Acceptance and Commitment Therapy and Exercise for Older Adults With Chronic Pain

NCT ID: NCT05528536

Last Updated: 2025-07-14

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

163 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-15

Study Completion Date

2024-01-19

Brief Summary

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The goal of this trial is to learn if combining Acceptance and Commitment Therapy (ACT) and exercise works to reduce pain intensity, pain interference, and depressive symptoms in older adults with chronic pain and depressive symptoms.

Researchers will compare ACT + exercise intervention (ACEx) to ACT + art intervention (Art+Ex) and usual care to see if ACT + exercise intervention works to reduce pain intensity, pain interference, and depressive symptoms.

Participants will receive ACEx program, Art+Ex program, or usual care for 8 weeks and complete tests before and after the programs.

Detailed Description

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Conditions

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Chronic Pain Older Adults Acceptance and Commitment Therapy Exercise Psychosocial Intervention Art

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Acceptance and Commitment Therapy (ACT) and Exercise

This group receives eight weeks' Acceptance and Commitment Therapy (ACT) and exercise intervention.

Group Type EXPERIMENTAL

Acceptance and Commitment Therapy (ACT)

Intervention Type BEHAVIORAL

A two-hour ACT will focus on enhancing participant's psychological flexibility towards pain. All sessions will be delivered face-to-face within their local community centre.

Exercise

Intervention Type OTHER

An hour of low-to-moderate resistance exercise aims to increase their strength and balance. All sessions will be delivered face-to-face within their local community centre.

Art and Exercise

This group receives eight weeks' art workshops (skill-based) and exercise intervention.

Group Type SHAM_COMPARATOR

Art

Intervention Type OTHER

To be comparable with the experimental group, the Art session will be a two-hour long session which aims to share different art techniques, without any active components. All sessions will be delivered face-to-face within their local community centre.

Exercise

Intervention Type OTHER

An hour of low-to-moderate resistance exercise aims to increase their strength and balance. All sessions will be delivered face-to-face within their local community centre.

Treatment as usual

This group receives treatment as usual in the local community setting.

Group Type ACTIVE_COMPARATOR

Treatment as usual

Intervention Type OTHER

treatment as usual within their community centres

Interventions

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Acceptance and Commitment Therapy (ACT)

A two-hour ACT will focus on enhancing participant's psychological flexibility towards pain. All sessions will be delivered face-to-face within their local community centre.

Intervention Type BEHAVIORAL

Art

To be comparable with the experimental group, the Art session will be a two-hour long session which aims to share different art techniques, without any active components. All sessions will be delivered face-to-face within their local community centre.

Intervention Type OTHER

Exercise

An hour of low-to-moderate resistance exercise aims to increase their strength and balance. All sessions will be delivered face-to-face within their local community centre.

Intervention Type OTHER

Treatment as usual

treatment as usual within their community centres

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* age 60 years or above; and
* have depressive symptoms of mild level or above (PHQ \> 5)
* have chronic pain (\>3 months)
* able to give informed consent to participate

Exclusion Criteria

* known history of autism, intellectual disability, schizophrenia-spectrum disorder, bipolar disorder, Parkinson's disease, or dementia
* have had stroke, fracture, cardiovascular disease, cardiovascular surgery, artery disease, surgery on vertebrae, and knee replacement in the past 6 months
* physical activity prohibited by a medical professional
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Hong Kong Jockey Club Charities Trust

OTHER

Sponsor Role collaborator

Aberdeen Kai-fong Welfare Association

OTHER

Sponsor Role collaborator

Caritas Medical Centre, Hong Kong

OTHER

Sponsor Role collaborator

Hong Kong Sheng Kung Hui Welfare Council Limited

OTHER

Sponsor Role collaborator

Hong Kong Young Women's Christian Association

OTHER

Sponsor Role collaborator

Neighbourhood Advice-Action Council

OTHER

Sponsor Role collaborator

The University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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Professor Terry Y.S. Lum

Henry G. Leong Professor in Social Work and Social Administration; Principal Investigator of the JC JoyAge project

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Terry Y.S. Lum, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Social Work and Social Administration, The University of Hong Kong

Gloria Wong, PhD

Role: PRINCIPAL_INVESTIGATOR

School of Psychology and Clinical Language Sciences, University of Reading

Locations

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The University of Hong Kong

Hong Kong, , Hong Kong

Site Status

Countries

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Hong Kong

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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EA200132

Identifier Type: -

Identifier Source: org_study_id

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