The Pain Course: 12-and 24-Month Outcomes From a Randomized Controlled Trial of an Internet-Delivered Pain Management Program Provided With Different Levels of Clinician Support

JOURNAL OF PAIN

卷:19

Article

Dear, Blake F.¹  Gandy, Milena¹  Karin, Eyal¹  Fogliati, Rhiannon¹  Fogliati, Vincent J.¹  Staples, Lauren G.¹  Wootton, Bethany M.²  Sharpe, Louise³  Titov, Nickolai¹ 

[1] Macquarie Univ, Dept Psychol, eCtrClin, Sydney, NSW, Australia

[2] Univ Technol Sydney, Discipline Clin Psychol, Grad Sch Hlth, Sydney, NSW, Australia

[3] Univ Sydney, Dept Psychol, Sydney, NSW, Australia

关键词: Chronic pain;    depression;    anxiety;    randomized controlled trial;    long-term outcomes;    Internet;    online;    cognitive-behavioral therapy;   

DOI  :  10.1016/j.jpain.2018.07.005

来源: Elsevier

【 摘 要 】

Little is known about the long-term outcomes of emerging Internet-delivered pain management programs. The current study reports the 12- and 24-month follow-up data from a randomized controlled trial (n = 490) of an Internet-delivered pain management program, the Pain Course. The initial results of the trial to the 3-month follow-up have been reported elsewhere. There were significant improvements in disability, depression, anxiety, and pain levels across 3 treatment groups receiving different levels of clinician support compared with a treatment as the usual control. No marked or significant differences were found between the treatment groups either after treatment or at the 3-month follow-up. The current study obtained long-term follow-up data from 78% and 79% of participants (n = 397) at the 12-month and 24-month follow-up marks, respectively. Clinically significant decreases (average percent reduction; Cohen's d effect sizes) were maintained at the 12- and 24-month follow-ups for disability (average reduction >= 27%; d >= .67), depression (average reduction >= 36%; d >= .80), anxiety (average reduction >= 38%; d >=.66), and average pain levels (average reduction >= 21%; d >=.67). No marked or consistent differences were found among the 3 treatment groups. These findings suggest that the outcomes of Internet delivered programs may be maintained over the long term. Perspective: This article presents the long-term outcome data of an established Internet-delivered pain management program for adults with chronic pain. The clinical improvements observed during the program were found to be maintained at the 12- and 24-month follow-up marks. This finding indicates that these programs can have lasting clinical effects. (C) 2018 by the American Pain Society

【 授权许可】

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