The Pain Course

Dear, Blake F.; Courtney, Catherine A.; Khor, Kok Eng; McDonald, Sarah; Ricciardi, Tahlia; Gandy, Milena; Fogliati, Vincent J.; Titov, Nickolai

doi:10.1097/ajp.0000000000000565

Cited by 12 publications

(3 citation statements)

References 42 publications

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“…Effectiveness studies of internet-delivered psychological interven-improvements on self-efficacy, activity engagement, pain intensity, pain interference, and treatment satisfaction (Sullivan et al, 2018). Another uncontrolled trial of IACT provided in a tertiary care setting (n = 39) showed significant improvements on depression, anxiety, and disability for a subgroup of participants (Dear et al, 2018). In addition, a wait-list control trial on IACT for chronic pain patients in tertiary care (n = 113), although self-referred, showed treatment effects on pain interference, depression, anxiety, pain intensity, and insomnia (Rickardsson et al, 2021).…”

Section: Internet-delivered Acceptance and Commitment Therapymentioning

confidence: 99%

“…So far, ICBT for chronic pain has been successfully delivered without tailored treatment (Buhrman et al, 2016) (Dear et al, 2018), although tailoring could potentially affect motivation, adherence and satisfaction rather than outcomes (Martorella et al, 2017). For example, matching treatment format with patients' expectation, requests and characteristics could enhance adherence (Gasslander et al, 2021).…”

Section: Tailored Treatmentmentioning

confidence: 99%

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Internet-Delivered Acceptance and Commitment Therapy for Chronic Pain : Feasibility, patients’ experiences and implementation process

Bendelin

2023

Linköping University Medical Dissertations

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Chronic pain represents a major burden for individuals and society. Internet-delivered psychological interventions are evidence-based treatments that enable patients to access qualified care at a time and place convenient for them. Internet-delivered Acceptance and commitment therapy (IACT) has shown promising treatment effects for chronic pain patients on pain-related outcomes such as disability, pain intensity, and interference, and on psychological outcomes such as catastrophizing, fear-avoidance and acceptance. Interdisciplinary pain rehabilitation programs (IPRP) are multimodal interventions given by synchronized teams of health care professionals from different disciplines. With moderate treatment effects on many outcomes, IPRP is the best evidence treatment for chronic pain to date.• A focus on quality of life, physical and psychological functioning, and/or return-to-work (Kamper et al., 2015). • The content consists of multiple modalities given synchronized by a team of several professionals (Nordin et al., 2016). • The team collaborates extensively during assessment and treatment planning and continuously evaluates treatment processes throughout the rehabilitation phase. • The group-based psychology sessions incorporate components from cognitive behavioural therapy (CBT) (Eccleston et al., 2009) or Acceptance and commitment therapy (ACT) (Eccleston et al., 2013, Hann and and target catastrophizing, coping, experiential avoidance, goals, values, motivation, and sometimes sleep interventions. tions have nevertheless given promise to its feasibility on their own or as a part of stepped care in regular health services (Andersson et al., 2019). Delivery in specialist pain care EffectivenessWith regards to specialist level pain care, a non-randomized trial of IACT (n = 99) with individualized coaching given as a stand-alone treatment showed PapersThe papers associated with this thesis have been removed for copyright reasons. For more details about these see:

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Section: Internet-delivered Acceptance and Commitment Therapymentioning

confidence: 99%

Section: Tailored Treatmentmentioning

confidence: 99%

Internet-Delivered Acceptance and Commitment Therapy for Chronic Pain : Feasibility, patients’ experiences and implementation process

Bendelin

2023

Linköping University Medical Dissertations

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“…Individualized guidance might help patients gain from pivotal interventions [7]. However, ICBT for chronic pain has so far been successfully delivered without individual adjustments [11,19]. Tailored treatment is relevant when there is a variation in symptoms or consequences, or when pain is one of comorbid syndromes [4].…”

Section: Introductionmentioning

confidence: 99%

Patients’ experiences of internet-based Acceptance and commitment therapy for chronic pain: a qualitative study

Bendelin

Björkdahl

Risell

et al. 2020

BMC Musculoskelet Disord

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Background: Chronic pain is a globally widespread condition with complex clusters of symptoms within a heterogeneous patient group. Internet-delivered Acceptance and Commitment Therapy (IACT) has shown promising results in the treatment of chronic pain. How IACT is experienced by patients is less well known. Qualitative studies of patients' experiences are needed to further understand factors behind both engagement and negative effects. The aim of this study was to explore how IACT was experienced by chronic pain patients who had participated in a controlled trial. Methods:Through an open and exploratory approach this study aimed to investigate how IACT was experienced when delivered as a guided self-help program to persons with chronic pain. Eleven participants were interviewed over telephone after completing IACT.Results: Qualitative analysis based on grounded theory resulted in 2 core categories and 8 subcategories. In treatment: Physical and cognitive restraints, Time and deadline, Therapist contact, and Self-confrontation. After treatment: Attitude to pain, Image of pain, Control or Command, and Acting with pain. Individual differences as well as specific conditions of the treatment may explain variations in how the treatment was approached, experienced and what consequences it led to. Therapist guidance and deadlines for homework play complex roles in relation to autonomy and change.Conclusions: Adjusting treatment content and format based on participants' characteristics, such as expectations, motivation and restraints, might positively affect engagement, autonomy and change. Further research on attrition and negative effects of treatment might clarify what enables chronic pain patients to benefit from IACT.Trial registration: clinicaltrials.gov (NCT01603797). Registered 22 May 2012. Retrospectively registered.

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A Cost-effectiveness Analysis of an Internet-delivered Pain Management Program Delivered With Different Levels of Clinician Support: Results From a Randomised Controlled Trial

Dear

Karin

Fogliati

et al. 2021

The Journal of Pain

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The Pain Course

Abstract: These findings highlight the potential value of internet-delivered programs when provided by specialist pain management clinics as a part of their services and the value of larger scale studies in this area.

Cited by 12 publications

References 42 publications

Internet-Delivered Acceptance and Commitment Therapy for Chronic Pain : Feasibility, patients’ experiences and implementation process

Internet-Delivered Acceptance and Commitment Therapy for Chronic Pain : Feasibility, patients’ experiences and implementation process

Patients’ experiences of internet-based Acceptance and commitment therapy for chronic pain: a qualitative study

A Cost-effectiveness Analysis of an Internet-delivered Pain Management Program Delivered With Different Levels of Clinician Support: Results From a Randomised Controlled Trial

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