Internet-Based Pain Self-Management for Veterans: Feasibility and Preliminary Efficacy of the Pain EASE Program
| Autor: | Sarah L. Krein, Marc I. Rosen, David R. Williams, Allison M Halat, Alicia A. Heapy, Haseena Rajeevan, Robert D. Kerns, Matthew J. Bair, Diana M. Higgins, Eugenia Buta |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Psychological intervention 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Medicine Humans Pain Management Depression (differential diagnoses) Veterans Internet Self-management Cognitive Behavioral Therapy business.industry Self-Management Cognition Middle Aged Confidence interval Cognitive behavioral therapy Clinical trial Anesthesiology and Pain Medicine Mood Physical therapy Feasibility Studies Female Chronic Pain business Low Back Pain 030217 neurology & neurosurgery |
| Zdroj: | Pain practice : the official journal of World Institute of PainReferences. 20(4) |
| ISSN: | 1533-2500 |
| Popis: | Objective To develop and test the feasibility and preliminary efficacy of a cognitive behavioral therapy-based, internet-delivered self-management program for chronic low back pain (cLBP) in veterans. Methods Phase I included program development, involving expert panel and participant feedback. Phase II was a single-arm feasibility and preliminary efficacy study of the Pain e-health for Activity, Skills, and Education (Pain EASE) program. Feasibility (ie, website use, treatment credibility, satisfaction) was measured using descriptive methods. Mixed models were used to assess mean within-subject changes from baseline to 10 weeks post-baseline in pain interference (primary outcome, West Haven-Yale Multidimensional Pain Inventory, scale of 0 to 6), pain intensity, mood, fatigue, sleep, and depression. Results Phase I participants (n = 15) suggested modifications including style changes, content reduction, additional "Test Your Knowledge" quizzes, and cognitive behavioral therapy skill practice monitoring form revisions for enhanced usability. In Phase II, participants (n = 58) were mostly male (93%) and White (60%), and had an average age of 55 years (standard deviation [SD] = 12) and moderate pain (mean score 5.9/10); 41 (71%) completed the post-baseline assessment. Participants (N = 58) logged on 6.1 (SD = 8.6) times over 10 weeks, and 85% reported being very or moderately satisfied with Pain EASE. Pain interference improved from a mean of 3.8 at baseline to 3.3 at 10 weeks (difference 0.5 [95% confidence interval 0.1 to 0.9], P = 0.008). Within-subject improvement also occurred for some secondary outcomes, including mood and depression symptoms. Discussion Veterans with cLBP may benefit from technology-delivered interventions, which may also reduce pain interference. Overall, veterans found that Pain EASE, an internet-based self-management program, is feasible and satisfactory for cLBP. |
| Databáze: | OpenAIRE |
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