An internet-delivered cognitive behavioural therapy pain management programme for spinal cord injury pain: A randomized controlled trial

Files in This Item:
File Description SizeFormat 
SCI RCT.pdf429.78 kBAdobe PDFDownload
Title: An internet-delivered cognitive behavioural therapy pain management programme for spinal cord injury pain: A randomized controlled trial
Authors: Burke, DearbhlaLennon, OliveBlake, CatherineFullen, Brona M.
Permanent link:
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 researchSpinal cord injuryClinical trials and supportive activitiesMind and bodyChronic pain conditionsPain researchNeurodegenerativeNeurosciencesHead and spine injuryAdverse effectsPsychological and behaviouralNeurological
DOI: 10.1002/ejp.1402
Language: en
Status of Item: Peer reviewed
Appears in Collections:Public Health, Physiotherapy and Sports Science Research Collection

Show full item record

Citations 50

Last Week
Last month
checked on Jul 3, 2020

Page view(s)

Last Week
Last month
checked on Jul 3, 2020


checked on Jul 3, 2020

Google ScholarTM



This item is available under the Attribution-NonCommercial-NoDerivs 3.0 Ireland. No item may be reproduced for commercial purposes. For other possible restrictions on use please refer to the publisher's URL where this is made available, or to notes contained in the item itself. Other terms may apply.