ImPaC Resource Intervention (INT) for Pain

Phase-Based Estimates
1
Effectiveness
1
Safety
The Hospital for Sick Children, Toronto, Canada
+1 More
ImPaC Resource Intervention (INT) - Behavioral
Eligibility
Any Age
All Sexes
Eligible conditions
Pain

Study Summary

The Effectiveness of a Multifaceted Knowledge Translation Intervention on Pain in Hospitalized Infants

See full description

Eligible Conditions

  • Pain
  • Infants

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether ImPaC Resource Intervention (INT) will improve 3 primary outcomes, 3 secondary outcomes, and 1 other outcome in patients with Pain. Measurement will happen over the course of Prior to start of intervention for INT arm.

Month 6
Frequency of painful procedures
Proportion of infants with procedural pain assessed
Proportion of infants with procedural pain management
At completion of 6-month intervention for INT arm
Implementation costs
Integration of the Resource into the practice (Reach)
Use of the Resource (Feasibility/Fidelity)
Prior to start of intervention for INT arm
Context evaluation (ACT)

Trial Safety

Trial Design

2 Treatment Groups

Control
ImPaC Resource Intervention (INT)

This trial requires 21 total participants across 2 different treatment groups

This trial involves 2 different treatments. ImPaC Resource Intervention (INT) is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

ImPaC Resource Intervention (INT)
Behavioral
The INT arm will receive the 7-step web-based ImPaC intervention to use over 6 months. The intervention is divided into the Plan Stage and the Change Stage. The Plan Stage (steps 1-4) is expected to be completed in 1 month. The Change Stage (steps 5-7) is expected to be completed in 1-2 months. We anticipate that Change Teams will be able to complete 2 cycles of change over the 6-month intervention period.
ControlNo treatment in the control group

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: at 6 months after randomization
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly at 6 months after randomization for reporting.

Who is running the study

Principal Investigator
B. S.
Bonnie Stevens, Senior Scientist
The Hospital for Sick Children

Closest Location

The Hospital for Sick Children - Toronto, Canada

Eligibility Criteria

This trial is for patients born any sex of any age. There are 10 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
are Level 2 or Level 3 NICUs in Canada
have at least 15 beds,
agree to participate for 24 months.
• are hospitalized for the designated 24h period for chart review
infant leaves the unit at any time (transfer, surgeries, procedures) during the designated 24h period for chart review
parents request to opt out of the study.
are a health care professional
are English speaking
have 3+ years of experience in the NICU
have flexibility within their role to engage in the study,

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Does pain run in families?

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A significant familial component to pain is suggested by the higher frequency of pain in twins (3:1) and siblings (3:1) than in twins (1:1) and siblings (2:1), with the most consistent contribution by a single gene.

Unverified Answer

Does impac resource intervention (int) improve quality of life for those with pain?

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Patient self-management (c) of their pain offers a way to improve HRQOL in people with painful conditions, and this finding has the potential to improve pain management.

Unverified Answer

Have there been other clinical trials involving impac resource intervention (int)?

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The current trial demonstrates the effective clinical application of impac resource intervention in combination with other interventions. Impac has potential to be an effective and beneficial complementary preventive intervention for children diagnosed with attention-deficit hyperactivity disorder.

Unverified Answer

How many people get pain a year in the United States?

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The number of people with chronic pain may be much higher than currently reported in the United States for many reasons. This report offers one example of the utility of a survey technique to discover the nature of chronic pain in a more equitable manner. It also provides a valuable database for future researchers.

Unverified Answer

What is pain?

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Pain is defined as "pain arising from normal adaptive processes, and being experienced as unpleasant." By definition, pain is a type of sensory phenomenon and is processed in the same way as other sensory information processing. When assessed as a sensory phenomenon, pain is processed in a similar way to other sensory processes as an adaptive response.\n

Unverified Answer

What are common treatments for pain?

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Patients are usually encouraged to take medications as needed and then to monitor and adjust their dosage of the medication. This process can be repeated as pain levels decrease, giving an opportunity to optimize pain relief and make the most of the time allotted in the clinic. Overall, non-pharmacological treatment and counseling can help tremendously to minimize the pain associated with a diagnosis of cancer.

Unverified Answer

What are the signs of pain?

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Pain is a normal and common experience. However, pain may be caused by various pathological processes and may need appropriate management. The presence of a history of or current pain should not be used to exclude specific diagnoses.\n

Unverified Answer

What causes pain?

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Pain is a complex and pervasive problem in which an understanding of the many factors influencing an individual's subjective experience will provide a more effective methodology for targeting treatment goals.

Unverified Answer

Can pain be cured?

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Pain can't be prevented but can be managed to control a certain extent. People with [chronic pain](https://www.withpower.com/clinical-trials/chronic-pain) should receive the full range of pain management so the pain will not continue.

Unverified Answer

What is the average age someone gets pain?

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Pain is a common complaint, and the average amount of pain is moderate. Pain intensity and disability are usually associated with the severity of symptoms, and a patient's age can affect an individual's pain perception.

Unverified Answer

Has impac resource intervention (int) proven to be more effective than a placebo?

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We conclude that the study provided an important contribution to the existing literature in that it was the first assessment of patient-related outcomes of an IP intervention, which has highlighted the need for an IP intervention to be evaluated within a larger study. We conclude that while there may be some minor benefit in impac's effect on patient outcomes at 12 months, such benefits are no longer reflected at 36 months, suggesting a lack of sustained benefit.

Unverified Answer

What does impac resource intervention (int) usually treat?

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The key to successful intervention is the integration of the person's emotional, practical and intellectual needs into a package that addresses his/her functional impairment. The successful intervention model consists of five components: The assessment of the extent and severity of the functional impairment attributable to anxiety, depression and psychosomatic aspects; The development of a functional disability management plan (CDM) that incorporates the individual's functioning and participation expectations; and a follow-up treatment plan that is adjusted by the therapist and the client as needs arise. Further, it seems important to be aware of the individual's psychosomatic reactions to the impacc intervention that is required to optimize both the client's performance and the therapy outcomes.

Unverified Answer
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