Guided Internet-based Psycho-educational Intervention Using Cognitive Behavioral Therapy and Self-management for Individuals with Chronic Pain: A Feasibility Study

Perry, Jennifer; VanDenKerkhof, Elizabeth G.; Wilson, Rosemary; Tripp, Dean A.

doi:10.1016/j.pmn.2016.12.003

Cited by 6 publications

(2 citation statements)

References 73 publications

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“…Our study yielded comparable data collection results to other web-based intervention pilot trials with approximately 50% (35/63) of response at 3-month follow-up [61,62]. While studies with higher financial incentives (US $25-$80 per assessment) during visit assessments or initial motivational interviews had better response rates [60,[63][64][65][66], we purposefully chose to stay as close as possible to real life where no incentives are offered.…”

Section: Feasibility Acceptability and Engagementmentioning

confidence: 68%

Assessing the Feasibility and Preliminary Effects of a Web-Based Self-Management Program for Chronic Noncancer Pain: Mixed Methods Study

Marier-Deschenes,

Pinard,

Jalbert

et al. 2024

JMIR Hum Factors

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Background In Canada, adults with chronic noncancer pain face a persistent insufficiency of publicly funded resources, with the gold standard multidisciplinary pain treatment facilities unable to meet the high clinical demand. Web-based self-management programs cost-effectively increase access to pain management and can improve several aspects of physical and emotional functioning. Aiming to meet the demand for accessible, fully automated resources for individuals with chronic noncancer pain, we developed a French web- and evidence-based self-management program, Agir pour moi (APM). This program includes pain education and strategies to reduce stress, practice mindfulness, apply pacing, engage in physical activity, identify and manage thinking traps, sleep better, adapt diet, and sustain behavior change. Objective This study aims to assess the APM self-management program’s feasibility, acceptability, and preliminary effects in adults awaiting specialized services from a center of expertise in chronic pain management. Methods We conducted a mixed methods study with an explanatory sequential design, including a web-based 1-arm trial and qualitative semistructured interviews. We present the results from both phases through integrative tables called joint displays. Results Response rates were 70% (44/63) at postintervention and 56% (35/63) at 3-month follow-up among the 63 consenting participants who provided self-assessed information at baseline. In total, 46% (29/63) of the participants completed the program. We interviewed 24% (15/63) of the participants. The interview’s first theme revolved around the overall acceptance, user-friendliness, and engaging nature of the program. The second theme emphasized the differentiation between microlevel and macrolevel engagements. The third theme delved into the diverse effects observed, potentially influenced by the macrolevel engagements. Participants highlighted the features that impacted their self-efficacy and the adoption of self-management strategies. We observed indications of improvement in self-efficacy, pain intensity, pain interference, depression, and catastrophizing. Interviewees described these and various other effects as potentially influenced by macrolevel engagement through behavioral change. Conclusions These ﬁndings provided preliminary evidence that the APM self-management program and research methods are feasible. However, some participants expressed the need for at least phone reminders and minimal support from a professional available to answer questions over the first few weeks of the program to engage. Recruitment strategies of a future randomized controlled trial should focus on attracting a broader representation of individuals with chronic pain in terms of gender and ethnicity. Trial Registration ClinicalTrials.gov NCT05319652; https://clinicaltrials.gov/study/NCT05319652

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Section: Feasibility Acceptability and Engagementmentioning

confidence: 68%

Assessing the Feasibility and Preliminary Effects of a Web-Based Self-Management Program for Chronic Noncancer Pain: Mixed Methods Study

Marier-Deschenes,

Pinard,

Jalbert

et al. 2024

JMIR Hum Factors

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“…Compared with the traditional face-to-face classes, online education has a low cost for both the patient and the health organizations. 71,72 The flexibility of online education benefits those who are physically unable to attend the face-toface classes due to the illness, family commitment, or other reasons. It provides the equal opportunity to vulnerable section of the people to access the pain management services.…”

Section: Discussionmentioning

confidence: 99%

Education programs for people living with chronic pain: a scoping review

Wang¹,

Grech

Evans

et al. 2020

Frontiers of Nursing

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ObjectiveThe aim of this scoping review was to provide evidence for health practitioners to improve patient education practice for chronic pain management.MethodsA scoping review was guided by Arksey and O'Malley's (2005)1 five-stage framework, investigated contemporary patient education programs (2007–2018) for chronic pain management in education content, formats of delivery, and tools used for evaluation. Content analysis and description were used for the outcome report.ResultsSeven quantitative studies were included. Education content consisted of General information, Cognitive behavior therapy (CBT), Self-management, and Pain neurophysiology (PN). Education delivery formats varied from workbook to workbook, face-to-face, online, when given for a group or individual or in a combined way. In total, 19 tools were reported for the evaluation of the education programs.ConclusionsThere is a variety in the education content and the delivery formats. The majority of programs showed effectiveness in patients’ chronic pain management based on their selected evaluation tools. This review showed that patient education programs can be useful in chronic pain management. The effectiveness of patient education programs focuses on the improved patients’ physical function and quality of life rather than the cessation of pain only.

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Connecting the Quality of Evidence to Clinical Decision-Making

Miller¹

2017

Pain Management Nursing

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Guided Internet-based Psycho-educational Intervention Using Cognitive Behavioral Therapy and Self-management for Individuals with Chronic Pain: A Feasibility Study

Cited by 6 publications

References 73 publications

Assessing the Feasibility and Preliminary Effects of a Web-Based Self-Management Program for Chronic Noncancer Pain: Mixed Methods Study

Assessing the Feasibility and Preliminary Effects of a Web-Based Self-Management Program for Chronic Noncancer Pain: Mixed Methods Study

Education programs for people living with chronic pain: a scoping review

Connecting the Quality of Evidence to Clinical Decision-Making

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