The goal Aim 1 of this investigation is to characterize the diagnosis of chronic pain in torture survivors. The investigators hypothesize that using a validated pain screen to supplement the existing United Nations Istanbul Protocol can improve the ability to detect pain from 15% to 90% in this study population. Investigators will test this hypothesis by conducting a prospective, blind comparison to gold standard study. The goal of Aim 2 is to evaluate the acceptability of somatic pain treatment using qualitative interviews of torture survivors. The goal of Aim 3 is to assess the feasibility of recruiting and retaining participants in a digital pain program over six months.
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Aim 1: Number of participants for whom "yes" is indicated for pain as assessed by the United Nations Istanbul Protocol (UNIP).
Timeframe: Day 1 (One-time Research Appointment)
Aim 1: Number of participants for whom "yes" is indicated for pain as assessed by the United Nations Istanbul Protocol (UNIP) and the Brief Pain Inventory Short Form (BPISF).
Timeframe: Day 1 (One-time Research Appointment)
Aim 1: Number of participants for whom "yes" is indicated for pain as assessed by pain specialist evaluation.
Timeframe: Day 1 (One-time Research Appointment)
Aim 2: Themes emerging across qualitative interview transcripts.
Timeframe: Day 1 (One-time Research Appointment)
Aim 3: The recruitment as measured by the number of participants enrolled.
Timeframe: 1.5 years
Aim 3: The retention as measured by the number of participants who complete the follow-up appointment 6 months after their baseline appointment.
Timeframe: 6 months
Aim 3: The adherence as measured by the number of participants who answer 1 or more Ecological Momentary Assessment (EMA) questions.
Timeframe: 6 months
Aim 3: The adherence as measured by the number of participants who wear their Fitbit for 1 or more days.
Timeframe: 6 months