The pain course: a randomised controlled trial comparing a remote-delivered chronic pain management program when provided in online and workbook formats
This study compared a remote-delivered pain management program, the Pain Course, when delivered in online and workbook formats. Participants (n = 178) were randomised into 2 groups: (1) an Internet Group (n = 84) who were provided with 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 programs was identical and comprised 5 core lessons, which participants were encouraged to work through over an 8-week period, according to a prescribed timetable. All participants were provided with weekly contact with a clinical psychologist through email and telephone throughout the program. The overall findings suggest that the workbook format was no less effective or acceptable than the validated online format. Significant improvements (avg. improvement; Internet Group vs Workbook Group) 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%) were observed in both groups immediately posttreatment. 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 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.
机构:
Univ Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, CanadaUniv Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, Canada
Bender, Jacqueline L.
;
Radhakrishnan, Arun
论文数: 0引用数: 0
h-index: 0
机构:
Univ Toronto, Dept Hlth Policy Management & Evaluat, Fac Med, Toronto, ON M5G 2C4, Canada
Univ Toronto, Dept Family & Community Med, Fac Med, Toronto, ON M5G 2C4, CanadaUniv Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, Canada
Radhakrishnan, Arun
;
Diorio, Caroline
论文数: 0引用数: 0
h-index: 0
机构:Univ Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, Canada
Diorio, Caroline
;
Englesakis, Marina
论文数: 0引用数: 0
h-index: 0
机构:Univ Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, Canada
Englesakis, Marina
;
Jadad, Alejandro R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, Canada
Univ Toronto, Dept Hlth Policy Management & Evaluat, Fac Med, Toronto, ON M5G 2C4, Canada
Univ Toronto, Dept Family & Community Med, Fac Med, Toronto, ON M5G 2C4, CanadaUniv Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, Canada
机构:
SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Broderick, Joan E.
;
Keefe, Francis J.
论文数: 0引用数: 0
h-index: 0
机构:
Duke Univ, Med Ctr, Dept Psychiat & Behav Sci, Durham, NC USA
Duke Univ, Med Ctr, Dept Med, Durham, NC 27710 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Keefe, Francis J.
;
Bruckenthal, Patricia
论文数: 0引用数: 0
h-index: 0
机构:
SUNY Stony Brook, Sch Nursing, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Bruckenthal, Patricia
;
Junghaenel, Doerte U.
论文数: 0引用数: 0
h-index: 0
机构:
SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Junghaenel, Doerte U.
;
Schneider, Stefan
论文数: 0引用数: 0
h-index: 0
机构:
SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Schneider, Stefan
;
Schwartz, Joseph E.
论文数: 0引用数: 0
h-index: 0
机构:
SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Schwartz, Joseph E.
;
Kaell, Alan T.
论文数: 0引用数: 0
h-index: 0
机构:
SUNY Stony Brook, Dept Internal Med, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Kaell, Alan T.
;
Caldwell, David S.
论文数: 0引用数: 0
h-index: 0
机构:
Duke Univ, Med Ctr, Dept Psychiat & Behav Sci, Durham, NC USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Caldwell, David S.
;
McKee, Daphne
论文数: 0引用数: 0
h-index: 0
机构:
Duke Univ, Med Ctr, Dept Psychiat & Behav Sci, Durham, NC USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
McKee, Daphne
;
Reed, Shelby
论文数: 0引用数: 0
h-index: 0
机构:
Duke Univ, Med Ctr, Dept Med, Durham, NC 27710 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Reed, Shelby
;
Gould, Elaine
论文数: 0引用数: 0
h-index: 0
机构:
SUNY Stony Brook, Dept Radiol, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
机构:
Queen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
Carnes, Dawn
;
Homer, Kate E.
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
Homer, Kate E.
;
Miles, Clare L.
论文数: 0引用数: 0
h-index: 0
机构:
Royal Holloway Univ London, Dept Psychol, London, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
Miles, Clare L.
;
Pincus, Tamar
论文数: 0引用数: 0
h-index: 0
机构:
Royal Holloway Univ London, Dept Psychol, London, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
Pincus, Tamar
;
Underwood, Martin
论文数: 0引用数: 0
h-index: 0
机构:
Warwick Med Sch, Clin Trials Unit, Coventry, W Midlands, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
Underwood, Martin
;
Rahman, Anisur
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Ctr Rheumatol Res, London, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
Rahman, Anisur
;
Taylor, Stephanie J. C.
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Davies, Stephanie
;
Quintner, John
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Quintner, John
;
Parsons, Richard
论文数: 0引用数: 0
h-index: 0
机构:
Curtin Univ Technol, Ctr Res Disabil & Soc, Curtin Hlth Innovat Res Inst, Bentley, WA 6102, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Parsons, Richard
;
Parkitny, Luke
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Parkitny, Luke
;
Knight, Paul
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Knight, Paul
;
Forrester, Elizabeth
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Forrester, Elizabeth
;
Roberts, Mary
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Roberts, Mary
;
Graham, Carl
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Graham, Carl
;
Visser, Eric
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Visser, Eric
;
Antill, Tracy
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Antill, Tracy
;
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机构:
Packer, Tanya
;
Schug, Stephan A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Western Australia, Pharmacol & Anaesthesiol Unit, Nedlands, WA 6009, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
机构:
Univ Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, CanadaUniv Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, Canada
Bender, Jacqueline L.
;
Radhakrishnan, Arun
论文数: 0引用数: 0
h-index: 0
机构:
Univ Toronto, Dept Hlth Policy Management & Evaluat, Fac Med, Toronto, ON M5G 2C4, Canada
Univ Toronto, Dept Family & Community Med, Fac Med, Toronto, ON M5G 2C4, CanadaUniv Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, Canada
Radhakrishnan, Arun
;
Diorio, Caroline
论文数: 0引用数: 0
h-index: 0
机构:Univ Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, Canada
Diorio, Caroline
;
Englesakis, Marina
论文数: 0引用数: 0
h-index: 0
机构:Univ Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, Canada
Englesakis, Marina
;
Jadad, Alejandro R.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, Canada
Univ Toronto, Dept Hlth Policy Management & Evaluat, Fac Med, Toronto, ON M5G 2C4, Canada
Univ Toronto, Dept Family & Community Med, Fac Med, Toronto, ON M5G 2C4, CanadaUniv Toronto, Dalla Lana Sch Publ Hlth, Fac Med, Toronto, ON M5G 2C4, Canada
机构:
SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Broderick, Joan E.
;
Keefe, Francis J.
论文数: 0引用数: 0
h-index: 0
机构:
Duke Univ, Med Ctr, Dept Psychiat & Behav Sci, Durham, NC USA
Duke Univ, Med Ctr, Dept Med, Durham, NC 27710 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Keefe, Francis J.
;
Bruckenthal, Patricia
论文数: 0引用数: 0
h-index: 0
机构:
SUNY Stony Brook, Sch Nursing, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Bruckenthal, Patricia
;
Junghaenel, Doerte U.
论文数: 0引用数: 0
h-index: 0
机构:
SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Junghaenel, Doerte U.
;
Schneider, Stefan
论文数: 0引用数: 0
h-index: 0
机构:
SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Schneider, Stefan
;
Schwartz, Joseph E.
论文数: 0引用数: 0
h-index: 0
机构:
SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Schwartz, Joseph E.
;
Kaell, Alan T.
论文数: 0引用数: 0
h-index: 0
机构:
SUNY Stony Brook, Dept Internal Med, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Kaell, Alan T.
;
Caldwell, David S.
论文数: 0引用数: 0
h-index: 0
机构:
Duke Univ, Med Ctr, Dept Psychiat & Behav Sci, Durham, NC USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Caldwell, David S.
;
McKee, Daphne
论文数: 0引用数: 0
h-index: 0
机构:
Duke Univ, Med Ctr, Dept Psychiat & Behav Sci, Durham, NC USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
McKee, Daphne
;
Reed, Shelby
论文数: 0引用数: 0
h-index: 0
机构:
Duke Univ, Med Ctr, Dept Med, Durham, NC 27710 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
Reed, Shelby
;
Gould, Elaine
论文数: 0引用数: 0
h-index: 0
机构:
SUNY Stony Brook, Dept Radiol, Stony Brook, NY 11794 USASUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA
机构:
Queen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
Carnes, Dawn
;
Homer, Kate E.
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
Homer, Kate E.
;
Miles, Clare L.
论文数: 0引用数: 0
h-index: 0
机构:
Royal Holloway Univ London, Dept Psychol, London, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
Miles, Clare L.
;
Pincus, Tamar
论文数: 0引用数: 0
h-index: 0
机构:
Royal Holloway Univ London, Dept Psychol, London, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
Pincus, Tamar
;
Underwood, Martin
论文数: 0引用数: 0
h-index: 0
机构:
Warwick Med Sch, Clin Trials Unit, Coventry, W Midlands, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
Underwood, Martin
;
Rahman, Anisur
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Ctr Rheumatol Res, London, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
Rahman, Anisur
;
Taylor, Stephanie J. C.
论文数: 0引用数: 0
h-index: 0
机构:
Queen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, EnglandQueen Mary Univ London, Ctr Hlth Sci, Barts & London Sch Med & Dent, London E1 2AT, England
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Davies, Stephanie
;
Quintner, John
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Quintner, John
;
Parsons, Richard
论文数: 0引用数: 0
h-index: 0
机构:
Curtin Univ Technol, Ctr Res Disabil & Soc, Curtin Hlth Innovat Res Inst, Bentley, WA 6102, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Parsons, Richard
;
Parkitny, Luke
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Parkitny, Luke
;
Knight, Paul
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Knight, Paul
;
Forrester, Elizabeth
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Forrester, Elizabeth
;
Roberts, Mary
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Roberts, Mary
;
Graham, Carl
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Graham, Carl
;
Visser, Eric
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Visser, Eric
;
Antill, Tracy
论文数: 0引用数: 0
h-index: 0
机构:
Fremantle Hosp, Pain Med Unit, Fremantle, WA, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia
Antill, Tracy
;
论文数: 引用数:
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机构:
Packer, Tanya
;
Schug, Stephan A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Western Australia, Pharmacol & Anaesthesiol Unit, Nedlands, WA 6009, AustraliaFremantle Hosp, Pain Med Unit, Fremantle, WA, Australia