{
  "abstract": "Background Chronic pelvic pain, defined as persistent pain in the structures of the pelvis, is a condition that significantly impacts the health-related quality of life (HRQoL) of up to one-third of people worldwide, with substantial associated costs to both the individual and healthcare system/s. The present trial aims to establish the efficacy of e-hypnotherapy over relaxation and waitlist controls on pain, HRQoL and biopsychosocial outcomes, and evaluate cost-effectiveness.Methods A parallel-group, investigator-blinded, randomised controlled trial will be conducted. Eligible participants will be randomly allocated to either a 7-week online personalised e-hypnotherapy programme (n=44), a 7-week online personalised relaxation control (n=44) or waitlist control (n=44). The primary outcome will be self-reported pain level, and secondary outcomes will include psychological distress, QoL, pain catastrophising, self-efficacy, central sensitisation, somatic symptoms, fatigue and sleep. Cost-effectiveness will also be examined. Longitudinal qualitative interviews will be conducted with participants in the e-hypnotherapy (n=20) and relaxation (n=20) groups to understand meaningful change and barriers/facilitators for ongoing use.Ethics and dissemination This protocol has received ethics approval in Australia from the Deakin University Research Ethics Committee (DUREC ref. 2024-080). Findings will be disseminated through peer-reviewed publications and presentations at national and international conferences related to chronic pelvic pain and mind–body interventions.Trial registration number Australian New Zealand Clinical Trials Registry ACTRN12623000368639p.",
  "authors": [
    {
      "affiliations": [
        "School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia"
      ],
      "name": "Subhadra Evans"
    },
    {
      "affiliations": [
        "School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia"
      ],
      "name": "Colette Naude"
    },
    {
      "affiliations": [
        "School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia"
      ],
      "name": "Yao Coitinho Biurra"
    },
    {
      "affiliations": [
        "School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia"
      ],
      "name": "Jessica Bowring"
    },
    {
      "affiliations": [
        "Swinburne University of Technology, Hawthorn, Victoria, Australia"
      ],
      "name": "Simon Knowles"
    },
    {
      "affiliations": [
        "The University of Adelaide, Adelaide, South Australia, Australia"
      ],
      "name": "Tiffany Brooks"
    },
    {
      "affiliations": [
        "School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia"
      ],
      "name": "David Skvarc"
    },
    {
      "affiliations": [
        "School of Nursing and Midwifery, University of South Australia, Adelaide, South Australia, Australia"
      ],
      "name": "Adrian Esterman"
    },
    {
      "affiliations": [
        "School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia"
      ],
      "name": "Matthew Fuller-Tyszkiewicz"
    },
    {
      "affiliations": [
        "School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia"
      ],
      "name": "Anna Klas"
    },
    {
      "affiliations": [
        "School of Psychological Science, University of Tasmania, Hobart, TAS 7001, Tasmania, Australia"
      ],
      "name": "Leesa Van Niekerk"
    },
    {
      "affiliations": [
        "Deakin Health Economics, Deakin University School of Health and Social Development, Burwood, Victoria, Australia"
      ],
      "name": "Nikki McCaffrey"
    },
    {
      "affiliations": [
        "EndoHelp Foundation, Melbourne, Victoria, Australia"
      ],
      "name": "Katherine Stanley"
    },
    {
      "affiliations": [
        "University Hospital Geelong, Geelong, Victoria, Australia",
        "School of Medicine, Deakin University, Geelong, Vic, Australia"
      ],
      "name": "Marilla Druitt"
    },
    {
      "affiliations": [
        "IBD Service, Royal Adelaide Hospital, Adelaide, South Australia, Australia"
      ],
      "name": "Jane Andrews"
    },
    {
      "affiliations": [
        "Women’s Health & Research Institute of Australia, NSW, New South Wales, Australia"
      ],
      "name": "Thierry Vancaillie"
    },
    {
      "affiliations": [
        "School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia"
      ],
      "name": "Suiyin Cheah"
    },
    {
      "affiliations": [
        "Endometriosis Australia, Sydney, New South Wales, Australia"
      ],
      "name": "Donna Ciccia"
    },
    {
      "affiliations": [
        "School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia"
      ],
      "name": "Lily Blake"
    },
    {
      "affiliations": [
        "School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia"
      ],
      "name": "Anna Bassili"
    },
    {
      "affiliations": [
        "School of Psychology, Deakin University Faculty of Health, Burwood, Victoria, Australia"
      ],
      "name": "Antonina Mikocka-Walus"
    }
  ],
  "title": "Online randomised e-hypnotherapy for chronic pelvic pain study (REST): comparing e-hypnotherapy with relaxation and waitlist to improve pain, cost-effectiveness and biopsychosocial outcomes",
  "uid": "7e76e044-7df1-5538-899b-b0b041a1893f"
}
