The pain course: A randomised controlled trial examining an internet-delivered pain management program when provided with different levels of clinician support

Dear, BF; Gandy, M; Kdarin, E; Staples, LG; Johnston, L; Fogliati, VJ; Wootton, BM; Terides, MD; Kayrouz, R; Perry, KN; Sharpe, L; Nicholas, MK; Titov, N

The pain course: A randomised controlled trial examining an internet-delivered pain management program when provided with different levels of clinician support

Dear, BF Gandy, M Kdarin, E Staples, LG Johnston, L Fogliati, VJ Wootton, BM

Terides, MD Kayrouz, R Perry, KN Sharpe, L Nicholas, MK Titov, N

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Publication Type:: Journal Article
Citation:: Pain, 2015, 156 (10), pp. 1920 - 1935
Issue Date:: 2015-10-01

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Field	Value	Language
dc.contributor.author	Dear, BF	en_US
dc.contributor.author	Gandy, M	en_US
dc.contributor.author	Kdarin, E	en_US
dc.contributor.author	Staples, LG	en_US
dc.contributor.author	Johnston, L	en_US
dc.contributor.author	Fogliati, VJ	en_US
dc.contributor.author	Wootton, BM https://orcid.org/0000-0001-9036-0699	en_US
dc.contributor.author	Terides, MD	en_US
dc.contributor.author	Kayrouz, R	en_US
dc.contributor.author	Perry, KN	en_US
dc.contributor.author	Sharpe, L	en_US
dc.contributor.author	Nicholas, MK	en_US
dc.contributor.author	Titov, N	en_US
dc.date.issued	2015-10-01	en_US
dc.identifier.citation	Pain, 2015, 156 (10), pp. 1920 - 1935	en_US
dc.identifier.issn	0304-3959	en_US
dc.identifier.uri	http://hdl.handle.net/10453/129599
dc.description.abstract	© 2015 International Association for the Study of Pain. The present study evaluated an internet-delivered pain management program, the Pain Course, when provided with different levels of clinician support. Participants (n5490) were randomised to 1 of 4 groups: (1) Regular Contact (n5143), (2) Optional Contact (n5 141), (3) No Contact (n 5 131), and (4) a treatment-As-usual Waitlist Control Group (n 5 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 (SD533.50), 12.85 minutes (SD524.61), and 5.44 minutes (SD 5 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.	en_US
dc.relation.ispartof	Pain	en_US
dc.relation.isbasedon	10.1097/j.pain.0000000000000251	en_US
dc.subject.classification	Anesthesiology	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Disability Evaluation	en_US
dc.subject.mesh	Treatment Outcome	en_US
dc.subject.mesh	Therapy, Computer-Assisted	en_US
dc.subject.mesh	Patient Compliance	en_US
dc.subject.mesh	Anxiety	en_US
dc.subject.mesh	Self Efficacy	en_US
dc.subject.mesh	Phobic Disorders	en_US
dc.subject.mesh	Cognitive Therapy	en_US
dc.subject.mesh	Time Factors	en_US
dc.subject.mesh	Internet	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Delivery of Health Care	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Young Adult	en_US
dc.subject.mesh	Pain Management	en_US
dc.subject.mesh	Chronic Pain	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.subject.mesh	Cognitive Behavioral Therapy	en_US
dc.title	The pain course: A randomised controlled trial examining an internet-delivered pain management program when provided with different levels of clinician support	en_US
dc.type	Journal Article
utslib.citation.volume	10	en_US
utslib.citation.volume	156	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	open_access
pubs.issue	10	en_US
pubs.publication-status	Published	en_US
pubs.volume	156	en_US

Abstract:

© 2015 International Association for the Study of Pain. The present study evaluated an internet-delivered pain management program, the Pain Course, when provided with different levels of clinician support. Participants (n5490) were randomised to 1 of 4 groups: (1) Regular Contact (n5143), (2) Optional Contact (n5 141), (3) No Contact (n 5 131), and (4) a treatment-As-usual Waitlist Control Group (n 5 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 (SD533.50), 12.85 minutes (SD524.61), and 5.44 minutes (SD 5 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.

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http://hdl.handle.net/10453/129599