Co-Adaptation of an Digital Pain Management Program for Canadian Veterans
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-80
SponsorUniversity Health Network, Toronto
About this trial
The goal of this study is to gather feedback from Canadian Veterans living with chronic pain, and clinicians serving Canadian Veterans, on an existing digital psychology program for self-management of chronic pain delivered through the Manage My Pain app. This feedback will be used to adapt the program for the needs and experiences of Canadian Veterans.
The main questions it aims to answer are:
* How acceptable, feasible, and engaging is the existing digital psychology program for Canadian Veterans living with chronic pain? * What changes are needed to make the program more relevant and appropriate for Canadian Veterans living with chronic pain?
Participants will:
* Use the self-guided digital psychology program over a two-week period and complete questionnaires about the program's acceptability and feasibility. Veteran participants will also complete questionnaires about their pain and pain history. * Take part in a 30- to 45-minute virtual interview to provide feedback about the program and recommendations for its adaptation.
The study does not include a comparison group.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Veterans of the Canadian Armed Forces who report having chronic pain (pain for 3 months or longer).
Have access to a device that can connect to the Internet.
Healthcare providers actively practicing in Canada.
Healthcare providers delivering evidence-based psychology interventions to Canadian Veterans (e.g., clinical psychologists, psychotherapists, social workers, counselors)
Disqualifiers
Individuals with a known history of serious mental illness (e.g., psychosis and/or active mania).
Individuals who have limited comprehension of English or comprehension deficits due to dementia.
Individuals with physical or cognitive impairments that prevent effective engagement with an online intervention (e.g., serious uncorrected visual or hearing impairment).
Trial population
The study population will include two groups recruited in Canada: adult Canadian Armed Forces Veterans living with chronic pain for at least 3 months and healthcare providers experienced in delivering evidence-based pain psychology interventions to Canadian Veterans. Veterans will be recruited through Canadian Veteran organizations, social media, and existing lists of individuals who have expressed interest in research. Clinicians will be recruited through professional networks using snowball sampling.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Self-Guided Digital Acceptance and Commitment Therapy Program
Other interventionA self-guided digital psychology program based on Acceptance and Commitment Therapy and delivered through the Manage My Pain app. The program includes interactive psychoeducation about chronic pain and Acceptance and Commitment Therapy, recognition of pain-related avoidance, clarification of personal values, identification of meaningful actions, strategies for making room for difficult experiences, and flexible persistence in meaningful activities.
Treatment groups
22 Participants
are divided into 2 treatment groupsGroup A: Canadian Veterans1 intervention
Group B: Clinicians Serving Canadian Veterans1 intervention
Trial outcomes
Primary outcomes
1
Program Usage and Engagement as assessed by Manage My Pain Platform Usage Analytics
Manage My Pain platform usage analytics will be used to assess engagement with the self-guided digital psychology program. Engagement metrics will include module access dates, time spent in each module, and the total number of modules completed by each participant. A greater number of completed modules will indicate greater program engagement.
Time frame
Participants will have their usage analytics tracked from access to the self-guided program to completion of the program, an average of 2 weeks.2
Program Acceptability as assessed by the Treatment Evaluation Inventory-Short Form
Program acceptability will be assessed using the 9-item Treatment Evaluation Inventory-Short Form (TEI-SF). Items are rated on a 5-point scale and summed to produce a total score ranging from 9 to 45. Higher scores indicate greater acceptability.
Time frame
Participants will be sent a link to fill out the measure within 1 week of completing the program.3
Program Feasibility as assessed by the Feasibility Survey
Participants' perceptions of program feasibility, acceptability, usability, and connection to the program will be assessed using a 13-item survey. Items are rated on a 7-point scale and may be examined individually or averaged to produce a mean score ranging from 1 to 7. The survey also includes an open-ended feedback question.
Time frame
Participants will be sent a link to fill out the measure within 1 week of completing the program.4
Retrospective Semi-structured Interview
A 30- to 45-minute semi-structured interview will explore participants' experiences with the existing program and their recommendations for adapting its content, language, format, and delivery for Canadian Veterans.
Time frame
Participants will be sent an invitation for an interview within 1 week after completing the survey questions.Other outcomes
1
Pain Intensity as assessed by the PROMIS Pain Intensity-Short Form 3a - Veteran Participants Only
Pain intensity among Veteran participants will be assessed using the 3-item Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Intensity-Short Form 3a. The measure assesses pain at its worst, average pain, and current pain. Responses will be scored according to PROMIS scoring guidelines, with higher scores indicating greater pain intensity.
Time frame
Participants will be sent a link to fill out the measure within 1 week of completing the program.2
Pain Interference as assessed by the PROMIS Pain Interference-Short Form 4a - Veteran Participants Only
Pain interference among Veteran participants will be assessed using the 4-item Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference-Short Form 4a. The measure assesses pain interference in daily activities and social interactions. Responses will be scored according to PROMIS scoring guidelines, with higher scores indicating greater pain interference.
Time frame
Participants will be sent a link to fill out the measure within 1 week of completing the program.3
Chronic Pain History as assessed by the Chronic Pain History Questionnaire - Veteran Participants Only
Chronic pain history among Veteran participants will be characterized using a 4-item self-report questionnaire assessing the duration and frequency of ongoing pain and the type of pain condition experienced. Responses will be summarized descriptively.
Time frame
Participants will be sent a link to fill out the measure within 1 week of completing the program.Sponsors and contacts
Click on the lead sponsor to view all of their trials.
University Health Network, Toronto
Lead sponsor
Chronic Pain Centre of Excellence for Canadian Veterans
Collaborator
Source ClinicalTrials.gov