A systematic review of internet-based interventions for women with chronic pain

Abstract

Introduction To evaluate the effects of internet-based interventions on physical and psychosocial outcomes in women with chronic pain through a systematic review. Method A search of the following electronic databases: PubMed/MEDLINE, ScienceDirect, and Web of Science. Two different authors separately tabulated the indices selected in identical predetermined forms. The methodological quality of all randomised trials was assessed using the Cochrane Collaboration’s tool for assessing the risk of bias. Results Seven articles were finally included. The main features of interventions included online cognitive-behavioural and/or psychoeducation therapy to improve health with an interactive component. The methodological quality showed a high risk of bias, mainly from a lack of blinding. Conclusion There are indicators that suggest that internet-based interventions may be useful for women with chronic pain. However, the validity of such a conclusion is limited as most trials included had a high risk of bias. More rigorous research is required before stating that such interventions can overcome the current limitations of traditional face-to-face care.

Behavior Modification Techniques on Patients with Chronic Pain in the Context of COVID-19 Telerehabilitation: An Umbrella Review

“…The initial search revealed 309 records, and an additional 20 were retrieved manually from the references. Through the title and abstract screening and the full-text assessment, only four systematic reviews were eligible according to our criteria [6,[13][14][15]. The study screening strategy is shown in the form of a flowchart (Figure 1).…”

“…Behavioral modification techniques (BMTs), such as cognitive behavioral therapy, do not necessarily require the therapist to be physically present with the patient [12]. There are several systematic review articles with or without meta-analyses that have addressed this topic, but no research article has provided a general overview of the effect of telematic BMT (t-BMT) with respect to clinical endpoints and variables of interest in patients with chronic pain [6,[13][14][15].…”

Lessons in Affect Regulation to Keep Stress and Pain UndeR control (LARKSPUR): Design of a randomized controlled trial to increase positive affect in middle-aged and older adults with fibromyalgia

“…Thus, evidence supports applying PPIs in the treatment of chronic 4 pain [27,28], yet the implementation of PPI approaches into clinical practice has been slow and varied [19,20]. Potential barriers include high patient burden associated with privacy concerns, time, and mobility or travel limitations [18,29].…”

Effectiveness of Telematic Behavioral Techniques to Manage Anxiety, Stress and Depressive Symptoms in Patients with Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis

“…However, it is not clear if telematic BMT (e-BMT) is also effective to improve psychological variables and if it is as effective as in-person BMT. Some previous systematic reviews have assessed the effect of telerehabilitation based on BMT on variables such as pain intensity, disability, disease impact, physical function, pain-related fear of movement, and psychological distress [ 9 , 10 , 11 , 12 ], showing promising results.…”