Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/19931
Title: 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
Contributor(s): Dear, Blake F (author); Titov, Nick (author); Perry, Kathryn Nicholson (author); Johnston, Luke (author); Wootton, Bethany (author); Terides, Matthew D (author); Rapee, Ron M (author); Hudson, Jennifer L (author)
Publication Date: 2013
DOI: 10.1016/j.pain.2013.03.005
Handle Link: https://hdl.handle.net/1959.11/19931
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.
Publication Type: Journal Article
Source of Publication: Pain, 154(6), p. 942-950
Publisher: Lippincott Williams & Wilkins
Place of Publication: United States of America
ISSN: 1872-6623
0304-3959
Field of Research (FoR) 2008: 170106 Health, Clinical and Counselling Psychology
Field of Research (FoR) 2020: 520302 Clinical psychology
520303 Counselling psychology
520304 Health psychology
Socio-Economic Objective (SEO) 2008: 920410 Mental Health
Socio-Economic Objective (SEO) 2020: 200409 Mental health
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
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