Web-based cognitive-behavioral intervention for pain in pediatric acute recurrent and chronic pancreatitis: Protocol of a multicenter randomized controlled trial from the study of chronic pancreatitis, diabetes and pancreatic cancer (CPDPC)

Abdominal pain is common and is associated with high disease burden and health care costs in pediatric acute recurrent and chronic pancreatitis (ARP/CP). Despite the strong central component of pain in ARP/CP and the efficacy of psychological therapies for other centralized pain syndromes, no studie...

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Veröffentlicht in:Contemporary clinical trials 2020-01, Vol.88, p.105898-105898, Article 105898
Hauptverfasser: Palermo, Tonya M., Murray, Caitlin, Aalfs, Homer, Abu-El-Haija, Maisam, Barth, Bradley, Bellin, Melena D., Ellery, Kate, Fishman, Douglas S., Gariepy, Cheryl E., Giefer, Matthew J., Goday, Praveen, Gonska, Tanja, Heyman, Melvin B., Husain, Sohail Z., Lin, Tom K., Liu, Quin Y., Mascarenhas, Maria R., Maqbool, Asim, McFerron, Brian, Morinville, Veronique D., Nathan, Jaimie D., Ooi, Chee Y., Perito, Emily R., Pohl, John F., Schwarzenberg, Sarah Jane, Sellers, Zachary M., Serrano, Jose, Shah, Uzma, Troendle, David, Zheng, Yuhua, Yuan, Ying, Lowe, Mark, Uc, Aliye
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container_end_page 105898
container_issue
container_start_page 105898
container_title Contemporary clinical trials
container_volume 88
creator Palermo, Tonya M.
Murray, Caitlin
Aalfs, Homer
Abu-El-Haija, Maisam
Barth, Bradley
Bellin, Melena D.
Ellery, Kate
Fishman, Douglas S.
Gariepy, Cheryl E.
Giefer, Matthew J.
Goday, Praveen
Gonska, Tanja
Heyman, Melvin B.
Husain, Sohail Z.
Lin, Tom K.
Liu, Quin Y.
Mascarenhas, Maria R.
Maqbool, Asim
McFerron, Brian
Morinville, Veronique D.
Nathan, Jaimie D.
Ooi, Chee Y.
Perito, Emily R.
Pohl, John F.
Schwarzenberg, Sarah Jane
Sellers, Zachary M.
Serrano, Jose
Shah, Uzma
Troendle, David
Zheng, Yuhua
Yuan, Ying
Lowe, Mark
Uc, Aliye
description Abdominal pain is common and is associated with high disease burden and health care costs in pediatric acute recurrent and chronic pancreatitis (ARP/CP). Despite the strong central component of pain in ARP/CP and the efficacy of psychological therapies for other centralized pain syndromes, no studies have evaluated psychological pain interventions in children with ARP/CP. The current trial seeks to 1) evaluate the efficacy of a psychological pain intervention for pediatric ARP/CP, and 2) examine baseline patient-specific genetic, clinical, and psychosocial characteristics that may predict or moderate treatment response. This single-blinded randomized placebo-controlled multicenter trial aims to enroll 260 youth (ages 10–18) with ARP/CP and their parents from twenty-one INSPPIRE (INternational Study Group of Pediatric Pancreatitis: In search for a cuRE) centers. Participants will be randomly assigned to either a web-based cognitive behavioral pain management intervention (Web-based Management of Adolescent Pain Chronic Pancreatitis; WebMAP; N = 130) or to a web-based pain education program (WebED; N = 130). Assessments will be completed at baseline (T1), immediately after completion of the intervention (T2) and at 6 months post-intervention (T3). The primary study outcome is abdominal pain severity. Secondary outcomes include pain-related disability, pain interference, health-related quality of life, emotional distress, impact of pain, opioid use, and healthcare utilization. This is the first clinical trial to evaluate the efficacy of a psychological pain intervention for children with CP for reduction of abdominal pain and improvement of health-related quality of life. Findings will inform delivery of web-based pain management and potentially identify patient-specific biological and psychosocial factors associated with favorable response to therapy. Clinical Trial Registration #: NCT03707431.
doi_str_mv 10.1016/j.cct.2019.105898
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Despite the strong central component of pain in ARP/CP and the efficacy of psychological therapies for other centralized pain syndromes, no studies have evaluated psychological pain interventions in children with ARP/CP. The current trial seeks to 1) evaluate the efficacy of a psychological pain intervention for pediatric ARP/CP, and 2) examine baseline patient-specific genetic, clinical, and psychosocial characteristics that may predict or moderate treatment response. This single-blinded randomized placebo-controlled multicenter trial aims to enroll 260 youth (ages 10–18) with ARP/CP and their parents from twenty-one INSPPIRE (INternational Study Group of Pediatric Pancreatitis: In search for a cuRE) centers. Participants will be randomly assigned to either a web-based cognitive behavioral pain management intervention (Web-based Management of Adolescent Pain Chronic Pancreatitis; WebMAP; N = 130) or to a web-based pain education program (WebED; N = 130). Assessments will be completed at baseline (T1), immediately after completion of the intervention (T2) and at 6 months post-intervention (T3). The primary study outcome is abdominal pain severity. Secondary outcomes include pain-related disability, pain interference, health-related quality of life, emotional distress, impact of pain, opioid use, and healthcare utilization. This is the first clinical trial to evaluate the efficacy of a psychological pain intervention for children with CP for reduction of abdominal pain and improvement of health-related quality of life. Findings will inform delivery of web-based pain management and potentially identify patient-specific biological and psychosocial factors associated with favorable response to therapy. 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Despite the strong central component of pain in ARP/CP and the efficacy of psychological therapies for other centralized pain syndromes, no studies have evaluated psychological pain interventions in children with ARP/CP. The current trial seeks to 1) evaluate the efficacy of a psychological pain intervention for pediatric ARP/CP, and 2) examine baseline patient-specific genetic, clinical, and psychosocial characteristics that may predict or moderate treatment response. This single-blinded randomized placebo-controlled multicenter trial aims to enroll 260 youth (ages 10–18) with ARP/CP and their parents from twenty-one INSPPIRE (INternational Study Group of Pediatric Pancreatitis: In search for a cuRE) centers. Participants will be randomly assigned to either a web-based cognitive behavioral pain management intervention (Web-based Management of Adolescent Pain Chronic Pancreatitis; WebMAP; N = 130) or to a web-based pain education program (WebED; N = 130). 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ispartof Contemporary clinical trials, 2020-01, Vol.88, p.105898-105898, Article 105898
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1559-2030
language eng
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source Elsevier ScienceDirect Journals
subjects Acute recurrent pancreatitis
Children
Chronic pancreatitis
Cognitive-behavioral therapy
Internet intervention
Pain
title Web-based cognitive-behavioral intervention for pain in pediatric acute recurrent and chronic pancreatitis: Protocol of a multicenter randomized controlled trial from the study of chronic pancreatitis, diabetes and pancreatic cancer (CPDPC)
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