Telephone-delivered cognitive behavioral therapy for veterans with chronic pain following traumatic brain injury: Rationale and study protocol for a randomized controlled trial study

Autor: Carrie Kincaid, Dawn M. Ehde, Sylvia Lucas, Sureyya Dikmen, Jeanne M. Hoffman, Nancy R. Temkin, Rhonda M. Williams, Kate Sawyer, Tiara Dillworth, Kevin J. Gertz
Rok vydání: 2018
Předmět:
medicine.medical_specialty
Traumatic brain injury
Substance-Related Disorders
media_common.quotation_subject
medicine.medical_treatment
Population
Psychological intervention
Comorbidity
Personal Satisfaction
law.invention
Stress Disorders
Post-Traumatic
03 medical and health sciences
0302 clinical medicine
Cognition
Randomized controlled trial
law
Sleep Initiation and Maintenance Disorders
Brain Injuries
Traumatic
medicine
Humans
Pharmacology (medical)
030212 general & internal medicine
Effects of sleep deprivation on cognitive performance
education
media_common
Pain Measurement
Veterans
education.field_of_study
030505 public health
Cognitive Behavioral Therapy
business.industry
Depression
Addiction
Chronic pain
General Medicine
medicine.disease
Telemedicine
Telephone
Cognitive behavioral therapy
Treatment Outcome
Physical therapy
Chronic Pain
0305 other medical science
business
Zdroj: Contemporary clinical trials. 76
ISSN: 1559-2030
Popis: Background and objectives Chronic pain is a highly prevalent and potentially disabling condition in Veterans who have had a traumatic brain injury (TBI) and access to non-pharmacological pain treatments such as cognitive behavioral therapy is limited and variable. The purpose of this randomized controlled trial (RCT) is to evaluate the efficacy of a telephone-delivered cognitive behavioral therapy (T-CBT) for pain in Veterans with a history of TBI. Methods Veterans with a history of TBI and chronic pain of at least six months duration (N = 160) will be randomized to either T-CBT or a telephone-delivered pain psychoeducational active control condition (T-Ed). The eight-week T-CBT intervention builds on other efficacious CBT interventions for chronic pain in the general population but is novel in that it is conducted via telephone and adapted for Veterans with a history of TBI. Outcome variables will be collected pre, mid-, and post-treatment, and 6 months following randomization (follow-up). Projected outcomes In addition to evaluating the effects of the interventions on pain intensity (primary outcome), this study will determine their effects on pain interference, sleep, depression, and life satisfaction. We will also examine potential moderators of treatment outcomes such as cognition, PTSD, and alcohol and drug use. This non-pharmacologic one-on-one therapeutic intervention has the potential to reduce pain and pain-related dysfunction, improve access to care, and reduce barriers associated with geography, finances, and stigma, without the negative effects on physical and cognitive performance and potential for addiction as seen with some pharmacologic treatments for pain. This trial is registered at ClinicalTrials.gov , protocol NCT01768650
Databáze: OpenAIRE
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