP within 6 months. | 6 months |
| Treatment Adherence & Acceptability | Adherence (percentage of total treatment time attended) will be better for the single-session interventions, but all three conditions will be rated as highly acceptable (as measured by the Theoretical Framework of Acceptability; TFA). | From baseline to 9-month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| PROMIS - Pain Intensity | A 3-item questionnaire using a 5-point Likert-like scale (1- had no pain to 5- very severe). Questions include "In the past 7 days, How intense was your pain at its worst?" | From baseline to 9-month follow-up |
| PROMIS - Pain Interference |
| Measure | Description | Time Frame |
|---|---|---|
| PROMIS - Depression | A 4-item questionnaire using a 5-point Likert-like scale (1- never to 5- very much). Statements include "In the past 7 days, I felt worthless." | From baseline to 9-month follow-up |
| PROMIS - Anxiety |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Adam Hanley, PhD | Contact | 850-270-7844 | adam.hanley@fsu.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Building B | Recruiting | Tallahassee | Florida | 32310 | United States |
IPD will be shared upon request from qualified individuals.
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| Empowered Relief | Behavioral | ER is an evidence-based 2-hour single session intervention for chronic pain. |
|
| Mindfulness Oriented Recovery Enhancement | Behavioral | MORE is an 8-week evidence-based treatment for chronic pain. |
|
An 8-item questionnaire using a 5-point Likert-like scale (1- not at all to 5- very much). Questions include "In the past 7 days, how much did pain interfere with work around the home?". |
| From baseline to 9-month follow-up |
A 4-item questionnaire using a 5-point Likert-like scale (1- never to 5- almost always). Statements include "In the past 7 days, my worries overwhelmed me".
| From baseline to 9-month follow-up |
| PROMIS - Sleep Disturbance | A 6-item questionnaire using a 5-point Likert scale | From baseline to 9-month follow-up |
| World Health Organization - Quality of Life | A 2-question assessment to measure self-reported quality of life. Participants will be asked "How would you rate your quality of life?" with a 5-point Likert scale (with "1- very poor" to "5-very good"). Participants will also be asked "How satisfied are you with your health?" with a 5-point Likert like scale (with "1-very dissatisfied" to "5-very satisfied"). | From baseline to 9-month follow-up. |
| Brief Pain Catastrophizing Scale | The Brief PCS is a validated, 6-item questionnaire on which participants rate their thoughts and feelings about pain on a 5-point Likert scale, ranging from 0 ("Not at all") to 4 ("All the time"). | From baseline to 9-month follow-up |
| Five Facets of Mindfulness Questionnaire | A validated, 15-item questionnaire assessing trait mindfulness. Questions include "I do jobs or tasks automatically without being aware of what I'm doing". | From baseline to 9-month follow-up |
| Savoring Beliefs Inventory | A validated measure to assess positive savoring habits. Questions include "Before a good thing happens, I look forward to it in ways that give me pleasure in the present". | From baseline to 9-month follow-up |
| Mindful Reappraisal of Pain Sensations | A validated, 9-item questionnaire assessing one's ability to mindfully reappraise arising pain sensations. Questions include "I "step back" from the pain and see it as something outside of me". | From baseline to 9-months |
| Acute Clinical Effects of Treatment Sessions | Acute pain intensity, pain unpleasantness, anxiety, and desire for pain medication will all be measured via a 0-10 numeric rating scale. | Immediately before and after each training session. |
| 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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