CHRONIC SURVIVORS OF BURN PAIN
Shelley A Wiechman askay, Assistant Professor
University Of Washington, Office Of Sponsored Programs, Seattle, Wa 98195-9472
Grant 5R03HD052584-02 from Eunice Kennedy Shriver National Institute Of Child Health & Human Development
Abstract: In the last 30 years there has been a dramatic increase in the survival rates of persons who suffer large burns. The increase in survival rates has highlighted rehabilitation issues, such as scarring, contractures, psychological adjustment and pain. Unfortunately, there is virtually no research that has focused on effective treatments for post-hospital pain that burn survivors experience. Consistent with the guidelines of an RO3, this is a pilot project that will test the efficacy of an innovative intervention to treat chronic burn pain that will be used to launch a larger program of study in this area with a goal of improving the quality of life for burn survivors. As a broader objective, if effective, this intervention has the potential to impact millions of people who suffer from chronic pain. The PIs will use virtual reality technology to assist with hypnosis, known as virtual reality hypnosis, which would eliminate the need for multiple sessions with a trained clinician and allow burn survivors from rural areas to benefit from hypnotic analgesia. Participants in this project will be adults and adolescents who were burned in the last two years and still have pain, and who have been weaned off their opiate medication and are coming back to the outpatient burn clinic for routine follow-up. They will be assigned to one of two groups that include virtual reality hypnosis and virtual reality distraction. Participants will be followed for one month to determine the impact the intervention has had on their pain, quality of sleep and their mood. This project proposes an innovative, state of the art intervention to treat ongoing, chronic pain in persons who have survived a burn injury. The PIs propose to use virtual reality technology to induce hypnosis that is structured to reduce discomfort from burns. Hypnosis has been shown to be an effective treatment for chronic pain from all different sources. Virtual reality technology has decreased dramatically in cost over the years and the merger between virtual reality and hypnosis will allow more people to benefit from hypnosis without having to find and train live therapists. This has the potential to reach millions of people affected by chronic pain
Keywords: 21+ years old; Absence of pain sensation; Absence of sensibility to pain; Active Follow-up; Acute; Acute Pain; Adaptation, Psychologic; Adaptation, Psychological; Adolescent; Adolescent Youth; Adult; Affect; After Care; After-Treatment; Aftercare; Area; Arts; Attention; Back; Burn injury; Burning Pain; Burns; Caring; Causality; Chronic; Cicatrix; Clinic; Clinical Treatment; Contracture; Control Groups; Controlled Clinical Trials, Randomized; Disabled Persons; Disabled Population; Distraction; Dorsum; Drops; Drugs; Etiology; Expectancy; Feels no pain; Finding of distraction; Goals; Guidelines; HOSP; Handicapped; Healed; Hospitals; Human, Adult; Hypnosis; Inpatients; Intervention; Intervention Strategies; Life; Literature; Long-Term Care; Measures; Medication; Methods and Techniques; Methods, Other; Moods; No sensitivity to pain; Nociception; Opiates; Opioid; Out-patients; Outpatients; Pain; Painful; Pains, Burning; Participant; Patients; People with Disabilities; Persons; Persons with Disabilities; Pharmaceutic Preparations; Pharmaceutical Preparations; Physical Health Services / Rehabilitation; Pilot Projects; Population; Programs (PT); Programs [Publication Type]; Psychological adjustment; Psychologist; QOL; Quality of life; Randomized Controlled Clinical Trials; Rehabilitation; Rehabilitation therapy; Rehabilitation, Medical; Relaxation; Reporting; Research; Scars; Sleep; Source; Structure; Survival Rate; Survivors; Techniques; Technology; Testing; Time; Training; Weaning; Work; adult human (21+); analgesia; chronic pain; chronic painful condition; cost; cost effective; disabled; disabled people; disease causation; disease etiology; disease/disorder etiology; disorder etiology; distraction; drug/agent; effective intervention; effective therapy; efficacy testing; emotional distress; experience; extended care; feeling distress; feeling upset; follow-up; healing; hypnotic; improved; innovate; innovation; innovative; interventional strategy; juvenile; juvenile human; neglect; nociceptive; novel; pilot study; post intervention; programs; psychologic; psychological; randomized trial; rehabilitative; rural area; treatment effect; trial regimen; trial treatment; virtual reality
Relevance: This project proposes an innovative, state of the art intervention to treat ongoing, chronic pain in persons who have survived a burn injury. We propose to use virtual reality technology to induce hypnosis that is structured to reduce discomfort from burns. Hypnosis has been shown to be an effective treatment for chronic pain from all different sources. Virtual reality technology has decreased dramatically in cost over the years and the merger between virtual reality and hypnosis will allow more people to benefit from hypnosis without having to find and train live therapists. This has the potential to reach millions of people affected by chronic pain
Project start date: 2009-02-25
Project end date: 2011-01-31
Budget start date: 1-FEB-2010
Budget end date: 31-JAN-2011
PFA/PA: PA-06-180
5R03HD052584-02 (2010): $77220
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