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Acceptance-Based Behavioural Therapy (ABBT) in chronic pain.


- candidate number9363
- NTR NumberNTR2868
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR26-apr-2011
- Secondary IDsNL33188.044.10 METC MST Enschede
- Public TitleAcceptance-Based Behavioural Therapy (ABBT) in chronic pain.
- Scientific TitlePatterns and processes of change in Acceptance-Based Behavioural Therapy (ABBT) with chronic pain patients having high levels of psychological inflexibility: A pilot study.
- ACRONYM
- hypothesisThe objective is to investigate the patterns and processes of change in Acceptance-Based Behavioural Therapy (ABBT; Acceptance & Commitment Therapy + mindfulness) with chronic pain patients having high levels of psychological flexibility. The ABBT-protocol will be tested in a single-case experimental design. We hypothesize that patterns and processes of change will occur in the target variables of ABBT. We expect valued-based living/committed actions to increase and psychological inflexibility and pain interference to decrease over the course of the intervention.
- Healt Condition(s) or Problem(s) studiedChronic pain
- Inclusion criteriaPatients are aged between 18 and 65 years old and their primary complaint is chronic musculoskeletal pain. They all receive clinicaltreatment in groups at the Pain Department of the RRC. Psychological inflexibility as measured in intake (T0) should be high (PIPS; Psychological Inflexibility in Pain Scale, Wicksell et al., 2008b). Patients should score at least ½ SD above average compared to a norm-group of pain patients.
- Exclusion criteriaPatients with severe psychopathology (depression, anxiety and total score measured with the HADS; Zigmond & Snaith, 1983) are excluded from the study. Patients scoring more than one standard deviation above average on these measures, compared to a norm-group of pain patients, are excluded from participation in this study.
- mec approval receivedyes
- multicenter trialno
- randomisedno
- groupParallel
- TypeSingle arm
- Studytypeobservational
- planned startdate 1-mei-2011
- planned closingdate1-mei-2012
- Target number of participants8
- InterventionsThe treatment under investigation is Acceptance-Based Behavioural Therapy (ABBT). The treatment is embedded in a comprehensive behavioural rehabilitation program provided by an interdisciplinary treatment staff of the Pain Department of the Roessingh Rehabilitation Centre. This program includes graded activity, group education about ergonomics and visits to a psychologist and social worker. The overall rehabilitation program is grounded in an ABBT-perspective. The objective of ABBT is enhancing psychological flexibility in favour of a meaningful life. Psychological flexibility is the ability to accept negative sensations, emotions and thoughts, to stay in contact with the present moment and to be able to act in line with one’s life values. To enhance psychological flexibility, six clinical processes are worked through. The process of mindfulness is applied systematically through the whole treatment.
- Primary outcome1. Committed action/values-based living: Measured with two questions, based on Hayes’ ACT daily diary measure and with the bull’s eye instrument of valued life (BULLI);
2. Pain interference: Measured with the Interference-subscale of the MPI-DLV;
3. Psychological inflexibility (Psychological Inflexibility in Pain Scale; PIPS).
- Secondary outcome1. Pain intensity: Measured with the VAS-scale of pain;
2. Depression (subscale of HADS);
3. Anxiety (subscale of HADS);
4. Physical well-being (subscale ‘physical role functioning of SF-36);
5. Mindfulness (Five Facet Mindfulness Questionnaire; FFMQ).
- TimepointsAs the study design is a single case experimental design, patients will be measured on a daily basis before, during and after treatment. During the daily measurement phase, patients will fill in a short daily questionnaire (+/- eight questions) for 15 weeks, of which one to four weeks belong to a follow-up measurement phase after the end of treatment. Furthermore, at six measurement points (intake, before daily measures, first week of treatment, last week of treatment, after daily measures, follow-up) participants receive a larger set of questionnaires.
- Trial web siteN/A
- statusplanned
- CONTACT FOR PUBLIC QUERIES Hester Trompetter
- CONTACT for SCIENTIFIC QUERIES Hester Trompetter
- Sponsor/Initiator Roessingh Research and Development
- Funding
(Source(s) of Monetary or Material Support)
Roessingh Research & Development
- PublicationsN/A
- Brief summaryN/A
- Main changes (audit trail)
- RECORD26-apr-2011 - 6-mei-2011


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