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The Pain Course: a randomised controlled trial examining an internet-delivered pain management program when provided with different levels of clinician support
Citation
Dear, BF and Gandy, M and Karin, E and Staples, LG and Johnston, L and Fogliati, V and Wootton, BM and Terides, MD and Kayrouz, R and Perry, KN and Sharpe, L and Nicholas, MK and Titov, N, The Pain Course: a randomised controlled trial examining an internet-delivered pain management program when provided with different levels of clinician support, Pain, 156, (10) pp. 1920-1935. ISSN 0304-3959 (2015) [Refereed Article]
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Copyright Statement
©2015 International Association for the Study of Pain. Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) http://creativecommons.org/licenses/by-nc-nd/4.0/
DOI: doi:10.1097/j.pain.0000000000000251
Abstract
The present study evaluated an internet-delivered pain management program, the Pain Course, when provided with different levels of clinician support. Participants (n = 490) were randomised to 1 of 4 groups: (1) Regular Contact (n = 143), (2) Optional Contact (n = 141), (3) No Contact (n = 131), and (4) a treatment-as-usual Waitlist Control Group (n = 75). The treatment program was based on the principles of cognitive behaviour therapy and comprised 5 internet-delivered lessons provided over 8 weeks. The 3 Treatment Groups reported significant improvements (between-group Cohen's d; avg. reduction) in disability (ds ≥ 0.50; avg. reduction ≥ 18%), anxiety (ds ≥ 0.44; avg. reduction ≥ 32%), depression (ds ≥ 0.73; avg. reduction ≥ 36%), and average pain (ds ≥ 0.30; avg. reduction ≥ 12%) immediately posttreatment, which were sustained at or further improved to 3-month follow-up. High treatment completion rates and levels of satisfaction were reported, and no marked or consistent differences were observed between the Treatment Groups. The mean clinician time per participant was 67.69 minutes (SD = 33.50), 12.85 minutes (SD = 24.61), and 5.44 minutes (SD = 12.38) for those receiving regular contact, the option of contact, and no clinical contact, respectively. These results highlight the very significant public health potential of carefully designed and administered internet-delivered pain management programs and indicate that these programs can be successfully administered with several levels of clinical support.
Item Details
| Item Type: | Refereed Article |
|---|---|
| Keywords: | internet, online, pain management, cognitive behaviour therapy, CBT, pain, chronic pain, anxiety, depression, disability, randomised controlled trial |
| Research Division: | Psychology and Cognitive Sciences |
| Research Group: | Psychology |
| Research Field: | Health, Clinical and Counselling Psychology |
| Objective Division: | Health |
| Objective Group: | Public Health (excl. Specific Population Health) |
| Objective Field: | Mental Health |
| Author: | Wootton, BM (Dr Bethany Wootton) |
| ID Code: | 100751 |
| Year Published: | 2015 |
| Web of Science® Times Cited: | 35 |
| Deposited By: | Psychology |
| Deposited On: | 2015-05-27 |
| Last Modified: | 2016-09-12 |
| Downloads: | 54 View Download Statistics |
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