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Table 1 Participant inclusion and exclusion criteria

From: Study protocol and methods for Easing Pelvic Pain Interventions Clinical Research Program (EPPIC): a randomized clinical trial of brief, low-intensity, transdiagnostic cognitive behavioral therapy vs education/support for urologic chronic pelvic pain syndrome (UCPPS)

 

Rationale

Inclusion criteria

 Ages 18–70 years inclusive

Matches developmental correlates of treatments and outcome domains

 Males and females of any race, ethnicity, and gender

Includes the full range of individuals diagnosed with UCPPSs

 Formal diagnosis of IC/BPS or CP/CPPS (confirmed by urologist or urogynecologist)

Optimizes construct validity of disorders of interest

 Pelvic pain (including pressure or discomfort) of at least 6 months duration

Establish that pelvic pain is chronic, not acute

 Pelvic pain intensity of at least moderate severity (defined as 3 or greater on a 0–10 scale and limits participant’s life or work-related activities) over the past 3 months

Establish that UCPPS symptoms are sufficiently clinically significant to detect improvement

 Not taking medications and/or willing to refrain from starting new medications until after the initial 2-week baseline period ends unless medically necessary

Stabilization of baseline symptoms and confounding of treatment effects

Urologic exclusion criteria

 Presence of a neurological condition (e.g., multiple sclerosis Parkinson’s disease, paraplegia) affecting the bladder

Urological symptoms due to, or possibly result of, a specific disease condition that may require different treatment

 Presence of a symptomatic urethral stricture (males only)

Urological symptom due to, or possibly result of, a specific disease condition

 History of cystitis caused by tuberculosis or radiation or chemotherapies

Urological symptom due to, or possibly result of, a specific disease condition

 Previous diagnosis and treatment for a pelvic-related malignancy (e.g., colon, bladder, prostate, ovarian, endometrial, uterine, testicular, penile, cervical, vaginal, or rectal cancer)

Condition/circumstance might confound treatment effects or interpretation of data

General exclusion criteria

 Existing medical condition(s) whose nature or severity could adversely influence the conduct of the clinical trial or compromise volunteer safety

Condition/circumstance might confound treatment effects or interpretation of data or compromise safety

 Gross cognitive impairment, deafness, blindness, severe vision or hearing problems

Condition may make it difficult to attend sessions or complete home assignments

 Presence of a major psychiatric disorder that would impede conduct of the clinical study [major depression with a high risk of suicidal behavior (i.e., intent or plan); current or recent (within the past 3 months) history of alcohol or substance abuse/dependence; a lifetime history of schizophrenia or schizoaffective disorder; or an organic mental disorder]

Condition might confound treatment effects or interpretation of data or compromise safety

 Current involvement in psychotherapy directed specifically toward relief of urological symptoms

Possible bias due to exposure to experimental procedures

 Unable to read or fluently speak English

Condition would make it difficult for fully informed consent or to participate in study