Mind-Body Intervention for Hip Pain

(HIPS Pilot Trial)

Overseen By Kate Jochimsen, PhD, ATC

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Massachusetts General Hospital

Disqualifiers: Previous hip surgery, Back pain

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 7

Duration: 6 weeks

5 Participants Needed

Trial Summary

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

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment HIPS for hip pain?

Research on mind-body wellness interventions, which include relaxation and cognitive techniques, shows they can reduce pain and improve mental health in older adults with chronic illnesses. This suggests that similar mind-body approaches might help manage hip pain. ^{1 2 3 4 5}

Is the mind-body intervention for hip pain safe for humans?

Research on acupuncture for hip pain, which is a type of mind-body intervention, found no serious adverse events in the studies reviewed. This suggests that such treatments are generally safe for humans, although more research is needed to confirm these findings. ^{1 3 6 7 8}

How does the HIPS treatment for hip pain differ from other treatments?

The HIPS treatment is unique because it uses a mind-body approach, incorporating techniques like relaxation, meditation, and cognitive-behavioral therapy to manage hip pain, unlike traditional treatments that may focus solely on medication or physical therapy. ^{4 9 10 11 12}

What is the purpose of this trial?

The goal of this study is to conduct a feasibility open pilot study (N=5) of HIPS with virtual exit interviews among adult patients with chronic hip joint-related pain (HRP). We will use this mixed methods information to assess the feasibility, credibility, and acceptability of the HIPS intervention and optimize the program and study methodology in preparation for a pilot feasibility randomized control trial (RCT). Deliverables: \[1\] Adapt and refine open pilot protocol, patient recruitment, provider training, and other study materials. \[2\] Assess the feasibility, acceptability, and credibility of HIPS in preparation for a future feasibility RCT.

Eligibility Criteria

This trial is for adults with chronic hip joint-related pain. It's an open pilot study, meaning it's in the early stages and looking to prepare for a larger test later on. Only five people will be chosen, so they're likely looking for specific types of patients who fit their criteria.

Inclusion Criteria

I lead a mostly inactive lifestyle.

I am over 45 and do not have severe arthritis according to my X-ray results.

Exhibits poor psychosocial health by meeting ≥1 of the criteria listed below:

Exclusion Criteria

I have pain coming from my lower back.

I had surgery on my painful hip before.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a 6-session mind-body intervention delivered in person by a trained physical therapist, focusing on relaxation, coping skills, and pain education.

6 weeks

6 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment, including a virtual exit interview and survey assessments.

24 weeks

1 visit (virtual)

Treatment Details

Interventions

• HIPS

Trial Overview The HIPS intervention is being tested, which seems to be a mind-body therapy aimed at managing chronic hip pain. Participants will go through this program and then share their experiences in virtual exit interviews to help refine the approach.

Participant Groups

Group I: HIPS Experimental Treatment 1 Intervention

A 6-session mind-body intervention that teaches patients with chronic hip joint-related pain (HRP) coping skills (e.g., SMART goal-setting, coping thoughts, deep breathing, and progressive muscle relaxation) and pain education.

Who Is Running the Clinical Trial?

Massachusetts General Hospital

Lead Sponsor

Trials

3,066

Recruited

13,430,000+

National Center for Complementary and Integrative Health (NCCIH)

Collaborator

Trials

886

Recruited

677,000+

References

1. United States pubmed.ncbi.nlm.nih.gov

Clinical outcomes following manual physical therapy and exercise for hip osteoarthritis: A case series. [2006]

2. United States pubmed.ncbi.nlm.nih.gov

Peoples' beliefs about their chronic hip pain and its care: a systematic review of qualitative studies. "I'm just getting old and breaking down". [2023]

3. United States pubmed.ncbi.nlm.nih.gov

Basic Body Awareness Therapy versus standard care in hip osteoarthritis. A randomized controlled trial. [2022]

4. United States pubmed.ncbi.nlm.nih.gov

Comparing mind-body wellness interventions for older adults with chronic illness: classroom versus home instruction. [2019]

5. England pubmed.ncbi.nlm.nih.gov

The association between psychological factors and pain exacerbations in hip osteoarthritis. [2021]

6. Switzerland pubmed.ncbi.nlm.nih.gov

Acupuncture Treatment for Hip Pain: A Systematic Review and Meta-Analysis. [2023]

7. England pubmed.ncbi.nlm.nih.gov

Exercise therapy in patients with hip osteoarthritis: Effect on hip muscle strength and safety aspects of exercise-results of a randomized controlled trial. [2022]

8. United States pubmed.ncbi.nlm.nih.gov

A single-group pretest posttest design using full kinetic chain manipulative therapy with rehabilitation in the treatment of 18 patients with hip osteoarthritis. [2022]

9. England pubmed.ncbi.nlm.nih.gov

Mind-body interventions for chronic pain in older adults: a structured review. [2022]

10. United States pubmed.ncbi.nlm.nih.gov

Mind-body therapies for the management of pain. [2022]

11. United States pubmed.ncbi.nlm.nih.gov

A classroom mind/body wellness intervention for older adults with chronic illness: comparing immediate and 1-year benefits. [2022]

12. Canada pubmed.ncbi.nlm.nih.gov

What Works in Mindfulness Interventions for Medically Unexplained Symptoms? A Systematic Review. [2020]