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Trial Detail

CUHK_CCRB00498

2016-01-07

Prospective

Protocol Version 2 dated 16 November 2015

The Hong Kong Pain Society

Hospital Authority

The Chinese University of Hong Kong

Form a group with the primary sponsor in which the responsibilities of sponsorship are allocated among the members of the group

LAM Chi Shan

Pain Management Center
1/F, BLock A
Alice Ho Liu Ling Nethersole Hospital
11 Chuen On Road
Tai Po, New Territories
HONG KONG

(852)26893155

lcs178@ha.org.hk

Alice Ho Miu Ling Nethersole Hospital, Hospital Authority

HONG KONG, CHINA

CHI SHAN LAM

Pain Management Center
1/F, BLock A
Alice Ho Liu Ling Nethersole Hospital
11 Chuen On Road
Tai Po, New Territories
HONG KONG

(852)97453211

lcs178@ha.org.hk

Department of Anaesthesiology and Operating Services, Hospital Authority

Hong Kong

A quantitative and qualitative evaluation of labyrinth waking on chronic pain patients: a pilot study

A quantitative and qualitative evaluation of labyrinth waking on chronic pain patients: a pilot study

慢性疼痛病人體驗明陣的量性和質性評估:一项前瞻性研究

Labyrinth Walking Study

HONG KONG

Yes

2015-12-23

Joint CUHK-NTEC Clinical Research Ethics Committee

CREC 2015.639

Chronic Pain

Behavior

Labyrinths are found across the globe and have been used over thousands of years. They do not belong to any religion, denomination, or culture (Densford, 2007).

A labyrinth is a single path that leads to a center. It is unique in that it does not copy anything from nature, but mostly likely was conjured up in the human imagination (McCullough, 2004, cited in Cunningham, 2012, pp. 4—5).
The process of walking the labyrinth involves three phases: walking toward the center, the stage of releasing or letting go of thoughts or cares; reaching the center, the stage of receiving new insight or spiritual grace; and walking back out, the stage of union or of returning to the world with new awareness. The labyrinth can be walked individually or as group (single-file), and is often done slowly, in silence or to soft music (Monroe, 2008).
They are currently being used worldwide in a variety of ways: to seek spiritual guidance, to quiet the mind, to cope with problems or loss, to reduce stress or develop more balance, to ease transition, to increase creativity or simply to be self-reflective (Monroe, 2008).

The experience of walking a labyrinth is entirely individual, unpredictable and even a little mysterious (Monroe, 2008). Their therapeutic use has been exploded in the United States in the past 15years (Artress, 2006, cited in Densford 2007). Physical, psychological, and spiritual benefits are shown. Physically, a labyrinth walk can lower the blood pressure and slow the breathing. Psychologically, labyrinths help people process grief, make decisions, and resolve conflicts. Spiritually, many people find that walking a labyrinth is a fitting metaphor for the inner journey and that it expands their connection to something greater than themselves (Wasko-Flood, 2010).

Reference

Cunningham, M., 2012. Integrating spirituality in clinical social work practice: walking the labyrinth. Boston: Pearson.

Densford, L., 2007. The path to healing. An Alabama provider adds a labyrinth to its campus. Behavioral Healthcare 27:9, pp. 28-29.

Monroe, M., 2008. Labyrinth: walking the path of the heart: could this centuries-old meditation help you or your clients explore the body-mind connection? (Inner idea) IDEA Fitness Journal, 5:3, pp.81—83.

Wasko-Flood, S., 2010. CHAPTER 8: Labyrinths for Creativity and Peace in Schools, Action in Teacher Education, 32:5-6, pp. 144-159, DOI: 10.1080/01626620.2011.10519479

Labyrinth Walking

1 to 2 hours

1 to 2 hours

Weekly for six weeks

No control

No control

No control

No control

No control

A convenient sample from the Pain Management Centre at the Alice Ho Miu Ling Nethersole Hospital (AHNH)

Lack of consent

Untreated psychiatric conditions

Suicidal risk

Illiterate (either written or spoken Cantonese)

Cannot complete the self-report worksheet sample

18

Nil

Both Male and Female

Interventional

Non-randomized

Not Applicable

Not Applicable

Factorial

1

The aim of the study is to evaluate whether labyrinth walking is a suitable tool for incorporating into the biopsychospiritual approach in chronic pain management

2016-05-17

14

Complete

Pain intensity

Numerical Rating Scale

Before, during and after six sessions of labyrinth walking

Affect

Hospital Anxiety and Depression Scale

Before, during and after six sessions of labyrinth walking

Cognitions

Pain Catastrophizing Scale

Before, during and after six sessions of labyrinth walking

Power and endurance

Standing and sitting tolerances

Before, during and after six sessions of labyrinth walking

Power and endurance

6 minutes walk

Before, during and after six sessions of labyrinth walking

Spirituality

Adult Hope Scale

Before, during and after six sessions of labyrinth walking

Spirituality

WHO-5 Well Being Scale

Before, during and after six sessions of labyrinth walking

Safety

Report of adverse effect or concern

Before, during and after six sessions of labyrinth walking

Change

Biological, psychological, spiritual

Before, during and after six sessions of labyrinth walking

Self-Understanding

Identity

Before, during and after six sessions of labyrinth walking

Pain understanding

Meaning & Purpose

Before, during and after six sessions of labyrinth walking

No

2017-04-25

ChiCTR-OOC-16007767

2016-01-07

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