Individual Differences in Placebo Analgesic Effects

ConditionHealthy
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-55
SponsorTrustees of Dartmouth College

About this trial

This study examines the effects of placebo suggestions tailored to match or mismatch individual participants' motivational styles-an issue of person-situation 'fit' with important effects in public health settings, but which has been ignored in past research.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Healthy participants

Dominant promotion focus or dominant prevention focus (based on our screening)

Disqualifiers

Currently or recently suffered from chronic pain (based on screening)

Cannot tolerate heat pain applied to the forearm, based on a calibration task at the beginning of the experiment

Trial design

Design model

Crossover

Treatments tested in this trial

  • Placebo cream- "promotion" suggestion

    Behavioral

    Over-the-counter hand cream will be applied to participants' skin, but they will be told that they are given a highly efficient topical analgesic cream. The suggestion will be based on a "promotion" approach (promoting good feelings).

  • Placebo cream- "prevention" suggestion

    Behavioral

    Over-the-counter hand cream will be applied to participants' skin, but they will be told that they are given a highly efficient topical analgesic cream. The suggestion will be based on a "prevention" approach (preventing pain).

  • Control cream

    Behavioral

    In a control condition, with the same cream as in the placebo interventions, participants will be instructed that the cream is a control cream with no effects.

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: PlaceboExperimental treatment 2 interventions
Group B: ControlExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Changes in subjective ratings of acute thermal pain

Following each thermal stimulus, participants are asked to rate how painful it was, on a semi-circular computerized scale. Ratings are based on the angle (0-180), with higher angle representing higher pain ratings. We will average and compare the pain ratings within participant across interventions.

Time frame
Measured repeatedly, immediately after thermal stimuli on the day of participation. Averaged and compared across interventions.
2

Changes in subjective ratings of pain expectations

Before each thermal stimulus, participants are asked to rate how painful they expect the next stimulus to be, on a semi-circular computerized scale. Ratings are based on the angle (0-180), with higher angle representing higher expectations ratings. We will average and compare the expectation ratings within participant across interventions.

Time frame
Measured repeatedly, immediately before thermal stimuli on the day of participation. Averaged and compared across interventions.

Secondary outcomes

1

Facial expressions

We will obtain facial video recordings of participants with a video camera. We will analyze these data according to Facial Action Units (facial expressions) that are known to be related to pain, and compare them across interventions.

Time frame
Immediate response measured during painful stimulation on the day of participation. Averaged and compared across interventions.
2

Thermal imaging of the face

We will obtain thermal recordings of participant's face with an infrared camera, and compare the heat signature of the face (the temperature in different parts of the face) across interventions.

Time frame
Immediate response measured during painful stimulation on the day of participation. Averaged and compared across interventions.
3

Changes in skin conductance response measured with a Biopac device

Skin conductance will be measured. We will compare the skin conductance response to pain stimuli within participant across interventions.

Time frame
Immediate response measured during painful stimulation on the day of participation. Averaged and compared across interventions.
4

Changes in heart rate measured with a Biopac device

Heart rate will be measured. We will compare the heart rate in response to pain stimuli within participant across interventions.

Time frame
Immediate response measured during painful stimulation on the day of participation. Averaged and compared across interventions.

Other outcomes

Sponsors and contacts

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