A Randomized Controlled Trial to Compare a Remote-Delivered Chronic Pain Management Program when Provided in Online and Workbook Formats

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A Randomized Controlled Trial to Compare a Remote-Delivered Chronic Pain Management Program when Provided in Online and Workbook Formats

A recent randomized control trial demonstrated that the workbook format was no less effective or acceptable than the validated online format of remote-delivery chronic pain management.

Dear BF and colleagues compared a remote-delivered pain management program, the Pain Course, when delivered in online and workbook formats in a randomized control trial. The study included 178 patients assigned to one of the 2 groups: (1) an Internet Group (n=84) who were given secure accounts to the program in an online format; or (2) a Workbook Group (n=94) who were mailed workbook versions of the program. The content of both the programs was similar and consisted 5 core lessons.  The participants were encouraged to work through over an 8-week period, according to a prescribed timetable. All the participants were provided with weekly contact with a clinical psychologist through email and telephone throughout the program.

Significant improvements (avg. improvement) were seen in both the groups, in levels of disability (PDI: 16% vs 24%; RMDQ: 12% vs 15%), anxiety (GAD-7: 36% vs 26%), and depression (PHQ-9: 36% vs 36%) immediately post-treatment. Further improvements were observed in disability levels to 3-month follow-up, and improvements across the other primary outcomes were maintained until 12-month follow-up. High treatment completion rates and levels of satisfaction were reported in both the groups, and both groups required a similarly small amount of clinician contact per participant (M=74.85 minutes; SD=41.03).

These results highlight the public health potential of remote-delivered pain management programs, delivered in either workbook or online formats, as methods of increasing access to pain management.

Source:

The Journal of the International Association for the Study of Pain

Link to the source:

http://ww.com/pain/Fulltext/2017/07000/The_pain_course a_randomised_controlled_trial.15.aspx

Original title of article:

The pain course: a randomized controlled trial comparing a remote-delivered chronic pain management program when provided in online and workbook formats

Authors

Dear BF, Gandy M et. al.

SearchTags: 
Therapeutic, Pain, RCT
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