Overview
The goal of this clinical trial is to conduct a randomized controlled trial (RCT) to test the feasibility of two dose- and time-matched pain management programs, delivered via live video, for adults with chronic (lasting at least 3 months) and non-arthritic hip-related pain (HRP). Following pre-determined benchmarks, findings from this trial will be used to assess the feasibility, credibility, and acceptability of both programs (HIPS-1, HIPS-2). In preparation for a future clinical trial powered to test efficacy, we will optimize the protocol for patient recruitment, study protocol, and fidelity materials.
Description
Aim: Conduct an RCT testing the feasibility of two dose- and time-matched pain management programs, delivered via live video, for adults with chronic (lasting at least 3 months) and non-arthritic HRP. The ultimate goal of this research is to assess the feasibility, credibility, and acceptability of both interventions (HIPS-1, HIPS-2) and optimize the program and study methodology in preparation for a future RCT powered to assess efficacy.
HIPS-1 and HIPS-2 Interventions: Both programs consist of 6 sessions delivered via live video (i.e., Zoom) and are tailored to the needs of patients with non-arthritic HRP seeking physical therapy/rehabilitation. Both programs aim to improve the management of the subjects' HRP by providing helpful information. Sessions, regardless of program assignment, are held weekly. In between sessions, subjects complete a brief check-in survey.
Participants will complete the baseline assessment (i.e., digital self-report survey battery). Following the baseline assessment, participants will be randomized to one of the two conditions (HIPS-1, HIPS-2) and complete their 6 program sessions within approximately 6-weeks. Participants will complete additional survey assessments directly following their final program sessions, and once more, 6 months later.
Assessments: Baseline (0 weeks), post-test (6 weeks), and 6-month follow-up (30 weeks) survey assessments.
Eligibility
Inclusion Criteria:
- Presenting with chronic (lasting ≥3 months) hip joint-related pain
- Fluent in English
- Age ≥18yr \[If ≥45yr, the physician will confirm no osteoarthritis via X-ray (Kellgren Lawrence \[KL\] grade 0-1)\]
- Score ≥3 for current hip pain on the Pain-VAS
- Psychological risk factor for the maintenance of pain by meeting ≥1 of the criteria listed below:
- Score ≥ 20 on the PCS
- Score ≤ 40 on the PSEQ
- Score ≥ 17 on the TSK-11
- Exhibits sedentariness or dissatisfaction with physical activity by meeting ≥1 of the criteria listed below:
- Physically active \< 150mins/week according to the IPAQ-SF
- Hip pain interferes with the ability to be physically active
- Dissatisfaction with the current physical activity level
Exclusion Criteria:
- Previous surgery on the symptomatic (painful) hip
- Current pain referred from the lower back
