Internet-delivered Management of Pain Among Cancer Treatment Survivors
Summary
To determine whether an Internet-based pain coping skills program plus enhanced usual care, compared to enhanced usual care alone, yields significant improvements in the co-primary outcomes of pain severity (as measured by the Brief Pain Inventory (BPI)) and pain interference (also measured by the BPI) from baseline to the post-intervention assessment for cancer survivors with persistent pain.
Detailed description
This is a parallel group randomized controlled, prospective study that examines the effect of an Internet-based pain coping skills program on pain severity and pain interference among adult cancer survivors experiencing persistent cancer-related pain. The study also explores the effects of an Internet-based pain coping skills program on opioid/analgesic medication use, health-related quality of life, pain management self-efficacy and various other factors relevant among populations with persistent pain (i.e., fatigue, sleep, emotional distress, positive affect, pain impact, perceived cognitive problems, and cognitive performance), as well as qualitative assessments of participants experiences with pain and the intervention. A total of 250 participants will be enrolled (125 per arm) and randomized into the internet program arm (plus enhanced usual care) or Enhanced Usual Care alone. Each participant will be enrolled in the study for 9 months (from randomization at week 0 to the final follow-up assessment at week 34).
Arms & interventions
- BehavioralInternet-based pain coping skills program
The purpose of this study is to determine if an 8-session Internet-based pain management program can help you better manage your cancer-related pain.
Outcome measures
Primary
Pain Severity
The Pain Severity via Brief Pain Inventory (BPI) subscale score is the mean of 4 items measuring current pain, pain on average, and pain at its worst and least in the past 7 days on a scale from 0 (no pain) to 10 (pain as bad as you can imagine).
Time frame: Change from Baseline to 10 week
Pain Interference
The Pain Interference via Brief Pain Inventory (BPI) subscale score is the mean rating of 7 items measuring impact of pain on walking, work, mood, enjoyment of life, relations with others, sleep, general activity on a scale from 0 (does not interfere) to 10 (completely interferes).
Time frame: Change from Baseline to 10 week
Secondary
Pain Severity
Time frame: 22 and 34 weeks
Pain Interference
Time frame: 22 and 34 weeks
Opioid/analgesic medication use
Time frame: Baseline and 10 week
Opioid/analgesic medication use
Time frame: Baseline, 10, 22, and 24 week
Health-Related Quality of Life
Time frame: Baseline, 10, 22, and 24 week
Pain Management Self-Efficacy
Time frame: Baseline, 10, 22, and 24 week
Eligibility criteria
Study locations (149)
Mercy Hospital Fort Smith
Fort Smith, Arkansas, 72903
Kaiser Permanente-Deer Valley Medical Center
Antioch, California, 94531
Kaiser Permanente Dublin
Dublin, California, 94568
Kaiser Permanente-Fremont
Fremont, California, 94538
Kaiser Permanente-Fresno
Fresno, California, 93720
Kaiser Permanente-Modesto
Modesto, California, 95356
Kaiser Permanente-Oakland
Oakland, California, 94611
Kaiser Permanente- Marshall Medical Offices
Redwood City, California, 94063
Kaiser Permanente-Richmond
Richmond, California, 94801
Kaiser Permanente-Roseville
Roseville, California, 95661
Kaiser Permanente Downtown Commons
Sacramento, California, 95814
Kaiser Permanente-South Sacramento
Sacramento, California, 95823
Kaiser Permanente-San Francisco
San Francisco, California, 94115
Kaiser Permanente-Santa Teresa-San Jose
San Jose, California, 95119
Kaiser Permanente San Leandro
San Leandro, California, 94577
Kaiser San Rafael-Gallinas
San Rafael, California, 94903
Kaiser Permanente Medical Center - Santa Clara
Santa Clara, California, 95051
Kaiser Permanente-Santa Rosa
Santa Rosa, California, 95403
Kaiser Permanente-South San Francisco
South San Francisco, California, 94080
Kaiser Permanente-Stockton
Stockton, California, 95210
Kaiser Permanente Medical Center-Vacaville
Vacaville, California, 95688
Kaiser Permanente-Vallejo
Vallejo, California, 94589
Kaiser Permanente-Franklin
Denver, Colorado, 80205
Kaiser Permanente-Rock Creek
Lafayette, Colorado, 80026
Kaiser Permanente-Lone Tree
Lone Tree, Colorado, 80124
John B. Amos Cancer Center
Columbus, Georgia, 31904
Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
Savannah, Georgia, 31405
Hawaii Cancer Care Inc - Waterfront Plaza
Honolulu, Hawaii, 96813
Queen's Cancer Cenrer - POB I
Honolulu, Hawaii, 96813
Queen's Medical Center
Honolulu, Hawaii, 96813
Straub Clinic and Hospital
Honolulu, Hawaii, 96813
University of Hawaii Cancer Center
Honolulu, Hawaii, 96813
Queen's Cancer Center - Kuakini
Honolulu, Hawaii, 96817
The Cancer Center of Hawaii-Liliha
Honolulu, Hawaii, 96817
Kaiser Permanente Moanalua Medical Center
Honolulu, Hawaii, 96819
Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, 96826
Tripler Army Medical Center
Honolulu, Hawaii, 96859
Hawaii Cancer Care - Savio
‘Aiea, Hawaii, 96701
Hawaii Cancer Care - Westridge
‘Aiea, Hawaii, 96701
Pali Momi Medical Center
‘Aiea, Hawaii, 96701
The Cancer Center of Hawaii-Pali Momi
‘Aiea, Hawaii, 96701
The Queen's Medical Center - West Oahu
‘Ewa Beach, Hawaii, 96706
Carle BroMenn Outpatient Center
Bloomington, Illinois, 61704
Illinois CancerCare-Bloomington
Bloomington, Illinois, 61704
Illinois CancerCare-Canton
Canton, Illinois, 61520
Northwestern University
Chicago, Illinois, 60611
Carle at The Riverfront
Danville, Illinois, 61832
Carle on Vermilion
Danville, Illinois, 61832
Cancer Care Specialists of Illinois - Decatur
Decatur, Illinois, 62526
Decatur Memorial Hospital
Decatur, Illinois, 62526
Illinois CancerCare-Galesburg
Galesburg, Illinois, 61401
Carle Physician Group-Mattoon/Charleston
Mattoon, Illinois, 61938
Carle BroMenn Medical Center
Normal, Illinois, 61761
Carle Cancer Institute Normal
Normal, Illinois, 61761
Illinois CancerCare-Ottawa Clinic
Ottawa, Illinois, 61350
Illinois CancerCare-Pekin
Pekin, Illinois, 61554
Illinois CancerCare-Peoria
Peoria, Illinois, 61615
Illinois CancerCare-Peru
Peru, Illinois, 61354
Carle Cancer Center
Urbana, Illinois, 61801
Illinois CancerCare - Washington
Washington, Illinois, 61571
UI Health Care Mission Cancer and Blood - Ankeny Clinic
Ankeny, Iowa, 50023
Physicians' Clinic of Iowa PC
Cedar Rapids, Iowa, 52402
UI Health Care Mission Cancer and Blood - West Des Moines Clinic
Clive, Iowa, 50325
Medical Oncology and Hematology Associates-Des Moines
Des Moines, Iowa, 50309
Broadlawns Medical Center
Des Moines, Iowa, 50314
Mercy Medical Center - Des Moines
Des Moines, Iowa, 50314
UI Health Care Mission Cancer and Blood - Laurel Clinic
Des Moines, Iowa, 50314
UI Health Care Mission Cancer and Blood - Waukee Clinic
Waukee, Iowa, 50263
Flaget Memorial Hospital
Bardstown, Kentucky, 40004
Saint Joseph Radiation Oncology Resource Center
Lexington, Kentucky, 40504
Saint Joseph Hospital East
Lexington, Kentucky, 40509
Saint Joseph London
London, Kentucky, 40741
Ochsner Baptist Medical Center
New Orleans, Louisiana, 70115
Ochsner Medical Center Jefferson
New Orleans, Louisiana, 70121
CHRISTUS Highland Medical Center
Shreveport, Louisiana, 71105
MaineHealth Cancer Care Center of York County
Sanford, Maine, 04073
Trinity Health Saint Joseph Mercy Hospital Ann Arbor
Ann Arbor, Michigan, 48106
Trinity Health Medical Center - Brighton
Brighton, Michigan, 48114
Trinity Health Medical Center - Canton
Canton, Michigan, 48118
Chelsea Hospital
Chelsea, Michigan, 48118
Genesee Cancer and Blood Disease Treatment Center
Flint, Michigan, 48503
Genesee Hematology Oncology PC
Flint, Michigan, 48503
Genesys Hurley Cancer Institute
Flint, Michigan, 48503
Marshfield Medical Center Dickinson
Iron Mountain, Michigan, 49801
Trinity Health Saint Mary Mercy Livonia Hospital
Livonia, Michigan, 48154
Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac, Michigan, 48341
Mercy Hospital
Coon Rapids, Minnesota, 55433
Fairview Southdale Hospital
Edina, Minnesota, 55435
Saint John's Hospital - Healtheast
Maplewood, Minnesota, 55109
Abbott-Northwestern Hospital
Minneapolis, Minnesota, 55407
North Memorial Medical Health Center
Robbinsdale, Minnesota, 55422
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park, Minnesota, 55416
Regions Hospital
Saint Paul, Minnesota, 55101
United Hospital
Saint Paul, Minnesota, 55102
Lakeview Hospital
Stillwater, Minnesota, 55082
Rice Memorial Hospital
Willmar, Minnesota, 56201
Minnesota Oncology Hematology PA-Woodbury
Woodbury, Minnesota, 55125
Central Care Cancer Center - Bolivar
Bolivar, Missouri, 65613
Heartland Regional Medical Center
Saint Joseph, Missouri, 64506
CentraState Medical Center
Freehold, New Jersey, 07728
Hackettstown Medical Center
Hackettstown, New Jersey, 07840
Morristown Medical Center
Morristown, New Jersey, 07960
Saint Peter's University Hospital
New Brunswick, New Jersey, 08901
Newton Medical Center
Newton, New Jersey, 07860
Chilton Medical Center
Pompton, New Jersey, 07444
Overlook Medical Center
Summit, New Jersey, 07901
Wake Forest University at Clemmons
Clemmons, North Carolina, 27012
Wake Forest University at Lexington
Lexington, North Carolina, 27292
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157
The Mark H Zangmeister Center
Columbus, Ohio, 43219
Memorial Hospital
Marysville, Ohio, 43040
Knox Community Hospital
Mount Vernon, Ohio, 43050
Southern Ohio Medical Center
Portsmouth, Ohio, 45662
Geisinger Medical Center
Danville, Pennsylvania, 17822
Geisinger Medical Center-Cancer Center Hazleton
Hazleton, Pennsylvania, 18201
Geisinger Medical Oncology-Lewisburg
Lewisburg, Pennsylvania, 17837
Geisinger Cancer Services-Pottsville
Pottsville, Pennsylvania, 17901
Community Medical Center
Scranton, Pennsylvania, 18510
Geisinger Wyoming Valley/Henry Cancer Center
Wilkes-Barre, Pennsylvania, 18711
Saint Joseph's/Candler - Bluffton Campus
Bluffton, South Carolina, 29910
Prisma Health Cancer Institute - Spartanburg
Boiling Springs, South Carolina, 29316
Medical University of South Carolina
Charleston, South Carolina, 29425
Prisma Health Cancer Institute - Easley
Easley, South Carolina, 29640
Tidelands Georgetown Memorial Hospital
Georgetown, South Carolina, 29440
Prisma Health Cancer Institute - Butternut
Greenville, South Carolina, 29605
Prisma Health Cancer Institute - Faris
Greenville, South Carolina, 29605
Prisma Health Cancer Institute - Eastside
Greenville, South Carolina, 29615
Self Regional Healthcare
Greenwood, South Carolina, 29646
Prisma Health Cancer Institute - Greer
Greer, South Carolina, 29650
South Carolina Cancer Specialists PC
Hilton Head Island, South Carolina, 29926
Prisma Health Cancer Institute - Seneca
Seneca, South Carolina, 29672
Peninsula Cancer Institute - Gloucester
Gloucester, Virginia, 23061
Peninsula Cancer Institute - Newport News
Newport News, Virginia, 23601
VCU Massey Cancer Center at Stony Point
Richmond, Virginia, 23235
Virginia Commonwealth University/Massey Cancer Center
Richmond, Virginia, 23298
VCU Community Memorial Health Center
South Hill, Virginia, 23970
Peninsula Cancer Institute - Cancer Specialists of Tidewater
Virginia Beach, Virginia, 23235
Peninsula Cancer Institute - Williamsburg
Williamsburg, Virginia, 23185
Marshfield Clinic-Chippewa Center
Chippewa Falls, Wisconsin, 54729
Marshfield Medical Center-EC Cancer Center
Eau Claire, Wisconsin, 54701
Marshfield Medical Center - Ladysmith
Ladysmith, Wisconsin, 54848
Marshfield Medical Center-Marshfield
Marshfield, Wisconsin, 54449
Marshfield Medical Center - Minocqua
Minocqua, Wisconsin, 54548
Marshfield Medical Center - Neillsville
Neillsville, Wisconsin, 54456
Marshfield Medical Center-Rice Lake
Rice Lake, Wisconsin, 54868
Marshfield Medical Center-River Region at Stevens Point
Stevens Point, Wisconsin, 54482
Marshfield Clinic-Wausau Center
Wausau, Wisconsin, 54401
Marshfield Medical Center - Weston
Weston, Wisconsin, 54476
Marshfield Clinic - Wisconsin Rapids Center
Wisconsin Rapids, Wisconsin, 54494