Reboot Online: A Randomized Controlled Trial Comparing an Online Multidisciplinary Pain Management Program with Usual Care for Chronic Pain
| Autor: | Gavin Andrews, Regina Schultz, Jessica Smith, Jill M. Newby, Amy E. Joubert, Matthew A James, Steven G Faux, Tania Gardner, Christine T. Shiner, Megan J. Hobbs, Natalie Kladnitski |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Patient Health Questionnaire Psychological Distress law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial 030202 anesthesiology law Multidisciplinary approach Avoidance Learning medicine Humans Pain Management Physical Therapy Modalities Depression (differential diagnoses) Aged Pain Measurement Aged 80 and over Treatment barriers Cognitive Behavioral Therapy business.industry Catastrophization Self-Management Australia Chronic pain General Medicine Middle Aged Pain management medicine.disease Self Efficacy Exercise Therapy Anesthesiology and Pain Medicine Usual care Physical therapy Female Neurology (clinical) Chronic Pain business Internet-Based Intervention 030217 neurology & neurosurgery Reboot |
| Zdroj: | Pain Medicine. 20:2385-2396 |
| ISSN: | 1526-4637 1526-2375 |
| Popis: | ObjectiveChronic 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 & ParticipantsA CONSORT-compliant randomized controlled trial was conducted, enrolling adults who had experienced pain for three months or longer.MethodsParticipants 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).ResultsIntention-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.ConclusionsReboot Online presents a novel approach to multidisciplinary pain management and offers an accessible, efficacious alternative and viable treatment option for chronic pain management. |
| Databáze: | OpenAIRE |
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