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The Pain Course: A randomised controlled trial of a clinician-guided Internet-delivered cognitive behaviour therapy program for managing chronic pain and emotional well-being

Citation

Dear, BF and Titov, N and Perry, KN and Johnston, L and Wootton, BM and Terides, MD and Rapee, RM and Hudson, JL, The Pain Course: A randomised controlled trial of a clinician-guided Internet-delivered cognitive behaviour therapy program for managing chronic pain and emotional well-being, Pain, 154, (6) pp. 942-950. ISSN 0304-3959 (2013) [Refereed Article]

Copyright Statement

Copyright 2013 International Association for the Study of Pain

DOI: doi:10.1016/j.pain.2013.03.005

Abstract

The present study evaluated the efficacy of a clinician-guided Internet-delivered cognitive behaviour therapy (iCBT) program, the Pain Course, to reduce disability, anxiety, and depression associated with chronic pain. Sixty-three adults with chronic pain were randomised to either a Treatment Group or waitlist Control Group. Treatment consisted of 5 iCBT-based lessons, homework tasks, additional resources, weekly e-mail or telephone contact from a Clinical Psychologist, and automated e-mails. Twenty-nine of 31 Treatment Group participants completed the 5 lessons during the 8-week program, and posttreatment and 3-month follow-up data were collected from 30/31 and 29/31 participants, respectively. Treatment Group participants obtained significantly greater improvements than Control Group participants in levels of disability, anxiety, depression, and average pain levels at posttreatment. These improvements corresponded to small to large between-groups effect sizes (Cohen’s d) at posttreatment for disability (d = .88), anxiety (d = .38), depression (d = .66), and average pain (d = .64), respectively. These outcomes were sustained at follow-up and participants rated the program as highly acceptable. Overall, the clinician spent a total mean time of 81.54 minutes (SD 30.91 minutes) contacting participants during the program. The results appear better than those reported in iCBT studies to date and provide support for the potential of clinician-guided iCBT in the treatment of disability, anxiety, and depression for people with chronic pain.

Item Details

Item Type:Refereed Article
Keywords:internet, treatment, cognitive behaviour therapy, chronic pain, anxiety, depression, disability, randomised controlled trial
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Psychiatry (incl. Psychotherapy)
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Mental Health Services
Author:Wootton, BM (Dr Bethany Wootton)
ID Code:90825
Year Published:2013
Web of Science® Times Cited:46
Deposited By:Psychology
Deposited On:2014-04-25
Last Modified:2014-11-27
Downloads:0

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