Depression Clinical Trial
Official title:
A Pain Self-management Program for Older Adults: Online vs. Workbook Delivery
It is well documented that severe pain is more common in older adults than it is younger persons. Of concern, older adults may not have access to traditional face-to-face self-management programs, which are recognized to be valuable in chronic pain management. Access to effective self-management approaches is particularly important for older adults who may have mobility limitations or live in remote areas, or have difficulty accessing health care services. The development of effective pain self-management programs for older adults who cannot access traditional psychological interventions is of significant importance. Internet self-management programs have the potential to address pain undermanagement. As technology advances, the digital divide between the older and younger demographic continues to progress. Given the known difficulties with treatment access, the purpose of this study is to explore the efficacy and acceptability of a remotely-delivered chronic pain self-management program tailored to older adults, the Pain Course, when delivered in online and workbook formats. The program was previously shown to be effective among younger persons but has not been tested with older adults.
The program is delivered through a secure platform administered by the Online Therapy Unit
for Service Education and Research at the University of Regina. Using a patient preference
randomized control trial (RCT) design, participants (n = 120) will be enrolled in either the
online group or workbook group, or to a wait list control group. The content of both programs
will be identical and contain 5 core lessons, which participants will be encouraged to work
through over an 8-week period. By exploring the efficacy of an online vs. workbook group, the
results from this study may serve as a stepping-stone for improved self-management of chronic
pain in older adults.
A patient preference randomized controlled trial (RCT) was chosen for this study. The goal is
to have most participants accept randomization by emphasizing they are equally acceptable, so
only those with a very strong preference or no access to Internet aren't randomized.
According to the preliminary power analysis, a total of 120 participants will be randomly
assigned to be enrolled in the online group or workbook group, or be placed on a twelve-week
wait list control, which will serve as a control group to control for the influence of time
on symptom change between groups.
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