Psychosocial Support for Acute Hospital Pain and Distress
Study Details
Study Description
Brief Summary
The purpose of this randomized study is to determine the impact of three different types of psychosocial support delivered by social workers to patients reporting uncontrolled pain during a hospital stay. This study will examine the differential effects of brief mindfulness training, therapeutic suggestion, and psychoeducation for patients reporting uncontrolled pain.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Mindfulness 15 minute mindfulness session |
Behavioral: Mindfulness
The 15 minute mindfulness session is a scripted mindfulness exercise that incorporates mindfulness principles of intentionally paying attention to present-moment experience in a non-judgmental fashion.
|
| Experimental: Suggestion 15 minute therapeutic suggestion session |
Behavioral: Suggestion
The 15 minute suggestion session is a scripted suggestion exercise that incorporates imagery and suggestions for changes in cognition, emotion, and body sensations.
|
| Active Comparator: Psychoeducation 15 minute psychoeducation session |
Behavioral: Psychoeducation
The 15 minute psychoeducation session is a supportive session in which behavioral coping strategies for pain management are discussed.
|
Outcome Measures
Primary Outcome Measures
- Pain intensity (numeric rating scale) [Immediately prior to and following intervention]
0-10 scale
- Pain unpleasantness (numeric rating scale) [Immediately prior to and following intervention]
0-10 scale
Secondary Outcome Measures
- Use of opioid analgesics [24 hours prior to and following intervention]
The total amount of opioid analgesic use will be computed during the 24 hours prior to and following intervention. Opioid dose will be standardized and calculated using conventional morphine daily equivalent equianalgesic conversion tables.
- Anxiety (numeric rating scale) [Immediately prior to and following intervention]
0-10 scale
- Relaxation (numeric rating scale) [Immediately prior to and following intervention]
0-10 scale
- Desire for opioids (numeric rating scale) [Immediately prior to and following intervention]
0-10 scale
- Positive body sensations (numeric rating scale) [Immediately prior to and following intervention]
0-10 scale
- Use of non-opioid analgesics (NSAID) [Within 24 hours prior to and following intervention]
The total amount of opioid analgesic use will be computed during the 24 hours prior to and following intervention. NSAID dose will be standardized and calculated using conventional NSAID equianalgesic conversion tables.
Eligibility Criteria
Criteria
Inclusion Criteria:
- English-speaking males or females 18 or older within the University of Utah Hospital system reporting "intolerable pain" or "inadequate pain control" on the Clinically Aligned Pain Assessment Tool (CAPA; Donaldson & Chapman, 2013).
Exclusion Criteria:
- Altered mental status due to delirium, psychosis, or pharmacological sedation as determined by clinical assessment.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University of Utah Hospital | Salt Lake City | Utah | United States | 84112 |
Sponsors and Collaborators
- University of Utah
Investigators
- Principal Investigator: Eric L Garland, PhD, University of Utah
Study Documents (Full-Text)
None provided.More Information
Publications
- 00085446