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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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