Telephone-Delivered Cognitive Behavioral Therapy for Chronic Pain Following Traumatic Brain Injury.

摘要

The purpose of this study is to evaluate the efficacy of a telephone- delivered cognitive behavioral treatment (T-CBT) in Veterans with a history of traumatic brain injury (TBI) for the treatment of chronic pain in a randomized controlled trial (RCT). Specifically, the RCT will examine the immediate (at the end of treatment) and long-term (6-months from randomization) efficacy of T-CBT on average pain intensity (primary outcome), and pain interference, sleep, depression, global impression of change, and life satisfaction (secondary outcomes) relative to a telephone-delivered pain psycho-educational active control condition (T-Ed) designed to control for time, dose, attention, and other nonspecific therapeutic effects such as therapeutic alliance. The study uses a 2-group parallel design. The sample will include 160 OEF/OIF Veterans with a history of TBI and chronic pain recruited from the VA Puget Sound Health Care System (VAPSHCS). Recruitment and enrollment for the study has not begun yet due primarily to unexpected delays in obtaining IRB approval from VAPSCHS, the study s primary recruitment site. The Human Research Protocol Submission Form for this study was submitted to the Human Research Protections Office (HRPO) August 8th, 2013 and is still pending approval.