Agile Development of a Digital Exposure Treatment for Youth With Chronic Musculoskeletal Pain

NCT ID: NCT05079984

Last Updated: 2025-06-10

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-02

Study Completion Date

2025-10-01

Brief Summary

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This project proposes to systematically develop and evaluate the feasibility and preliminary effectiveness of a digitally delivered, graded exposure treatment for youth with chronic musculoskeletal pain, utilizing a sequential replicated and randomized single-case experimental design (SCED). SCED provides the opportunity to rigorously evaluate treatment effectiveness at the individual level.

Development of iGET Living will be based on a series of short iterations, with alpha testing (Aim 1) on a small sample of adolescents with chronic pain (N = 15). For Aim 1, participants will participate in three, two hour focus groups (one per week over the course of three weeks), resulting in 6 total hours of participation per participant for Aim 1.

Aim 2 will involve a sample (N = 20 youth) of naïve end-users. Participants will be enrolled in a baseline period ranging from 7-25 days (done to support SCED methodology) after which they will be enrolled in the online intervention program, lasting 6-weeks. Patients will be contacted 3-months post-discharge from treatment (week 22 of enrollment) and will complete self-report outcome measures at this time.

Detailed Description

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Conditions

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Chronic Pain Exposure Adolescent Behavior Child Behavior

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Graded Exposure Intervention

For Aim 2, adolescents with chronic pain will be enrolled in a single-arm feasibility trial examining acceptability, feasibility, and preliminary effectiveness of a novel, digitally delivered, graded exposure treatment.

Group Type EXPERIMENTAL

Graded exposure treatment (GET)

Intervention Type BEHAVIORAL

Graded-exposure is a theory driven, individually tailored, and evidenced based behavioral intervention for individuals with chronic pain targeting pain-related impairment by exposing patients to previously feared and avoided activities.

Interventions

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Graded exposure treatment (GET)

Graded-exposure is a theory driven, individually tailored, and evidenced based behavioral intervention for individuals with chronic pain targeting pain-related impairment by exposing patients to previously feared and avoided activities.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Youth ages 10-18
* Have diagnosis of chronic musculoskeletal pain (\>3months)
* Have moderate to high pain interference (PROMIS Pain Interference ≥ 61)
* English literate
* Have access to computer, smartphone, or tablet with internet connection

Exclusion Criteria

* Significant cognitive impairment (e.g., brain injury)
* Significant medical or psychiatric problems that would interfere with treatment
Minimum Eligible Age

10 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Karolinska Institutet

OTHER

Sponsor Role collaborator

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

NIH

Sponsor Role collaborator

Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Lauren Harrison

Clinical Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lauren E Harrison, PhD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Locations

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Pediatric Pain Management Clinic

Menlo Park, California, United States

Site Status

Countries

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United States

References

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Reference Type DERIVED
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Other Identifiers

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1K23AR079608-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

53323

Identifier Type: -

Identifier Source: org_study_id

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