An interventional study of Mind-body mobile application and guided movement in Chronic Pain, Migraine and Chronic Pain Syndrome, sponsored by University of the Fraser Valley. Not yet recruiting at 1 site in Canada. Open to participants aged 19 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-09-08.
Sponsored by University of the Fraser Valley · Not applicable, Interventional, and Treatment
The investigators are evaluating the effects of a mind-body mobile application, in combination with a guided movement program, on the experience of chronic pain. Participants meeting the criteria for chronic/persistent pain (confirmed via self-report) will complete an online baseline questionnaire. Eligible participants will take part in an intervention that involves use of a 6-week free trial of a mind-body focused mobile application in combination with virtual asynchronous audio-guided somatic education sessions (gentle movement). External data from a usual care control arm and a mobile-app-only arm from a previous study by the same research team, National Clinical Trials (NCT) registry number NCT05090683, will be used for comparison with the current combined intervention. All participants will complete online surveys at the start of the study and after 6 weeks to measure pain intensity and interference (primary outcomes), mental health outcomes (depression, anxiety, stress), pain-related thoughts (pain catastrophizing), quality of life, and fear of movement (secondary outcomes). From weeks 2 to 6, participants will fill out weekly surveys to track how often they engage with each: the somatic education (gentle movement) program and the mobile app. Participants will also complete a follow-up survey at 12 weeks (6 weeks post-intervention conclusion).
See protocol for more details. (submitted at time of registration)
2,930 studies on the registry are indexed under Chronic Pain; 701 are open to participants now.
This study's planned enrollment of 100 is above the median of 60 across 2,161 interventional studies indexed under Chronic Pain.
Browse Chronic Pain studies →University of the Fraser Valley is the lead sponsor of 5 studies on the registry; 4 are open to participants now.
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Exclusion Criteria:
Participants are asked to engage (minimum 4x per week) with a user-guided mobile application (app) that employs mind-body techniques including expressive writing, meditation, cognitive behavioural therapy, and pain education. The app also includes access to podcasts that focus on pain counselling and pain education. Participants are also asked to follow (3x per week) an audio-guided somatic education program (light-intensity graded movement).
Behavioral: Mind-body mobile application and guided movement
Self-directed: The study team recommends daily use of the mobile app for 6 weeks, with a minimum of 4 times per week, and engagement with the somatic education program at least 3 times per week for 6 weeks. Frequency of app usage and somatic education engagement will be monitored via weekly surveys.
Change in Brief Pain Inventory-short form (BPI-SF) Pain Severity
Measures self reported pain severity (over past 24 hours). BPI Pain Severity: single item scale within larger Brief Pain Inventory tool that asses pain "average" pain severity. Item scale ranges from 0 to 10. 0 = "no pain", 10 = "pain as bad as you can imagine". Higher scores indicate worse outcome (pain severity), lower scores indicate better outcome. Item range = (0,10).
Time frame: Baseline, 6 weeks.
Change in Brief Pain Inventory-short form (BPI-SF) Pain Interference
Item 9 on the BPI measures interference with daily living. There are 7 items (reflecting seven daily activities) and each is scored on 11-point scales from 0 = "does not interfere" to 10 = "completely interferes" for interference with activities of daily living. Pain interference score is calculated as an average of the 7 items, with a range from 0 to 10. Higher scores represent worse outcomes (higher interference).
Time frame: Baseline, 6 weeks.
Change in Patient Reported Outcome Measurement Information System (PROMIS) Pain Intensity short form 3a
Measures self reported pain intensity over the past 7 days "on average" and "at its worst" along with an item to assess pain intensity "now". The three items are added together to produce a raw score which can be converted to a t-score. Each item uses 5-pt Likert scale from 1 = "had no pain" to 5 = "very severe". Raw scores range from 3 to 15. Higher scores indicate worse outcomes.
Time frame: Baseline, 6 weeks, 12 weeks
Change in Patient Reported Outcome Measurement Information System (PROMIS) Pain Interference short form 8a
Measures self reported pain interference in daily activities (over 7 days). 8 items are added together for a raw score, which can then be converted to a t-score. Each item uses 5-pt Likert scale from 1 = "not at all" to 5 = "very much" (regarding pain interference). Raw scores range from 8 to 40. Higher scores indicate worse outcomes.
Time frame: Baseline, 6 weeks, 12 weeks
Change in Pain Catastrophizing Questionnaire (PCS)
Measures thoughts and perceptions of pain, 13 items, scored using 5-pt Likert scale 0 = "not at all" to 4 = "all the time". Scores are the sum of all items. min score = 0; max score = 52. Higher scores indicate worse outcomes.
Time frame: Baseline, 6 and 12 weeks
Change in Depression, Anxiety, and Stress Scale (DASS-21)
Measures self reported emotional states, three subscales: depression, anxiety, stress (each 7 items) Items scored on 4-point Likert scale: 0 = "did not apply to me at all" to 3 = "applied to me very much or most of the time". Scores for each subscale are summed. Scores are then multiplied by 2 to calculate final score for each subscale. Scale ranges for each subscale is from 0 to 42 (after doubling of scores). Higher scores indicate worse outcomes.
Time frame: Baseline, 6 and 12 weeks
Change in Quality of Life Short Form 12 (SF-12) Physical Component Score
Measures self-reported impact of health on daily life. The SF-12 is a brief version of the SF-36 and contains 12 items measured using a variety of Likert scales and dichotomous yes/no scales, with each item response assigned a numerical weight. The Physical Component Score (PCS) is a summary score that is reported as a z-score. Scores are calculated using regression weights and constants that have been derived from a U.S. population. Each item response choice category is coded as an indicator variable (scored 1 / 0). Indicator variables are weighted using regression coefficients from the US population for the PCS. The weighted scores across all items are then summed and are added to a constant (regression intercept) to obtain a summary score. Score ranges 0 to 100. Normalized score such that component scales have a mean of 50 and standard deviation of 10 in the general population. Lower scores indicate worse outcomes. Higher scores indicate improved physical health.
Time frame: Baseline, 6 and 12 weeks
Change in Quality of Life Short Form 12 (SF-12) Mental Component Score
Measures self-reported impact of health on daily life. The SF-12 is a brief version of the SF-36 and contains 12 items measured using a variety of Likert scales and dichotomous yes/no scales, with each item response assigned a numerical weight. The Mental Component Score (MCS) is a summary score that is reported as a z-score. Scores are calculated using regression weights and constants that have been derived from a U.S. population. Each item response choice category is coded as an indicator variable (scored 1 / 0). Indicator variables are weighted using regression coefficients from the US population for the MCS. The weighted scores across all items are then summed and are added to a constant (regression intercept) to obtain a summary score. Score ranges 0 to 100. Normalized score such that component scales have a mean of 50 and standard deviation of 10 in the general population. Lower scores indicate worse outcomes. Higher scores indicate improved mental health.
Time frame: Baseline, 6 and 12 weeks
Change in Tampa Scale of Kinesiophobia Questionnaire (TSK)
Measured self-reported kinesiophobia assessing fear of movement or re-injury due to pain. Each item rated on a 4-point Likert scale: 1 = "strongly disagree" to 4 = "strongly agree." Total score range = (11, 44). Higher scores indicate greater fear of movement and worse outcomes.
Time frame: Baseline, 6 and 12 weeks
Change in Brief Pain Inventory Pain Severity Composite Score
A composite score derived from the average of four items that assesses at its "worst", "least", "average" over the past 24 hours, along with "now". Item scales range from 0 to 10. 0 = "no pain", 10 = "pain as bad as you can imagine". Higher scores indicate worse outcome, lower scores indicate better outcome. Item range = (0,10).
Time frame: baseline, 6 weeks, 12 weeks
Change in Brief Pain Inventory Pain Severity (from baseline to 12 weeks)
Note: This is a secondary outcome (change from 0 to 6 weeks is a primary outcome). Measures self reported pain severity and pain interference (over past 24 hours). BPI Pain Severity: single item scale within larger Brief Pain Inventory tool that inquires about "average" pain severity over the past 24 hours. Item scale ranges from 0 to 10. 0 = "no pain", 10 = "pain as bad as you can imagine". Higher scores indicate worse outcome, lower scores indicate better outcome. Item range = (0,10).
Time frame: baseline, 12 weeks
Change in Brief Pain Inventory Interference (from baseline to 12 weeks)
Note: This is a secondary outcome (change from 0 to 6 weeks is a primary outcome). Measures self reported pain interference (over past 24 hours). BPI Pain Interference: Item 9 on BPI measures interference with daily living. There are 7 items embedded within and each is scored on 11-point scales from 0 = "does not interfere" to 10 = "completely interferes" for interference with activities of daily living. Pain interference score is calculated as an average of the 7 items, with a range from 0 to 10. Higher scores represent worse outcomes.
Time frame: baseline, 12 weeks
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University of the Fraser Valley