Feasibility and acceptability of a hybrid web-based and in-person self-management intervention aimed at preventing acute to chronic pain transition after major lower extremity trauma (iPACT-E-Trauma)

2018 ◽  
Author(s):  
Melanie Berube ◽  
C�line G�linas ◽  
Nancy Feeley ◽  
Geraldine Martorella ◽  
Jos� C�t� ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Lower Extremity ◽  
Self Management ◽  
Web Based ◽  
Management Intervention ◽  
Lower Extremity Trauma ◽  
Extremity Trauma

scholarly journals A Hybrid Web-Based and In-Person Self-Management Intervention Aimed at Preventing Acute to Chronic Pain Transition After Major Lower Extremity Trauma: Feasibility and Acceptability of iPACT-E-Trauma (Preprint)

2018 ◽  
Author(s):  
Mélanie Bérubé ◽  
Céline Gélinas ◽  
Nancy Feeley ◽  
Géraldine Martorella ◽  
José Côté ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Lower Extremity ◽  
Controlled Trial ◽  
Self Management ◽  
Relaxation Techniques ◽  
Web Based ◽  
Management Intervention ◽  
Lower Extremity Trauma ◽  
Extremity Trauma ◽  
The Web

BACKGROUND A transition from acute to chronic pain frequently occurs after major lower extremity trauma. While the risk factors for developing chronic pain in this population have been extensively studied, research findings on interventions aiming to prevent chronic pain in the trauma context are scarce. Therefore, we developed a hybrid, Web-based and in-person, self-management intervention to prevent acute to chronic pain transition after major lower extremity trauma (iPACT-E-Trauma). OBJECTIVE This study aimed to assess the feasibility and acceptability of iPACT-E-Trauma. METHODS Using a descriptive design, the intervention was initiated at a supra-regional level-1 trauma center. Twenty-eight patients ≥18 years old with major lower extremity trauma, presenting with moderate to high pain intensity 24 hours post-injury were recruited. Feasibility assessment was two-fold: 1) whether the intervention components could be provided as planned to ≥80% of participants and 2) whether ≥80% of participants could complete the intervention. The rates for both these variables were calculated. The E-Health Acceptability Questionnaire and the Treatment Acceptability and Preference Questionnaire were used to assess acceptability. Mean scores were computed to determine the intervention’s acceptability. RESULTS More than 80% of participants received the session components relevant to their condition. However, the Web pages for session 2, on the analgesics prescribed, were accessed by 71% of participants. Most sessions were delivered according to the established timeline for ≥80% of participants. Session 3 and in-person coaching meetings had to be provider earlier for ≥35% of participants. Session duration was 30 minutes or less on average, as initially planned. More than 80% of participants attended sessions and <20% did not apply self-management behaviors relevant to their condition, with the exception of deep breathing relaxation exercises which was not applied by 40% of them. Web and in-person sessions were assessed as very acceptable (mean scores ≥3 on a 0 to 4 descriptive scale) across nearly all acceptability attributes. CONCLUSIONS Findings showed that the iPACT-E-Trauma intervention is feasible and was perceived as highly acceptable by participants. Further tailoring iPACT-E-Trauma to patient needs, providing more training time for relaxation techniques, and modifying the Web platform to improve its convenience could enhance the feasibility and acceptability of the intervention. CLINICALTRIAL International Standard Randomized Controlled Trial Number (ISRCTN): 91987302; http://www.controlled-trials.com/ISRCTN91987302 (Archived by WebCite at http://www.webcitation.org/6ynibjPHa)

Development and Acceptability Assessment of a Self-Management Intervention to Prevent Acute to Chronic Pain Transition after Major Lower Extremity Trauma

2018 ◽  
Vol 19 (6) ◽  
pp. 671-692 ◽  
Author(s):  
Mélanie Bérubé ◽  
Céline Gélinas ◽  
Géraldine Martorella ◽  
Nancy Feeley ◽  
José Côté ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Lower Extremity ◽  
Self Management ◽  
Management Intervention ◽  
Lower Extremity Trauma ◽  
Extremity Trauma

scholarly journals Feasibility of a Hybrid Web-Based and In-Person Self-management Intervention Aimed at Preventing Acute to Chronic Pain Transition After Major Lower Extremity Trauma (iPACT-E-Trauma): A Pilot Randomized Controlled Trial

Pain Medicine ◽  
2019 ◽  
Vol 20 (10) ◽  
pp. 2018-2032 ◽  
Author(s):  
M Bérubé ◽  
C Gélinas ◽  
N Feeley ◽  
G Martorella ◽  
J Côté ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Catastrophizing ◽  
Controlled Trial ◽  
Self Management ◽  
Anxiety And Depression ◽  
Management Intervention ◽  
Randomized Controlled ◽  
Extremity Trauma ◽  
Experimental Group ◽  
Pilot Randomized Controlled Trial

Abstract Objective 1) To assess the feasibility of research methods to test a self-management intervention aimed at preventing acute to chronic pain transition in patients with major lower extremity trauma (iPACT-E-Trauma) and 2) to evaluate its potential effects at three and six months postinjury. Design A pilot randomized controlled trial (RCT) with two parallel groups. Setting A supraregional level 1 trauma center. Methods Fifty-six adult patients were randomized. Participants received the intervention or an educational pamphlet. Several parameters were evaluated to determine the feasibility of the research methods. The potential efficacy of iPACT-E-Trauma was evaluated with measures of pain intensity and pain interference with activities. Results More than 80% of eligible patients agreed to participate, and an attrition rate of ≤18% was found. Less than 40% of screened patients were eligible, and obtaining baseline data took 48 hours postadmission on average. Mean scores of mild pain intensity and pain interference with daily activities (<4/10) on average were obtained in both groups at three and six months postinjury. Between 20% and 30% of participants reported moderate to high mean scores (≥4/10) on these outcomes at the two follow-up time measures. The experimental group perceived greater considerable improvement in pain (60% in the experimental group vs 46% in the control group) at three months postinjury. Low mean scores of pain catastrophizing (Pain Catastrophizing Scale score < 30) and anxiety and depression (Hospital Anxiety and Depression Scale scores ≤ 10) were obtained through the end of the study. Conclusions Some challenges that need to be addressed in a future RCT include the small proportion of screened patients who were eligible and the selection of appropriate tools to measure the development of chronic pain. Studies will need to be conducted with patients presenting more serious injuries and psychological vulnerability or using a stepped screening approach.

Prevalence of chronic pain seven years following limb threatening lower extremity trauma☆

Pain ◽  
2006 ◽  
Vol 124 (3) ◽  
pp. 321-329 ◽  
Author(s):  
Renan C. Castillo ◽  
Ellen J. MacKenzie ◽  
Stephen T. Wegener ◽  
Michael J. Bosse
Keyword(s):  
Chronic Pain ◽  
Lower Extremity ◽  
Lower Extremity Trauma ◽  
Extremity Trauma

scholarly journals Patients as Collaborators: Using Focus Groups and Feedback Sessions to Develop an Interactive, Web-Based Self-Management Intervention for Chronic Pain

Pain Medicine ◽  
2013 ◽  
Vol 14 (11) ◽  
pp. 1730-1740 ◽  
Author(s):  
Sarah K. Moore ◽  
Honoria Guarino ◽  
Michelle C. Acosta ◽  
Ian David Aronson ◽  
Lisa A. Marsch ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Focus Groups ◽  
Self Management ◽  
Web Based ◽  
Management Intervention
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