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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: German Clinical Trials Register
Last refreshed on: 8 April 2024
Main ID:  DRKS00015465
Date of registration: 03/09/2018
Prospective Registration: No
Primary sponsor: Deutsche Rentenversicherung Bund
Public title: A combined pain competence and depression prevention training in inpatient multidisciplinary rehabilitation for chronic low back pain (Debora I)
Scientific title: A combined pain competence and depression prevention training in inpatient multidisciplinary rehabilitation for chronic low back pain (Debora I) - Debora I
Date of first enrolment: 06/10/2014
Target sample size: 1173
Recruitment status: Complete
URL:  http://drks.de/search/en/trial/DRKS00015465
Study type:  interventional
Study design:  Allocation: Randomized controlled study; Masking: Open (masking not used); Control: active; Assignment: parallel; Study design purpose: prevention  
Phase:  2
Countries of recruitment
Germany
Contacts
Name: Steffen    Ohmann
Address:  Postfach 10704 Berlin Germany
Telephone: 03086582613
Email: steffen.ohmann@drv-bund.de
Affiliation:  Deutsche Rentenversicherung Bund
Name: Petra    Hampel
Address:  Auf dem Campus 1 24943 Flensburg Germany
Telephone: 04618052418
Email: petra.hampel@uni-flensburg.de
Affiliation:  Europa-Universität Flensburg
Key inclusion & exclusion criteria
Inclusion criteria: A diagnosis of CLBP lasting at least 6 months (ICD-10: M51, M53, M54), informed consent for participation, and German language skills.
Exclusion criteria: Patients were excluded if they underwent surgery or had an accident in the last 6 months before rehabilitation, had somatic diseases inducing back pain (radicular symptoms, tumors, osteoporosis, inflammation, fibromyalgia), were pregnant, had infections, had cardiovascular or metabolic diseases affecting rehabilitation, or had a serious psychiatric disorder (severe anxiety disorder, depression, or psychotic symptoms, posttraumatic stress disorder).

Age minimum: 20 Years
Age maximum: 65 Years
Gender: All
Health Condition(s) or Problem(s) studied
Other intervertebral disc disorders
Dorsalgia
Other dorsopathies, not elsewhere classified

M51
M54
M53
Intervention(s)
Group 1: Control group: consisted of 75-minute group interventions guided by a psychotherapist and a 25-minute group workshop without a psychotherapist and dealt with behavioral patterns, cognitions, emotions, and stress and their relation to pain (see also Mohr et al., 2017).
Group 2: Intervention group: also received pain competence training and additionally a cognitive-behavioral depression prevention training, which included another four 75-minute sessions followed by a 25-minute workshop without a psychotherapist. The treatment elements were Activity Management, Pain Communication and Emotions, Cognitive Restructuring and Stress Management. The depression prevention training built on the contents of pain competence training and deepened it.
Primary Outcome(s)
To assess the primary outcome and the secondary outcome measures as well as the sociodemographic parameters, standardized questionnaires were used at the beginning of rehabilitation (t0), immediate after rehabilitation (t1), 6 (t2), 12 (t3) and 24 months after rehabilitation (t4).

Primary target size:
- Depression (German version of the Center for Epidemiological Studies Depression Scale (CES-D)
- anxiety (anxiety scale of the Hospital Anxiety and Depression Scale; HADS)
- Somatization (Brief Symptom Inventory; BSI-18)
- Symptoms of anxiety and depression in addition with Patient Health Questionnaire (PHQ-4)
- Short version of the short-form health survey (SF-12)
Secondary Outcome(s)
Other essential parameters relate inter alia. on:
- Pain-related parameters (e.g., DGSS pain questionnaire),
- pain-related self-efficacy (FESS)
- pain coping (FESV-BW),
- pain cognitions (AEQ),
- General and occupational-related strain (TICS and SPE)
- Subjective work ability (WAI).
Secondary ID(s)
Source(s) of Monetary Support
Deutsche Rentenversicherung Bund
Secondary Sponsor(s)
Ethics review
Status: Approved
Approval date: 19/09/2013
Contact:
Ethikkommission der Deutschen Gesellschaft für Psychologie Ethik-Kommission DG Psychologie - Universität Trier [Ethikkommission der Deutschen Gesellschaft für Psychologie Ethik-Kommission DGPsychologie - Universität Trier ]
Results
Results available:
Date Posted:
Date Completed: 28/02/2018
URL: http://drks.de/search/en/trial/DRKS00015465#studyResults
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