Randomized controlled trial protocol of health coaching for veterans with complex chronic pain.
Randomized controlled trial protocol of health coaching for veterans with complex chronic pain.
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疼痛为主的多症状疾病（pain-CMI）是指以疼痛为主要症状的以疼痛为基础的疾病。有初步证据表明，健康指导可能在治疗疼痛-CMI方面是有效的，因为它可以根据退伍军人的目标进行定制，并强调长期行为改变，这可能间接影响疼痛-CMI的维持因素（例如，灾难化、疼痛控制不良和活动受限）。本文介绍了一项随机对照试验的研究方案和基本原理，该试验将比较远程健康指导在减少患有疼痛-CMI的退伍军人的残疾和疼痛障碍方面的疗效，以及远程支持性心理治疗。这项随机对照试验将包括两个治疗组：远程提供的健康指导和远程提供的支持性心理治疗，积极控制。每种治疗条件将包括与研究提供者的12次每周一对一会议。除基线评估外，参与者还将完成6周（治疗中期）、12周（治疗后）和24周（随访）评估，其中包括可远程完成的问卷。本研究的主要目的是确定与支持性心理治疗相比，健康指导是否能减少残疾和疼痛障碍。我们还将研究与支持性心理治疗相比，健康指导是否减少了身体症状，灾难化，限制活动和增加疼痛控制。这项研究将有助于现有的文献疼痛CMI和报告的有效性，一种新的远程交付的行为干预。在线版本包含补充材料，可通过10.1186/s13063-023-07113-6获得。
Pain predominant multisymptom illness (pain-CMI) refers to symptom-based conditions where pain is a primary symptom. There is initial evidence that health coaching may be efficacious in treating pain-CMI because it can be tailored to the veteran’s goals and emphasizes long-term behavior change, which may indirectly impact the maintaining factors of pain-CMI (e.g., catastrophizing, poor pain control, and limited activity). This paper describes the study protocol and rationale of a randomized controlled trial that will compare the efficacy of remote-delivered health coaching in reducing disability and pain impairment for veterans with pain-CMI to remote-delivered supportive psychotherapy. This randomized controlled trial will consist of two treatment arms: remote-delivered health coaching and remote-delivered supportive psychotherapy, the active control. Each treatment condition will consist of twelve, weekly one-on-one meetings with a study provider. In addition to the baseline assessment, participants will also complete 6-week (mid-treatment), 12-week (post-treatment), and 24-week (follow-up) assessments that consist of questionnaires that can be completed remotely. The primary aims for this study are to determine whether health coaching reduces disability and pain impairment as compared to supportive psychotherapy. We will also examine whether health coaching reduces physical symptoms, catastrophizing, limiting activity, and increasing pain control as compared to supportive psychotherapy. This study will contribute to the existing literature on pain-CMI and report the effectiveness of a novel, remote-delivered behavioral intervention. The online version contains supplementary material available at 10.1186/s13063-023-07113-6.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
6.9
作者：
FINK, P
通讯作者：
FINK, P
DOI：
10.1001/jama.2016.2323
发表时间：
2016-03-22
期刊：
JAMA
影响因子：
--
作者：
Cherkin DC;Sherman KJ;Balderson BH;Cook AJ;Anderson ML;Hawkes RJ;Hansen KE;Turner JA
通讯作者：
Turner JA
影响因子：
2.3
作者：
Hackshaw, Kevin V.;Plans-Pujolras, Marcal;Buffington, C. A. Tony
通讯作者：
Buffington, C. A. Tony
影响因子：
3.3
作者：
Kroenke, K;Spitzer, RL;Williams, JBW
通讯作者：
Williams, JBW