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Internet-Delivered Dialectical Behavioral Therapy Skills Training for Chronic Pain: Protocol for a Randomized
Nell Norman-Nott1,2, Negin Hesam-Shariati1,3, Chelsey R Wilks4
1NeuroRecovery Research Hub, School of Psychology, University of New South Wales, Sydney, Australia.
JMIR Research Protocols
|June 7, 2023
Summary
This study investigates internet-delivered Dialectical Behavioral Therapy skills training for chronic pain (iDBT-Pain). Findings will assess its efficacy in reducing emotion dysregulation and improving pain management for individuals with chronic pain.
Area of Science:
- Psychology
- Behavioral Medicine
- Digital Health
Background:
- Emotion dysregulation is a significant factor in chronic pain development and maintenance.
- Dialectical Behavioral Therapy (DBT) skills training shows promise for managing emotional and sensory aspects of chronic pain.
- Internet-delivered DBT skills training for chronic pain (iDBT-Pain) is a novel, technologically driven intervention.
Purpose of the Study:
- To evaluate the efficacy of iDBT-Pain compared to treatment as usual in reducing emotion dysregulation in chronic pain patients.
- To assess secondary outcomes including pain intensity, anxiety, depression, and overall well-being.
- To examine the acceptability of the iDBT-Pain intervention for future clinical application.
Main Methods:
- A randomized controlled trial involving 48 participants with chronic pain.
- Intervention group receives iDBT-Pain (6 live web-based group sessions and an app).
- Control group receives treatment as usual.
- Data analyzed using linear mixed models at 9-week and 21-week follow-ups.
Main Results:
- Recruitment began February 2023; trial commenced March 2023.
- Data collection is ongoing, with final assessments planned for completion by July 2024.
- Results are pending analysis.
Conclusions:
- If hypotheses are confirmed, findings will support iDBT-Pain as an effective intervention for chronic pain management.
- Results will inform healthcare professionals about the benefits of DBT skills training for chronic pain.
- The study will contribute evidence for technologically driven interventions in pain management.
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