Evidence-based Pain Intervention for Veterans: AtEase for Chronic Pain

NCT ID: NCT03963908

Last Updated: 2022-03-02

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

268 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-15

Study Completion Date

2021-04-12

Brief Summary

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This study is a randomized controlled trial to test the efficacy AtEase, a pain self-management app in a sample of Veterans with chronic musculoskeletal pain. The primary outcome is changes in PEG scores from baseline to final follow-up (12 months).

Detailed Description

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The primary objectives of this project are to develop and examine the effectiveness of a mobile app (AtEase) that is designed to provide tailored behavior change guidance to promote pain self-management, healthy sleep habits, and effective stress management in a randomized clinical trial including 262 Veterans with chronic pain.

Veterans will be recruited from VA Connecticut Healthcare, as well as from numerous diverse community recruitment channels (including employers, community groups that provide services for Veterans, Student Veterans of America, and social media).

Eligible Veterans will be randomized to receive access to AtEase or the comparison intervention (a mobile-optimized adaptation of Chronic Pain Education for Veterans) for a total of 6 months. AtEase is a tailored pain self-management mobile app that tailors participant's feedback based on readiness to engage in pain self-management and preference for self-management strategies. Chronic Pain Education for Veterans is a free VA-endorsed publicly available pain management online educational curriculum that provides cognitive-behavioral therapy-based pain self-management materials.

Between the baseline assessment and the 6-month follow up assessment, participants will have unlimited access AtEase or the Chronic Pain Education for Veterans program. All participants will complete follow-up assessments at 6 months and 12-months post-baseline.

The primary outcome will be a comparison of PEG scores at 12 months follow-up. Secondary outcomes will include pain,Global Impression of Change; readiness to self-manage pain, manage stress, and engage in healthy sleep habits; well-being; and Post Traumatic Stress Disorder Checklist scores.

Conditions

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Chronic Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study involves a 2-group X 3 occasion randomized trial that will examine whether AtEase produces more significant improvements in PEG scores (which reflect total pain intensity and pain interference) than a comparison intervention (i.e., an existing online pain self-management intervention entitled Chronic Pain Education for Veterans).
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants
Participants will be blinded to group assignment.

Study Groups

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Intervention

AtEase is a mobile app designed to promote pain self-management, healthy sleep habits, and effective stress management. It includes a tailored Newsfeed that updates regularly with articles, activities, videos, and quizzes chosen for the user; a chat feature that asks questions and provide tailored feedback; a Message Center; and a Pain Tracker. Users can interact with AtEase as often as they like for six months.

Group Type EXPERIMENTAL

AtEase

Intervention Type BEHAVIORAL

AtEase is a tailored pain self-management mobile app that tailors participant's feedback based on readiness to engage in pain self-management and preference for self-management strategies.

Comparison

Chronic Pain Education for Veterans is a VA-endorsed pain management online educational curriculum that provides CBT pain self-management materials. Users randomized to the comparison condition will have unlimited access for 6 months.

Group Type ACTIVE_COMPARATOR

Chronic Pain Education

Intervention Type BEHAVIORAL

CBT-based Education on Pain Self-Management for Veterans

Interventions

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AtEase

AtEase is a tailored pain self-management mobile app that tailors participant's feedback based on readiness to engage in pain self-management and preference for self-management strategies.

Intervention Type BEHAVIORAL

Chronic Pain Education

CBT-based Education on Pain Self-Management for Veterans

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Male or female Veteran
* Chronic musculoskeletal pain defined as (numeric rating scale of \>4) (10 point scale) for \> 3 months.43
* Internet connectivity via tablet or mobile phone.

Exclusion Criteria

* Life-threatening condition or acute medical conditions that precludes participation
* Psychiatric conditions that could impair participation
* Suicidal ideation or intent
* Inability to read or speak English
* Unwilling or unable to provide informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Pro-Change Behavior Systems

OTHER

Sponsor Role lead

Responsible Party

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Sara Johnson

Co-President & CEO

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sara Johnson, PhD

Role: PRINCIPAL_INVESTIGATOR

Pro-Change Behavior Systems, Inc.

Locations

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VA Connecticut Healthcare System

West Haven, Connecticut, United States

Site Status

Pro-Change Behavior Systems, Inc

South Kingstown, Rhode Island, United States

Site Status

Countries

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United States

Other Identifiers

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9R44AT009675-02

Identifier Type: NIH

Identifier Source: org_study_id

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