Evaluating the Effectiveness of an ACT-Based Bibliotherapy Intervention Among Adults Living With Chronic Pain

NCT ID: NCT03924687

Last Updated: 2019-04-23

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

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-28

Study Completion Date

2016-08-31

Brief Summary

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Chronic pain has a significant impact on the physical and psychological functioning of those living with this condition. It is now recognized that Acceptance and Commitment Therapy (ACT) is an effective intervention in managing chronic pain; however, several barriers limit its accessibility.

The current study aims to evaluate the effectiveness of an eight-week bibliotherapy-type self-administered psychological intervention with minimal therapeutic contact, based on ACT, in the management of chronic pain.

This study is a randomized controlled trial with two groups (one experimental group and one wait-list control group). Participants will be randomly assigned to each condition and measures will be taken at pretest, posttest and three months following the intervention.

Detailed Description

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The purpose of this randomized controlled trial was to assess the effectiveness of an eight-week self-administered intervention program (bibliotherapy) based on Acceptance and Commitment Therapy with minimal therapeutic support in the management of chronic pain.

This study was based on the following hypotheses. In comparison to the control group, from pre to post, the self-help program will:

1. significantly reduce pain-related disability (primary variable);
2. improve depressive symptoms related to CP (secondary variable);
3. increase the level of pain acceptance;
4. reduce psychological inflexibility linked to painful symptoms (process variables).

It was also expected that:
5. the improvements would be maintained at three-month follow-up;
6. participants would have an overall impression of a positive change following the intervention.

Conditions

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Chronic Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ACT group

ACT group: participants receiving the 8-week bibliotherapy intervention based on Acceptance and Commitment Therapy

Group Type EXPERIMENTAL

Acceptance and Commitment Therapy (ACT) bibliotherapy for chronic pain

Intervention Type BEHAVIORAL

The intervention consisted of the book "Libérez-vous de la douleur par la méditation et l'ACT" (Dionne, 2014) and a participant workbook, along with two phone calls of approximately 15 minutes each and weekly e-mails presenting the week's content. Participants also had access to audio meditation exercises on the book's website (http://liberezvousdeladouleur.com/meditations/).

control group

Wait-list control condition: participants placed on a wait-list (and receiving the intervention following the 9 week duration of the intervention)

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Acceptance and Commitment Therapy (ACT) bibliotherapy for chronic pain

The intervention consisted of the book "Libérez-vous de la douleur par la méditation et l'ACT" (Dionne, 2014) and a participant workbook, along with two phone calls of approximately 15 minutes each and weekly e-mails presenting the week's content. Participants also had access to audio meditation exercises on the book's website (http://liberezvousdeladouleur.com/meditations/).

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* being 18 years of age or older
* having suffered from daily pain for more than three months
* having reading and writing abilities in French equivalent or superior to grade 8
* having access to Internet at home and having a valid e-mail address
* not having previously completed an ACT-type psychotherapy, not having practiced mindfulness meditation regularly and not having read a bibliotherapy on ACT for pain
* having stable medication for at least one month, if applicable.

Exclusion Criteria

\-
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Université du Québec à Trois-Rivières

OTHER

Sponsor Role lead

Responsible Party

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Dr. Frédérick Dionne, Ph.D.

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

References

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Hann, K. E. J., & McCracken, L. M. (2014). A systematic review of randomized controlled trials of Acceptance and Commitment Therapy for adults with chronic pain: Outcome domains, design quality, and efficacy. Journal of Contextual Behavioral Science, 3(4), 217-227. http://dx.doi.org/http://dx.doi.org/10.1016/j.jcbs.2014.10.001

Reference Type BACKGROUND

Hughes LS, Clark J, Colclough JA, Dale E, McMillan D. Acceptance and Commitment Therapy (ACT) for Chronic Pain: A Systematic Review and Meta-Analyses. Clin J Pain. 2017 Jun;33(6):552-568. doi: 10.1097/AJP.0000000000000425.

Reference Type BACKGROUND
PMID: 27479642 (View on PubMed)

Boulanger, A., Charbonneau, C., Choinière, M., Laliberté, J., & St-Hilaire, F. (2015). Renforcer les services de première ligne, développer les connaissances et les compétences des patients et des professionnels de la santé afin de mieux prévenir et traiter la douleur chronique.

Reference Type BACKGROUND

Hogg MN, Gibson S, Helou A, DeGabriele J, Farrell MJ. Waiting in pain: a systematic investigation into the provision of persistent pain services in Australia. Med J Aust. 2012 Apr 2;196(6):386-90. doi: 10.5694/mja12.10140.

Reference Type BACKGROUND
PMID: 22471539 (View on PubMed)

Jamison RN, Gintner L, Rogers JF, Fairchild DG. Disease management for chronic pain: barriers of program implementation with primary care physicians. Pain Med. 2002 Jun;3(2):92-101. doi: 10.1046/j.1526-4637.2002.02022.x.

Reference Type BACKGROUND
PMID: 15102155 (View on PubMed)

Hayes, S. C., Strosahl, K. D., & Wilson, K., G. (2012). Acceptance and commitment therapy : the process and practice of mindful change (2nd ed.). New York: Guilford Press.

Reference Type BACKGROUND

Veillette J, Martel ME, Dionne F. A randomized controlled trial evaluating the effectiveness of an acceptance and commitment therapy-based bibliotherapy intervention among adults living with chronic pain. Can J Pain. 2019 Nov 26;3(1):209-225. doi: 10.1080/24740527.2019.1678113. eCollection 2019.

Reference Type DERIVED
PMID: 35005411 (View on PubMed)

Other Identifiers

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CER-15-215-07.23

Identifier Type: -

Identifier Source: org_study_id

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