OBJECTIVE Chronic pain is one of the most common and interfering symptoms experienced by people with MS. There is an opportunity to shift the paradigm from interventions delivered after pain has become chronic to early, proactive interventions to alter the impact of MS-related pain. The purpose of this study was to develop and test a remotely delivered single-session group intervention to modify the pain trajectory for individuals with early MS. Research Method/Design: This was a single-center 2-group pilot randomized (1:1) controlled trial comparing a novel videoconference-delivered single-session pain intervention to a waitlist control. Participants were N = 27 adults who were diagnosed with MS in the preceding 36 months and who had moderate or worse pain. The study team developed the intervention to introduce pain coping and commonly used cognitive, behavioral, and acceptance-based approaches for adaptive coping. Participants completed outcome assessments on pain intensity, interference, and coping at pretreatment, posttreatment, and 3-months posttreatment. RESULTS Among participants in the treatment arm, the majority (54%) indicated satisfaction with treatment and all (100%) indicated continued use of strategies learned in the intervention. The 2 groups did not differ on any of the outcomes at any time point, and large standard deviations were found on most of the measures for both groups at all timepoints. CONCLUSIONS/IMPLICATIONS This brief, highly accessible intervention targeting pain coping in individuals with early MS is feasible and acceptable. Further research is needed to better understand the effectiveness of the intervention both immediately and in positively impacting future coping in this population. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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单次会议、视频会议提供的多发性硬化症疼痛小组干预的可行性和可接受性。

目标 慢性疼痛是 MS 患者最常见的干扰症状之一。有机会将模式从疼痛变成慢性后提供的干预转变为早期的主动干预，以改变 MS 相关疼痛的影响。本研究的目的是开发和测试远程交付的单次小组干预，以修改早期 MS 患者的疼痛轨迹。研究方法/设计：这是一项单中心 2 组试点随机 (1:1) 对照试验，将新型视频会议提供的单次疼痛干预与候补名单对照进行比较。参与者是 N = 27 名在前 36 个月内被诊断出患有 MS 并且有中度或更严重疼痛的成年人。研究团队开发了干预措施，以引入疼痛应对和常用的基于认知、行为和接受的适应性应对方法。参与者在治疗前、治疗后和治疗后 3 个月完成了对疼痛强度、干扰和应对的结果评估。结果 在治疗组的参与者中，大多数 (54%) 表示对治疗感到满意，所有 (100%) 表示继续使用在干预中学到的策略。两组在任何时间点的任何结果都没有差异，并且在所有时间点两组的大多数测量中都发现了较大的标准偏差。结论/意义 这种针对早期 MS 患者疼痛应对的简短、高度可及的干预措施是可行和可接受的。需要进一步研究以更好地了解干预措施的有效性，即立即和积极影响该人群未来的应对方式。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。