Cognitive Behavioral Therapy for Arthritis Pain and Insomnia in Older Adults

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

367 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2013-08-31

Brief Summary

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This study compares the efficacy of three group interventions for people with co-morbid osteoarthritis (OA) and insomnia to help them manage their OA symptoms. The investigators hypothesize that a combination cognitive-behavioral treatment will produce significantly greater initial and long-term improvements in OA symptoms than will the other two treatments.

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Detailed Description

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This study is only for members of the Group Health Cooperative (GHC) of Puget Sound who have both osteoarthritis pain and insomnia. The first part of the study involves filling out a mailed survey. Based on the results of the survey some respondents will be eligible for the second part of the study. Our goal in the second part is to test three different treatments for managing OA symptoms. The programs teach about things people with arthritis can do to improve the quality of their lives. All three programs deal with pain, sleep, mood and activity-but each has a slightly different focus. Participants will be randomly assigned to one of the three programs. Each program is made up of six weekly group sessions that last about 90-120 minutes. The programs will be co-led by licensed therapists and each will include 8-12 members. Study participants will also take part in a series of visits at their homes over the next 18 months. At each visit the investigators will ask them to do a few other study activities, such as keep a 7-day diary of their sleep and fill out a survey about their arthritis pain. With their permission the investigators will also ask them to let us collect some information from their GHC medical records.

Conditions

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Pain Dysfunction Sleep Disturbance Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Lifestyles A

Cognitive Behavioral Therapy for Pain and Insomnia

Group Type EXPERIMENTAL

Lifestyles A

Intervention Type BEHAVIORAL

Six weekly group sessions that last about 90-120 minutes presenting cognitive behavioral therapy for pain and insomnia

Lifestyle B

Cognitive Behavioral Therapy for Pain

Group Type EXPERIMENTAL

Lifestyles B

Intervention Type BEHAVIORAL

Six weekly group sessions that last about 90-120 minutes presenting cognitive behavioral therapy for pain.

Lifestyles C

Osteoarthritis Education

Group Type ACTIVE_COMPARATOR

Lifestyles C

Intervention Type BEHAVIORAL

Six weekly group sessions that last about 90-120 minutes presenting osteoarthritis education.

Interventions

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Lifestyles A

Six weekly group sessions that last about 90-120 minutes presenting cognitive behavioral therapy for pain and insomnia

Intervention Type BEHAVIORAL

Lifestyles B

Six weekly group sessions that last about 90-120 minutes presenting cognitive behavioral therapy for pain.

Intervention Type BEHAVIORAL

Lifestyles C

Six weekly group sessions that last about 90-120 minutes presenting osteoarthritis education.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age 60+
* Continuously enrolled in Group Health one year prior to sample pull
* Primary care clinic at selected clinics
* Not in "No Contact File"
* Diagnosis 715xx (Osteoarthritis) in prior three years

Exclusion Criteria

* Not continuously enrolled in Group Health for at least one year
* Medical record information indicates a diagnosis of:

1. rheumatoid arthritis
2. obstructive sleep apnea
3. periodic leg movement disorder
4. restless leg syndrome
5. sleep-wake cycle disturbance
6. rapid eye movement (REM) behavior disorder
7. dementia or receiving cholinesterase inhibitors
8. Parkinson's disease or other neurodegenerative disease known to directly impact sleep
9. cancer in the past year and receiving chemotherapy or radiation therapy in the past year
10. inpatient treatment for congestive heart failure within the previous 6 months

Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No