An internet-delivered cognitive behavioural therapy pain management programme for spinal cord injury pain: A randomized controlled trial
|Title:||An internet-delivered cognitive behavioural therapy pain management programme for spinal cord injury pain: A randomized controlled trial||Authors:||Burke, Dearbhla; Lennon, Olive; Blake, Catherine; Fullen, Brona M.||Permanent link:||http://hdl.handle.net/10197/11376||Date:||Aug-2019||Online since:||2020-05-08T11:16:39Z||Abstract:||Background: Chronic pain is common after spinal cord injury (SCI) and dedicated SCI cognitive behavioural therapy pain management programmes (CBT-PMPs) have a growing evidence base to support their uptake clinically. The development of internet-delivered treatment options may overcome barriers to the access and uptake of centre-based programmes. This study examines such an approach on quality of lie (QoL), pain, mood and sleep. Methods: Adults with SCI pain (>3 months) were recruited and randomly assigned to the intervention or control group. The intervention comprised a six module CBT-PMP delivered once weekly. A blinded assessor determined changes in self-reported outcome measures post-intervention and at 3 months. Linear mixed models and effect sizes based on changes between groups were reported. Significance was set p < 0.05. Results: The recruitment rate was 32% (intervention n = 35, control n = 34), and the drop-out rate at 3 months was 26%. On average, participants accessed three (SD 2.1) of six modules. While no difference in QoL was reported, a significant group*time interaction was found for NRS of current pain (χ2 = 8.22, p = 0.016), worst pain (χ2 = 11.20, p = 0.004), and Brief Pain Inventory (interference) (χ2 = 6.924, p = 0.031). Moderate to large effect sizes favouring the intervention were demonstrated at each time point for the pain metrics (Cohen's d: 0.38–0.84). At 3-month follow-up, 48% of the intervention group rated themselves improved or very much improved (p < 0.05). Conclusions: This study demonstrates the potential of an internet-delivered SCI specific CBT-PMP in reporting significant statistical and clinical benefit in pain intensity and interference. Strategies to improve engagement are needed.||metadata.dc.description.othersponsorship:||The Irish Society of Chartered Physiotherapists Eastern Branch Research Bursary 2016
Health Informatics Society of Ireland Research Bursary 2016
|Type of material:||Journal Article||Publisher:||Wiley||Journal:||European Journal of Pain||Volume:||23||Issue:||7||Start page:||1264||End page:||1282||Copyright (published version):||2019 European Pain Federation||Keywords:||Clinical research; Spinal cord injury; Clinical trials and supportive activities; Mind and body; Chronic pain conditions; Pain research; Neurodegenerative; Neurosciences; Head and spine injury; Adverse effects; Psychological and behavioural; Neurological||DOI:||10.1002/ejp.1402||Language:||en||Status of Item:||Peer reviewed|
|Appears in Collections:||Public Health, Physiotherapy and Sports Science Research Collection|
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