Preventive Interventions for Chronic Pain Worsening

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorRigshospitalet, Denmark

About this trial

This is an open label randomized controlled trial (RCT), which will be conducted with patients of the Copenhagen Wound Healing Center at Bispebjerg Hospital in Copenhagen (DK). The trial has two arms (1:1): A Virtual Reality based Pain Self-management (VRPS) program group, and a control group (usual care). Included will be 44 patients at least 18 years old; fluent in the Danish language; complaint of pain lasting 3 months or more; in average pain intensity score ≥ 3 (numerical rating scale 0 to 10); access to internet; and willing and available to participate in the study. Excluded will be specialized or multidisciplinary pain treatment at baseline; history of epilepsy, seizure disorder, nausea or dizziness, hypersensitivity to flashing light or motion or other diseases that may prevent use of virtual reality equipment; injury to eyes, face or neck.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

At least 18 years old

Fluent in the Danish language

Complaint of pain lasting 3 months or more; in average pain intensity score ≥ 3 (numerical rating scale 0 to 10)

Access to internet

Disqualifiers

Specialized or multidisciplinary pain treatment at baseline

History of epilepsy

Seizure disorder

History of nausea or dizziness

Trial design

Design model

Factorial

Treatments tested in this trial

  • Virtual Reality-based Pain Self-management program

    Device

    The VRPS has a variety of modules that can be used for pain management. For this project we have selected relaxation, mindful escapes, pain distraction games, and dynamic breathing modules. All modules were designed to minimize triggers of emotional distress or cybersickness.

Treatment groups

44 Participants
are divided into 2 treatment groups
Group A: VRPS programExperimental treatment 1 intervention
Group B: Control groupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Pain intensity

Pain intensity for worst pain in the last 24h: Brief Pain Inventory to measure pain intensity, from no pain (0) to worst pain ever (10)

Time frame
At baseline, 2 months, 6 months, 9 months and 12 months after intervention

Secondary outcomes

1

Pain intensity and interference in daily activities

Brief Pain Inventory to measure pain intensity from no pain (0) to worst pain ever (10) at follow-ups and interference on general activity, mood, walking ability, work, social relations, sleep, and enjoyment of life

Time frame
At baseline, 2 months, 6 months, 9 months and 12 months after intervention
2

Pain catastrophizing

Pain Catastrophizing Scale, using a 5-point Likert scale ranging from 0 (never) to 4 (always) to assess patterns of negative cognition and emotion in the context of actual or anticipated pain

Time frame
At baseline, 2 months, 6 months, 9 months and 12 months after intervention
3

Pain acceptance

Chronic Pain Acceptance Questionnaire to assess engagement in activity (despite pain), pain willingness, and total pain acceptance score, using a rating scale from 0 to 6. Never true (0) to always true (6)

Time frame
At baseline, 2 months, 6 months, 9 months and 12 months after intervention
4

Health status

patient-generated outcome assessed by the Measure Yourself Medical Outcome Profile (MYMOP2), which measures effects from health care interventions on physical, emotional, or social symptoms/problems. It is problem-specific and includes general wellbeing

Time frame
At baseline, 2 months, 6 months, 9 months and 12 months after intervention

Other outcomes

1

Satisfaction with the intervention

Satisfaction with the intervention will be asked to the intervention group by general questions about the intervention experienced with answers in a 6-point scale (0=completely dissatisfied to 5= completely satisfied) and there will be space to write comments.

Time frame
At 2 months, 6 months, 9 months and 12 months after intervention

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Rigshospitalet, Denmark

Lead sponsor

The Novo Nordic Foundation

Collaborator