Department of Educational and Counseling Psychology, University at Albany-State University of New York, Albany, USA.
War Related Illness and Injury Study Center, Veterans Affairs New Jersey Healthcare System, 385 Tremont Ave., East Orange, NJ, 07018, USA.
Trials. 2023 Mar 30;24(1):239. doi: 10.1186/s13063-023-07113-6.
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.
以疼痛为主的多症状疾病（疼痛-CMI）是指以症状为基础的疾病，其中疼痛是主要症状。有初步证据表明，健康教练可能在治疗疼痛-CMI 方面有效，因为它可以根据退伍军人的目标进行定制，并强调长期的行为改变，这可能间接地影响疼痛-CMI 的维持因素（例如，灾难化、疼痛控制不佳和活动受限）。本文介绍了一项随机对照试验的研究方案和原理，该试验将比较远程提供的健康教练在减少疼痛-CMI 退伍军人的残疾和疼痛障碍方面的效果，与远程提供的支持性心理治疗相比。
这项随机对照试验将包括两个治疗组：远程提供的健康教练和远程提供的支持性心理治疗，即主动对照组。每个治疗条件将包括十二次每周一次的与研究提供者的一对一会议。除了基线评估外，参与者还将完成 6 周（中期治疗）、12 周（治疗后）和 24 周（随访）的评估，评估包括可以远程完成的问卷。本研究的主要目的是确定健康教练是否比支持性心理治疗更能减少残疾和疼痛障碍。我们还将研究健康教练是否比支持性心理治疗更能减少身体症状、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疼痛-CMI 文献，并报告一种新的远程提供的行为干预的有效性。
