Agile Development of a Digital Exposure Treatment for Youth With Chronic Musculoskeletal Pain

  • End date
    May 1, 2026
  • participants needed
  • sponsor
    Stanford University
Updated on 4 October 2022
behavior therapy
chronic pain


This project proposes to systematically develop and evaluate the feasibility and preliminary effectiveness of a digitally delivered, graded exposure treatment for youth with chronic musculoskeletal pain, utilizing a sequential replicated and randomized single-case experimental design (SCED). SCED provides the opportunity to rigorously evaluate treatment effectiveness at the individual level.

Development of iGET Living will be based on a series of short iterations, with alpha testing (Aim 1) on a small sample of adolescents with chronic pain (N = 15) and their parents (N = 15). For Aim 1, participants will participate in three, two hour focus groups (one per week over the course of three weeks), resulting in 6 total hours of participation per participant for Aim 1.

Aim 2 will involve a sample (N = 20 youth, N = 20 parents) of naïve end-users. Participants will be enrolled in a baseline period ranging from 7-25 days (done to support SCED methodology) after which they will be enrolled in the online intervention program, lasting 6-weeks. Patients will be contacted 3-months post-discharge from treatment (week 22 of enrollment) and will complete self-report outcome measures at this time.

Condition Chronic Pain, Exposure, Adolescent Behavior, Child Behavior
Treatment Graded exposure treatment (GET)
Clinical Study IdentifierNCT05079984
SponsorStanford University
Last Modified on4 October 2022


Yes No Not Sure

Inclusion Criteria

Youth ages 10-17
Have diagnosis of chronic musculoskeletal pain (>3months)
Have moderate to high pain interference (PROMIS Pain Interference ≥ 61)
English literate
Have access to computer, smartphone, or tablet with internet connection

Exclusion Criteria

Significant cognitive impairment (e.g., brain injury)
Significant medical or psychiatric problems that would interfere with treatment
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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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