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IRCT20230806059054N1 IRCT 2024-02-12 Kashan University of Medical Sciences The effect of acceptance and commitment group therapy on chronic musculoskeletal pain Investigating the effectiveness of group therapy based on acceptance and commitment compared to critical thinking skills on improving pain self-efficacy, psychological distress, difficulty in regulating excitement and quality of life of people with chronic musculoskeletal pain. 2023-09-01 anticipated 44 Complete https://irct.ir/trial/72217 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: The people who meet the entry criteria are randomly assigned and using the randomization internet site in psychological experiments, medical trials and field studies at www.randomization.com , online in two treatment groups based on Acceptance and commitment (ACT) and control group are included. N/A Chronic Musculoskeletal Pain. Intervention 1: Intervention group: Treatment based on acceptance and commitment is one of the third wave psychological approaches that seeks comprehensive awareness and education to patients in the field of controlling the controllable aspects, acceptance and openness to the uncontrollable aspects of the disease, that is, the person without trying to controlling the thoughts related to the disease allows them to be present in the mind. It has six central processes, which are acceptance, disfusion, self as background, present time, values and committed action, the goal of which is psychological flexibility. The participants based on Hayes and Strosahl's acceptance and commitment group treatment protocol in 8 sessions. They will participate in 1.5 hour group therapy weekly. Content of the sessions: First session: presenting the basic concepts of treatment; Familiarizing people with the subject of research; Examining chronic pain in each member of the group and the measures taken; discussion about experiential avoidance and the creation of creative helplessness; Explaining the importance of homework. The second session: regaining the relationship with values (what values are important to them), examining the actions they want to take in the rest of their lives to discover values; How well controlling pain is consistent with their values; Are there other options for living with pain and discomfort? Initial practice of mindfulness (eating raisins) and presenting homework (eating food consciously even in pain). The third session: - Assignment review; awareness of inner experiences; A thought about the door is just a thought; having a thought against the contents of a thought; distancing from self-conceptualized harm; living with chronic pain and discomfort; Practicing body inspection and offering meditation at home (paying attention to the body parts while sleeping, even in the presence of pain). Fourth session: - Review homework at home, mindfulness and conscious breathing practice; Being in the present moment and exercises; Non-judgment of thoughts and feelings about chronic pain and only observing them; Examining the existing obstacles on the way of values; Providing homework at home (paying attention to breathing while sleeping). The fifth session: - review of the previous session, homework and expressing the experiences of the homework about conscious breathing; What goals in your life are in line with the values that chronic pain does not allow you to move towards? moving step by step towards the goal; practicing mindfulness of conscious movement; Providing homework at home (consciously lying down and paying attention to the rise and fall of the abdomen during sleep). The sixth session: - Reviewing homework at home; What measures have you taken to achieve your values and goals? planning to achieve the goal with committed action; Providing homework at home. Seventh session: Having awareness in life and daily activities (informal exercises); Having a beginner's mind and familiarity with language barriers and the metaphor of the lion, giving homework at home. Eighth session: review of past sessions, the importance of consistency in doing exercises; The importance of just observing thoughts; The importance of having commitment in achieving values even in spite of pain and life goals. Intervention 2: Control group: Critical thinking skill training is conducted based on the Hyper protocol in six sessions: First session: Analysis of topics and experiences. The second session: the concept of interpretation, interpretation of experiences and renewal of views. The third session: The role of evaluation in the development of thinking. The fourth session: exchange of code signs to speech signs. The fifth session: Drawing the concept in the form of a whole, explaining the appropriate introduction of the skill of explanation for the material, speaking and its principles. The sixth session: Understanding and recognizing one's own mental abilities, the role of self-management skill attitude in self-confidence. Yes - There is a plan to make this available What will be shared: All data related to participants can be shared after being anonymized. When: Access starts 6 months after results are published To whom: Researchers working in academic and scientific institutions Conditions: By sending your request, the researcher's email will be allowed to be used Where to obtain: Send an email to researcher Zahra Ajdani to the address: Ajdani-z@Kaums.ac.ir Call the researcher's mobile number: 09039274424 Visit in person to Kashan University of Medical Sciences - Doctor Blvd - Qutb Ravandi Blvd - Kashan How to obtain: 2 working days after sending an email or contacting the researcher or visiting in person, the data file will be provided to the applicant Comments:
public Dr.Hamid Amiri
Doctor's Blvd - Qutb Ravandi Blvd - Kashan
Kashan Iran (Islamic Republic of) 8715973474 +98 31 5510 9999 amiri.kaums@gmail.com Kashan University of Medical Sciences scientific Dr.Hamid Amiri
Pezeshk Blvd; Qutb Ravandi Blvd - Kashan
Kashan Iran (Islamic Republic of) 8715973474 +98 31 5510 9999 amiri.kaums@gmail.com Kashan University of Medical Sciences Iran (Islamic Republic of) Having a diagnosis of chronic pain by a specialzed doctor in physical medicine and rehabilitation Age range from 35 to 65 years Having a minimum level of literacy 35 years 65 years Both Lack of motivation and satisfaction to participate in the research Infectious diseases such as Malt fever Having a mental disorder that requires immediate treatment, such as drug and alcohol use disorder and psychotic disorders Intense thoughts about self-harm or suicide Concurrently participating in another treatment program receiving drug treatment related to the disorder, at least one month before the pre-test phase until the end of the follow-up phase Receiving psychological interventions during the last year G89.29 Other chronic pain Treatment - Other Placebo Intervention group: Treatment based on acceptance and commitment is one of the third wave psychological approaches that seeks comprehensive awareness and education to patients in the field of controlling the controllable aspects, acceptance and openness to the uncontrollable aspects of the disease, that is, the person without trying to controlling the thoughts related to the disease allows them to be present in the mind. It has six central processes, which are acceptance, disfusion, self as background, present time, values and committed action, the goal of which is psychological flexibility. The participants based on Hayes and Strosahl's acceptance and commitment group treatment protocol in 8 sessions. They will participate in 1.5 hour group therapy weekly. Content of the sessions: First session: presenting the basic concepts of treatment; Familiarizing people with the subject of research; Examining chronic pain in each member of the group and the measures taken; discussion about experiential avoidance and the creation of creative helplessness; Explaining the importance of homework. The second session: regaining the relationship with values (what values are important to them), examining the actions they want to take in the rest of their lives to discover values; How well controlling pain is consistent with their values; Are there other options for living with pain and discomfort? Initial practice of mindfulness (eating raisins) and presenting homework (eating food consciously even in pain). The third session: - Assignment review; awareness of inner experiences; A thought about the door is just a thought; having a thought against the contents of a thought; distancing from self-conceptualized harm; living with chronic pain and discomfort; Practicing body inspection and offering meditation at home (paying attention to the body parts while sleeping, even in the presence of pain). Fourth session: - Review homework at home, mindfulness and conscious breathing practice; Being in the present moment and exercises; Non-judgment of thoughts and feelings about chronic pain and only observing them; Examining the existing obstacles on the way of values; Providing homework at home (paying attention to breathing while sleeping). The fifth session: - review of the previous session, homework and expressing the experiences of the homework about conscious breathing; What goals in your life are in line with the values that chronic pain does not allow you to move towards? moving step by step towards the goal; practicing mindfulness of conscious movement; Providing homework at home (consciously lying down and paying attention to the rise and fall of the abdomen during sleep). The sixth session: - Reviewing homework at home; What measures have you taken to achieve your values and goals? planning to achieve the goal with committed action; Providing homework at home. Seventh session: Having awareness in life and daily activities (informal exercises); Having a beginner's mind and familiarity with language barriers and the metaphor of the lion, giving homework at home. Eighth session: review of past sessions, the importance of consistency in doing exercises; The importance of just observing thoughts; The importance of having commitment in achieving values even in spite of pain and life goals. Control group: Critical thinking skill training is conducted based on the Hyper protocol in six sessions: First session: Analysis of topics and experiences. The second session: the concept of interpretation, interpretation of experiences and renewal of views. The third session: The role of evaluation in the development of thinking. The fourth session: exchange of code signs to speech signs. The fifth session: Drawing the concept in the form of a whole, explaining the appropriate introduction of the skill of explanation for the material, speaking and its principles. The sixth session: Understanding and recognizing one's own mental abilities, the role of self-management skill attitude in self-confidence. Pain self-efficacy score. Timepoint: Before the intervention, after the intervention, in the follow-up phase. Method of measurement: PSEQ. DASS-21 questionnaire score. Timepoint: Before the intervention, after the intervention, in the follow-up phase. Method of measurement: DASS-21 questionnaire. DERS score. Timepoint: Before the intervention, after the intervention, in the follow-up phase. Method of measurement: DERS questionnaire. WHOQOL-BREF score. Timepoint: Before the intervention, after the intervention, in the follow-up phase. Method of measurement: WHOQOL-BREF questionnaire. Kashan University of Medical Sciences Approved 2023-08-08 Ethics Committee of Kashan University of Medical Sciences Kashan - Qutb Ravandi Boulevard - Doctor's Boulevard kashan Isfehan Iran (Islamic Republic of)