Psychological therapies (Internet-delivered) for the management of chronic pain in adults

Eccleston, Christopher; Fisher, Emma; Craig, Lorraine; Duggan, Geoffrey B.; Rosser, Benjamin A.; Keogh, Edmund

doi:10.1002/14651858.cd010152.pub2

Cited by 176 publications

(140 citation statements)

References 89 publications

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“…This review should be considered a sister review to the Eccleston 2014 update, which now excludes treatments delivered remotely. A similar distinction has also been made in the Cochrane reviews on psychological therapies for the management of chronic pain in adults: face-to-face (Williams 2012) and Internet-delivered (Eccleston 2014b). …”

Section: Introductionmentioning

confidence: 76%

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Fisher

Law

Palermo

et al. 2015

Cochrane Database of Systematic Reviews

Self Cite

124

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Background Chronic pain is common during childhood and adolescence and is associated with negative outcomes such as increased severity of pain, reduced function (e.g. missing school), and low mood (e.g. high levels of depression and anxiety). Psychological therapies, traditionally delivered face-to-face with a therapist, are efficacious at reducing pain intensity and disability. However, new and innovative technology is being used to deliver these psychological therapies remotely, meaning barriers to access to treatment such as distance and cost can be removed or reduced. Therapies delivered with technological devices, such as the Internet, computer-based programmes, smartphone applications, or via the telephone, can be used to deliver treatment to children and adolescents with chronic pain. Objectives To determine the efficacy of psychological therapies delivered remotely compared to waiting-list, treatment-as-usual, or active control treatments, for the management of chronic pain in children and adolescents. Search methods We searched four databases (CENTRAL, MEDLINE, EMBASE, and PsycINFO) from inception to June 2014 for randomised controlled trials of remotely delivered psychological interventions for children and adolescents (0 to 18 years of age) with chronic pain. We searched for chronic pain conditions including, but not exclusive to, headache, recurrent abdominal pain, musculoskeletal pain, and neuropathic pain. We also searched online trial registries for potential trials. A citation and reference search for all included studies was conducted. Selection criteria All included studies were randomised controlled trials that investigated the efficacy of a psychological therapy delivered remotely via the Internet, smartphone device, computer-based programme, audiotapes, or over the phone in comparison to an active, treatment-as-usual, or waiting-list control. We considered blended treatments, which used a combination of technology and face-to-face interaction. We excluded interventions solely delivered face-to-face between therapist and patient from this review. Children and adolescents (0 to 18 years of age) with a primary chronic pain condition were the target of the interventions. Each comparator arm, at each extraction point had to include 10 or more participants. Data collection and analysis For the analyses, we combined all psychological therapies. We split pain conditions into headache and mixed (non-headache) pain and analysed them separately. Pain, disability, depression, anxiety, and adverse events were extracted as primary outcomes. We also extracted satisfaction with treatment as a secondary outcome. We considered outcomes at two time points: first immediately following the end of treatment (known as ’post-treatment’), and second, any follow-up time point post-treatment between 3 and 12 months (known as ’follow-up’). We assessed all included studies for risk of bias. Main results Eight studies (N = 371) that delivered treatment remotely were identified from our search; five studies inv...

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Section: Introductionmentioning

confidence: 76%

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Fisher

Law

Palermo

et al. 2015

Cochrane Database of Systematic Reviews

Self Cite

124

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“…Existe abundante literatura sobre la utilidad de las intervenciones psicológicas en el tratamiento del dolor crónico (8-11), con aplicaciones en ámbitos diversos como el de la lumbalgia (12)(13)(14), la fibromialgia (15), el dolor infantil (16) o la aplicación al tratamiento del dolor de las nuevas tecnologías de la comunicación (17), entre otros.…”

Section: Correspondenciaunclassified

Relevancia de los aspectos psicológicos en el dolor crónico

Castel¹

2017

Rev. Soc. Esp. Dolor.

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Este es un archivo PDF de un manuscrito inédito que ha sido aceptado para su publicación en la Revista de la Sociedad Española del Dolor. Como un servicio a nuestros clientes estamos proporcionando esta primera versión del manuscrito en estado de prepublicación. El manuscrito será sometido a la corrección de estilo final, composición y revisión de la prueba resultante antes de que se publique en su forma final. Tenga en cuenta que durante el proceso de producción se pueden dar errores lo que podría afectar el contenido final. El copyright y todos los derechos legales que se aplican al artículo pertenecen a la Revista de la Sociedad Española de Dolor.

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“…Internet-based interventions might be a feasible means through which to increase uptake rates of chronic pain-specific interventions and, thus, help to improve health care for persons with chronic pain (Bender et al, 2011;Bennett & Glasgow, 2009;Eccleston, 2011;Keogh, 2013;Long & Palermo, 2009;McGeary et al, 2012;Rosser et al, 2011;Williams, 2011). To date, there is a growing evidence base for the effectiveness of internet-based CBT interventions for the treatment of chronic pain, with a considerable number of different interventions trialled (Berman et al, 2009;Eccleston et al, 2014;Keogh et al, 2010;Macea et al, 2010;Velleman et al, 2010). Two recent meta-analyses on internet-based interventions for chronic pain reported overall combined effect sizes on pain at post-treatment compared to active control, waitlist or treatment as usual of d = .29 (Macea et al, 2010) and SMD = .37 (Eccleston et al, 2014), respectively.…”

Section: Introductionmentioning

confidence: 99%

“…To date, there is a growing evidence base for the effectiveness of internet-based CBT interventions for the treatment of chronic pain, with a considerable number of different interventions trialled (Berman et al, 2009;Eccleston et al, 2014;Keogh et al, 2010;Macea et al, 2010;Velleman et al, 2010). Two recent meta-analyses on internet-based interventions for chronic pain reported overall combined effect sizes on pain at post-treatment compared to active control, waitlist or treatment as usual of d = .29 (Macea et al, 2010) and SMD = .37 (Eccleston et al, 2014), respectively.…”

Section: Introductionmentioning

confidence: 99%

“…Despite several promising efficacy and effectiveness studies, the evidence base of internet interventions for chronic pain remains limited, with an almost exclusive focus on CBT-based pain interventions (Eccleston et al, 2014;Macea et al, 2010). To the best of our knowledge, there are only two internet intervention trials based on ACT for chronic pain, and these studies show promising effects of ACT-based interventions on pain outcomes (e.g.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness and cost-effectiveness of a guided and unguided internet-based Acceptance and Commitment Therapy for chronic pain: Study protocol for a three-armed randomised controlled trial.

Lin

Lüking

Ebert

et al. 2015

Internet Interventions

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Background: Acceptance and Commitment Therapy (ACT) is an effective intervention for the treatment of chronic pain. Internet-based pain interventions might be an effective and cost-effective way to overcome treatment barriers of traditional face-to-face pain interventions such as the lack of availability and accessibility. However, little is known about the general (cost-)effectiveness of internet-based pain interventions and the specific (cost-) effectiveness of guided and unguided pain interventions. Therefore, the aim of this study is to investigate the effectiveness and cost-effectiveness of a guided and unguided ACT-based online intervention for persons with chronic pain (ACTonPain). Methods: ACTonPain is a pragmatic three-armed randomised controlled trial comparing ACTonPain with or without therapist guidance against a waitlist control group. Both active conditions differ only with regard to guidance provided by an eCoach, who sends feedback after each module. This study aims to include 300 participants. Randomisation and allocation will be performed using permuted block randomisation with variable block sizes. The intervention contains seven ACT-based modules with interactive exercises, and audio and video clips. Furthermore, the participants have the opportunity to receive daily text messages. Online selfassessments will take place at pre-and post-treatment, as well as at 6 month follow-up. The primary outcome is pain interference. Secondary outcomes include physical and emotional functioning, pain intensity, ACTrelated variables as well as health-related quality of life. Moreover, a cost-effectiveness analysis will be conducted from a societal perspective. Demographic and medical variables will be assessed on the basis of self-reports in order to detect potential moderators or mediators of the effects. The data will be analysed on an intention-totreat basis and also using per-protocol analyses. Discussion: This study will contribute to the evidence base of internet-based pain interventions and provide valuable information about the treatment success and cost-effectiveness regarding the intervention's level of guidance (self-help only vs. guided self-help). If ACTonPain is shown to be effective, investigations in different healthcare settings should follow, to examine possible ways of implementing ACTonPain into existing healthcare systems. The implementation of ACTonPain could help to shorten waiting times, expand access to pain treatment and, potentially, also reduce treatment costs.

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Psychological therapies (Internet-delivered) for the management of chronic pain in adults

Abstract: Psychological therapies (Internet-delivered) for the management of chronic pain in adults (Review)

Cited by 176 publications

References 89 publications

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents

Relevancia de los aspectos psicológicos en el dolor crónico

Effectiveness and cost-effectiveness of a guided and unguided internet-based Acceptance and Commitment Therapy for chronic pain: Study protocol for a three-armed randomised controlled trial.

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