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https://hdl.handle.net/1959.11/28726
Title: | Reboot Online: A Randomized Controlled Trial Comparing an Online Multidisciplinary Pain Management Program with Usual Care for Chronic Pain | Contributor(s): | Smith, Jessica (author); Faux, Steven G (author); Gardner, Tania (author); Hobbs, Megan J (author) ; James, Matthew A (author); Joubert, Amy E (author); Kladnitski, Natalie (author); Newby, Jill M (author); Schultz, Regina (author); Shiner, Christine T (author); Andrews, Gavin (author) | Publication Date: | 2019-12 | Early Online Version: | 2019-09-09 | Open Access: | Yes | DOI: | 10.1093/pm/pnz208 | Handle Link: | https://hdl.handle.net/1959.11/28726 | Abstract: | Objective: Chronic pain is a prevalent and burdensome condition. Reboot Online was developed to address treatment barriers traditionally associated with accessing face-to-face chronic pain management programs. It is a comprehensive multidisciplinary online treatment program, based on an existing and effective face-to-face multidisciplinary pain program (the Reboot program). Design & Participants: A CONSORT-compliant randomized controlled trial was conducted, enrolling adults who had experienced pain for three months or longer. Methods: Participants were randomly allocated to either an eight-lesson multidisciplinary pain management program, Reboot Online (N=41), or to a usual care (UC) control group (N=39). Clinical oversight was provided by a multidisciplinary team remotely, including physiotherapists and clinical psychologists. Participants were measured at baseline, post-treatment (week 16), and three-month follow-up (week 28). Results: Intention-to-treat analyses revealed that Reboot Online was significantly more effective than UC at increasing pain self-efficacy (g=0.69) at post-treatment, and these gains were maintained at follow-up. Similarly, Reboot Online was significantly more effective than UC on several secondary measures at post-treatment and follow-up, including movement-based fear avoidance and pain-related disability, but it did not significantly reduce pain interference or depression compared with UC. Clinician input was minimal, and adherence to Reboot Online was moderate, with 61% of participants (N=25) completing all eight lessons. Conclusions: Reboot Online presents a novel approach to multidisciplinary pain management and offers an accessible, efficacious alternative and viable treatment option for chronic pain management. | Publication Type: | Journal Article | Grant Details: | NHMRC/1037787 NHMRC/1145382 |
Source of Publication: | Pain Medicine, 20(12), p. 2385-2396 | Publisher: | Oxford University Press | Place of Publication: | United States of America | ISSN: | 1526-4637 1526-2375 |
Fields of Research (FoR) 2008: | 110319 Psychiatry (incl. Psychotherapy) 111714 Mental Health 170106 Health, Clinical and Counselling Psychology |
Fields of Research (FoR) 2020: | 520302 Clinical psychology | Socio-Economic Objective (SEO) 2008: | 920410 Mental Health 920209 Mental Health Services 920204 Evaluation of Health Outcomes |
Socio-Economic Objective (SEO) 2020: | 200409 Mental health 200305 Mental health services 200202 Evaluation of health outcomes |
Peer Reviewed: | Yes | HERDC Category Description: | C1 Refereed Article in a Scholarly Journal |
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Appears in Collections: | Journal Article |
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