Urologic chronic pelvic pain syndrome: insights from the MAPP Research Network.
J Quentin Clemens, Chris Mullins, A Lenore Ackerman...
https://pubmed.ncbi.nlm.nih.gov/30560936/Actively Recruiting
Led by State University of New York at Buffalo · Updated on 2026-01-26
240
Participants Needed
3
Research Sites
25 weeks
Total Duration
Researchers are studying a brief cognitive behavioral therapy CBT program designed to reduce symptoms of urologic chronic pelvic pain syndrome UCPPS, which includes conditions like interstitial cystitisbladder pain syndrome and chronic prostatitis. This research explores a shorter, 4-session transdiagnostic behavioral treatment that may be easier for patients, providers, and payers to use compared to longer traditional therapies. The study also aims to understand how this therapy works and who benefits most, especially given the high costs and widespread impact of related chronic pain conditions. Participants will be randomly assigned to receive either a minimal contact CBT involving four sessions focused on teaching self-management skills for pelvic pain and urinary symptoms or a four-session educationsupport program providing science-based information and therapeutic support. Both treatments are largely home-based with minimal therapist contact. The study measures treatment effects at baseline, after 12 weeks, and at 3- and 6-month follow-ups to assess symptom improvements and treatment durability. During the study, participants will complete various assessments including symptom diaries, validated questionnaires for pain and psychological symptoms, and satisfaction surveys. The primary outcome is the Clinical Global Impressions Improvement Scale measured 12 weeks after baseline. Researchers also evaluate secondary outcomes like pain impact, symptom severity, and psychological distress. Follow-up assessments occur up to 6 months post-treatment to monitor ongoing effects and participant progress over time.
CONDITIONS
EPPIC: Easing Pelvic Pain Interventions Clinical Research Program
J
Jeffrey Lackner, PsyD
P
Patricia O'Leary, EdM
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State University of New York at Buffalo
Lead Sponsor
University of California, Los Angeles
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Minimal Contact-Cognitive Behavioral Therapy | Education/Support |
|---|---|---|
| What it is | A four-session, home-based cognitive behavioral therapy (CBT) program with minimal therapist contact. The intervention focuses on self-management skills for managing UCPPS symptoms by teaching participants to modify beliefs and reactions that aggravate pain and urinary issues. | A four-session, home-based education and support program. This intervention provides participants with relevant information about UCPPS—covering symptoms, diagnosis, causes, effects, and available treatment options—along with supportive patient-clinician communication. |
| Role in trial | Investigational behavioral intervention arm intended to test whether brief CBT with minimal contact improves pelvic pain and symptom self-management in UCPPS. | Active comparator arm designed to control for nonspecific treatment and support effects, serving as a behavioral comparison for the main investigational intervention. |
| Primary use | To deliver brief cognitive behavioral therapy targeting symptom relief and improved coping in people with UCPPS in a format compatible with minimal in-person visits. | To provide structured education and ongoing support to people with UCPPS, helping them understand and manage their condition with up-to-date information and patient-clinician collaboration. |
| How it is given or performed | Delivered over four structured sessions, primarily home-based, with minimal therapist contact through phone, videoconference, or limited in-person meetings. Sessions focus on skill-building, self-monitoring, and symptom diaries. | Also delivered over four home-based sessions, with support available via phone or online communication. Sessions include information on UCPPS and opportunities for questions and supportive discussion. |
| Evidence status | Effectiveness and patient benefits are under investigation. Broader literature shows CBT helps some people with chronic pelvic pain, but large-scale data in UCPPS, especially using minimal contact formats, remain limited and further evaluated in this trial. | Used widely to provide knowledge and support for UCPPS, but does not target pain-coping skills directly. Available evidence supports patient education for improving understanding and engagement, but its effect on symptom relief is less direct than CBT. |
| Important limitations | As an experimental behavioral therapy, it requires patient motivation and ability to engage with home-based cognitive and self-monitoring tasks. Findings may not generalize to severe cases requiring intensive or in-person therapies, and further trials are needed to establish broader efficacy. | May support understanding and engagement but does not provide specific skills for pain or symptom management. Effects may be more limited for those with more severe UCPPS symptoms or those seeking active coping strategies. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 10 weeks
Participants receive a 4-session, home-based treatment over 10 weeks teaching self-management skills for urological chronic pelvic pain syndrome or receive education/support sessions.
4 sessions (in-person or remote)
Duration - Up to 6 months after treatment
Participants complete efficacy and symptom assessments at 12 weeks, with additional follow-ups at 3 and 6 months to evaluate symptom durability.
3 visits (post-treatment assessments at 12 weeks, 3 months, and 6 months)
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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J Quentin Clemens, Chris Mullins, A Lenore Ackerman...
https://pubmed.ncbi.nlm.nih.gov/30560936/Jeffrey M Lackner, James Jaccard, Brian M Quigley...
https://pubmed.ncbi.nlm.nih.gov/35964133/Carsten Leue, Joanna Kruimel, Desiree Vrijens...
https://pubmed.ncbi.nlm.nih.gov/27922040/State University of New York at Buffalo
Lead Sponsor
University of California, Los Angeles
Collaborating Sponsor