About this trial
The purpose of this study is to conduct a pragmatic clinical trial comparing the effectiveness of: (1) 8-week cognitive behavioral therapy for chronic pain (pain-CBT; sixteen hours total treatment time); and (2) a 1-session pain relief skills intervention for chronic pain (Empowered Relief; two hours total treatment time).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
At least 18 years of age or older of either sex (and all genders).
Chronic pain (pain that occurs on at least half of the days of 3 months or more).
Past-month average pain intensity score of at least 3/10.
Ability to adhere to and complete study protocols.
Disqualifiers
Inability to provide informed consent.
Cognitive impairment, non-English speaking, or psychological factors that would preclude comprehension of material and/or full participation in the study including group treatment.
Active suicidality documented in medical records.
Study staff may exclude individuals with a known history of disruptive behavior to minimize contamination of the learning environment for an entire treatment cohort.
Trial design
Parallel
Treatments tested in this trial
Cognitive Behavioral Therapy (CBT)
BehavioralA trained psychologist delivers 8 sessions of low-literacy CBT (the LAMP protocol) to groups of patients who were randomized to this treatment arm.
Empowered Relief
BehavioralA certified instructor delivers 1 session of pain relief skills intervention (Empowered Relief) to groups of patients who were randomized to this treatment arm.
Treatment groups
Trial outcomes
Primary outcomes
Pain Intensity
Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)
Pain Intensity
Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)
Pain Intensity
Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)
Pain Intensity
Compare study treatments for primary outcomes post-treatment with the Numeric Rating Scale (0-10)
Secondary outcomes
Sleep Disturbance
Compare treatment groups on the PROMIS Sleep Disturbance 6-item
Sleep Disturbance
Compare treatment groups on the PROMIS Sleep Disturbance 6-item
Sleep Disturbance
Compare treatment groups on the PROMIS Sleep Disturbance 6-item
Sleep Disturbance
Compare treatment groups on the PROMIS Sleep Disturbance 6-item
Other outcomes
Exploratory Outcome Health Service Utilization
We will utilize EMR and database records to compare treatment groups for healthcare utilization (e.g., medical visits) during final 3 months of the study vs. 3 months prior to enrollment.
Sponsors and contacts
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Stanford University
Lead sponsor
Patient-Centered Outcomes Research Institute
Collaborator