Cognitive Behavioral Therapy for Hip Pain

JD
MC
Overseen ByMichael C Willey
Age: < 65
Sex: Any
Trial Phase: Academic
Sponsor: Michael C Willey

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether a therapy app can help young adults with hip pain improve their well-being. The app provides cognitive behavioral therapy (CBT), a type of talk therapy that helps people manage their thoughts and emotions. Researchers aim to determine if this therapy can enhance the mental and physical well-being of individuals with nonarthritic hip conditions, such as labral tears or hip impingement. The trial seeks participants who experience hip pain or dysfunction and have been diagnosed with specific nonarthritic hip conditions. As an unphased trial, it offers a unique opportunity to contribute to innovative research that could enhance future treatment options for hip pain.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that this cognitive behavioral therapy is safe for young adults with hip pain?

Research has shown that using Cognitive Behavioral Therapy (CBT) through smartphone apps is generally safe. This well-known therapy has been adapted for mobile use. One study found that AI-driven CBT is as effective as traditional phone sessions with a therapist, making it a safe alternative. Another review demonstrated that smartphone-based CBT can improve mental health by reducing symptoms of depression and anxiety. Overall, strong evidence indicates that using an app for CBT is well-tolerated and does not cause harm.12345

Why are researchers excited about this trial?

Researchers are excited about the Cell Phone Based Cognitive Behavioral Therapy (CBT) for hip pain because it offers a convenient and accessible treatment option that differs from traditional methods like physical therapy and pain medication. This therapy is delivered through the Pacifica App, making it easy for young adults to engage with the treatment anytime and anywhere, without needing frequent in-person visits. Unlike standard treatments that primarily address physical symptoms, this app-based CBT focuses on modifying thought patterns and behaviors related to pain, potentially providing long-term relief by addressing psychological factors contributing to hip pain.

What evidence suggests that cell phone-based cognitive behavioral therapy could be effective for hip pain?

Research shows that digital tools for cognitive behavioral therapy (CBT) can reduce pain and improve physical function. In this trial, participants may receive Cell Phone Based Cognitive Behavioral Therapy using the Pacifica app. One study found that digital CBT, such as the Pacifica app, can be as effective as traditional in-person therapy. Other research suggests these digital tools can improve mental health by reducing anxiety and depression. For young adults with hip pain, these mental health improvements could enhance overall quality of life. Overall, using the Pacifica app for CBT appears promising in managing hip pain and related mental health issues.12678

Who Is on the Research Team?

ES

Elizabeth Scott, MD

Principal Investigator

University of Iowa

Are You a Good Fit for This Trial?

This trial is for young adults aged 15-39 in Iowa with nonarthritic hip pain, specifically those diagnosed with conditions like labral tear or femoroacetabular impingement. Participants must understand written English and not be receiving treatment for other issues such as hip dislocation or avascular necrosis.

Inclusion Criteria

I am 15-39 years old and seeking treatment in Iowa for hip pain not caused by arthritis.
I have hip pain or problems without arthritis, including conditions like labral tear or FAI.

Exclusion Criteria

Difficulty with written English
I am between 15 and 40 years old.
I am receiving treatment for conditions like hip issues or bone death.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive cognitive-based therapy delivered via cell phone to address psychosocial conditions during physical therapy

8 weeks
Weekly virtual sessions

Follow-up

Participants are monitored for changes in anxiety, depression, stress, and physical function using various scales

8 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Cell Phone Based Cognitive Based Therapy (Pacifica App)
  • Control
Trial Overview The study tests if a cell phone-based cognitive therapy app (Pacifica) can help improve the mental health of young adults with hip pain. It compares outcomes between those using the app and a control group without this intervention.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Cell Phone Based Cognitive Based TherapyExperimental Treatment1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Michael C Willey

Lead Sponsor

Trials
4
Recruited
730+

Published Research Related to This Trial

Internet-based cognitive behavioral therapy (CBT) interventions for chronic pain have shown significant efficacy, with improvements in disability/interference (Hedge's g = -0.39) and pain intensity (Hedge's g = -0.33) across 22 trials involving various chronic pain diagnoses.
The interventions also positively impacted psychological factors such as catastrophizing (Hedge's g = -0.49) and depression (Hedge's g = -0.26), indicating that these online treatments can effectively address both physical and mental health aspects of chronic pain.
Internet interventions for chronic pain including headache: A systematic review.Buhrman, M., Gordh, T., Andersson, G.[2022]
Standalone smartphone-based ecological momentary interventions (EMIs) based on cognitive behavioral therapy (CBT) principles have been shown to significantly improve well-being and reduce mental health symptoms among users, according to a review of 26 studies.
Users rated these EMIs as helpful and satisfying, indicating their potential as scalable and accessible mental health support, especially important during global crises like the COVID-19 pandemic.
Standalone Smartphone Cognitive Behavioral Therapy-Based Ecological Momentary Interventions to Increase Mental Health: Narrative Review.Marciniak, MA., Shanahan, L., Rohde, J., et al.[2020]
A 4-week smartphone intervention that included daily diary entries and therapist feedback significantly reduced catastrophizing in women with chronic widespread pain, showing a large effect size (Cohen's d=0.87) immediately after the intervention.
At a 5-month follow-up, the intervention continued to show moderate effects on reducing catastrophizing, improving pain acceptance, and maintaining functioning levels, indicating its long-term efficacy in supporting self-management after inpatient rehabilitation.
A smartphone-based intervention with diaries and therapist-feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain: randomized controlled trial.Kristjánsdóttir, OB., Fors, EA., Eide, E., et al.[2022]

Citations

Cognitive Behavioral Therapy for Hip PainTrial Overview The study tests if a cell phone-based cognitive therapy app (Pacifica) can help improve the mental health of young adults with hip pain. It ...
Digital Care Programs for Chronic Hip PainThis single-arm interventional study assesses the clinical outcomes and engagement of a completely remote multimodal DI in patients with chronic hip pain.
Patient-Centered Pain Care Using Artificial Intelligence ...The findings of this randomized trial indicated that AI-CBT-CP can achieve noninferior and possibly better outcomes relative to standard CBT-CP ...
Behavioral Therapy–Based Digital Interventions for ...Conclusions: Moderate- and low-quality evidence supported that behavioral therapy–based digital tools improved pain intensity, physical function ...
Patient-Centered Pain Care Using Artificial Intelligence ...This randomized comparative effectiveness trial of AI-CBT-CP found that its outcomes were not inferior to those of 45-minute telephone therapist sessions.
Digital Care Programs for Chronic Hip PainThis single-arm interventional study assesses the clinical outcomes and engagement of a completely remote multimodal DI in patients with chronic hip pain. This ...
Standalone Smartphone Cognitive Behavioral Therapy ...This review investigates standalone smartphone-based ecological momentary interventions (EMIs) built on principles derived from CBT that aim to improve mental ...
Assessing the Efficacy of Mobile Health Apps Using ...The same study also found that TF-CBT reduced symptoms of not only PTSD but depression and anxiety and also enabled a better quality of life.
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