A multicentred randomised controlled trial of a primary care-based cognitive behavioural programme for low back pain. The Back Skills Training (BeST) trial

Abstract

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Internet-based interventions for pain management: A systematic review of randomised controlled trial (RCTs) conducted from 2010 to 2014

“…This inconsistency was explained as variability in the internet based CBT, while in our review, more studies focused on chronic pain of back pain and non-specific, only one study was related to migraine (Bromberg et al, 2012) and one about fibromyalgia (FM) (Davis and Zautra, 2013). Only 3 studies used internet based CBT (Lamb et al, 2010;Carpenter et al, 2012;Buhrman et al, 2013), while others have used variable techniques to deal with pain. In previous studies out of 17, 11 studies used internet based CBT and had positive outcome (Bender et al, 2010).…”

“…Website participants had a significantly greater increased use of coping self-statements from baseline to posttest (t = -2.67, P < 0.05), 3-month follow-up (t = -3.19, P < 0.01), and 6-month follow-up (t = -2.44, P < 0.05) - Lamb et al (2010) The difference between CBA and AM was estimated to be on average 3.2 at 3 months, 4.1 at 6 months and 3.8 at 12 months on Pain self-efficacy Difference between the treatment arms was estimated to be, on average, 1.1 RMQ points at 3 months, rising to 1.4 and 1.3 RMQ points at 6 and 12 months respectively (SF-12) The difference between CBA and AM was estimated to be on average 1.3 at 3 months, 2.5 at 6 months, and 0.1 at 12 months on SF 12. The difference between CBA and AM was estimated to be on average 2.6 at 3 months, 3.1 at 6 months and 3.0 at 12 months on FABQ Bromberg et al, (2012) Greater reduction in their pain catastrophizing from baseline to post-intervention (t = 3.34, P = .0030),baseline to 3-month follow-up (t = 2.98, P = .0099),and baseline to 6-month follow-up (t = 3.80,P = .0006), compared with control participants No significant effect of treatment over time was noted Post-hoc tests revealed Significantly greater decrease in depression, as compared with the control condition, from baseline to 3-monthfollow-up (t = 3.66, P = .0009) and baseline to6-month follow-up (t = 2.50, P = .0399); significantly greater decrease in stress, as compared with the control condition, from baseline to post-intervention (t = 2.57, P = .0324) and from baseline to 3- Table 3.…”

“…Table 1 shows the result of scoring. Most of the studies included in our review had scored 3 (Gerber, 2006;Lamb et al, 2010, Stinson et al, 2010Elander et al, 2011;Bromberg et al, 2012;Carpenter et al, 2012;Krein et al, 2013;Kroenke et al, 2012;Law et al, 2012;Martorella et al, 2012;Ruehlman et al, 2012) as blinding was not possible in most of the studies. Only two studies scored less on Jadad score (Miller et al, 2011;Shigaki et al, 2013) ( Table 2).…”

“…(Chiauzzi et al, 2010;Lamb et al, 2010;Elander et al, 2011;Martorella et al, 2012;Buhrman et al, 2013;Davis and Zautra, 2013;Nazzal et al, 2013).…”

“…Other studies used 12-module online intervention Mindful SocioemotionalRegulation (MSER) (Davis and Zautra, 2013). One study used interactive self-management website, (Chiauzzi et al, 2010) and others used active management plus a group-based professionally led cognitive behavioral approach (CBA) (Lamb et al, 2010). All these studies reported reduction in pain and improvement in both functional activity and psychological well being.…”