Controlled trial of Internet-based treatment with telephone support for chronic back pain
Abstract
The purpose of this study was to investigate the effects of an Internet-based cognitive-behavioral intervention with telephone support for chronic back pain. Participants who met the criteria for chronic back pain (N=56) were randomly assigned to either an Internet-based cognitive behavioral self-help treatment or to a waiting-list control condition. The study period lasted 8 weeks and consisted of 1 week of self-monitoring prior to the intervention, 6 weeks of intervention, and 1 week of post-intervention assessment. Treatment consisted of education, cognitive skill acquisition, behavioral rehearsal, generalization and maintenance. The dropout rate was 9% (N=5). Results showed statistically significant improvements in catastrophizing, control over pain and ability to decrease pain. Some improvement was found in both the control group and the treatment group. A follow-up of 3 months after treatment termination was completed in 92% (N=47) of the participants who completed the treatment intervention. Follow-up results showed that some improvement was maintained. Findings indicate that Internet-based self-help with telephone support, based on established psychological treatment methods, holds promise as an effective approach for treating disability in association with pain.
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Internet-based self-help interventions for chronic pain have been shown to be effective for a number of pain conditions, including headache, non-headache chronic pain, and rheumatoid arthritis, osteoarthritis, or fibromyalgia.
“Internet-based self-help interventions for chronic pain have been shown to be effective for a number of pain conditions, including headache,35 non-headache chronic pain,36 and rheumatoid arthritis, osteoarthritis, or fibromyalgia.37”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [36]
Several cognitive-behavioral oriented Internet interventions have been studied for use with chronic pain.
“Several cognitive-behavioral oriented Internet interventions have been studied for use with chronic pain (e.g., [14; 10; 46])”
From Internet-enhanced management of fibromyalgia: A randomized controlled trial (2010) · cites this paper as [14]
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“Service Baseline, n (%) 6-month follow-up, n (%) 12-month follow-up, n (%) Intervention Control Intervention Control Intervention Control Consultations NA NA 370 (92) 276 (92) 370 (92) 276 (92) Prescriptions 332 (82) 229 (76) 350 (87) 258 (86) 350 (87) 258 (86) Investigations NA NA 370 (92) 276 (92) 370 (92) 276 (92)…”
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- Authors
- Buhrman, M., Fältenhag, S., Ström, L., & Andersson, G.
- Affiliations
- Linköping University (SE)
- Uppsala University (SE)
- Corresponding author
- Andersson, Gerhard
- Venue
- Pain
- Published
- 2004-10
- Volume
- 111
- Issue
- 3
- Pages
- 368-377
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2032200452
- Cited by
- 232
- References
- 43
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 4 · 2023: 7 · 2022: 9 · 2021: 5 · 2020: 7 · 2019: 3 · 2018: 10 · 2017: 9 · 2016: 15 · 2015: 15 · 2014: 13 · 2013: 16 · 2012: 16
- FWCI
- 5.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- chronic back pain, online intervention, telephone support, cognitive behavioral therapy, self-help treatment, pain catastrophizing, pain management, pain intensity, treatment discontinuation, follow-up maintenance, disability
- MeSH terms
- Adult, Analysis of Variance, Back Pain, Chronic Disease, Female, Humans, Male, Middle Aged, Pain Measurement, Telephone, Cognitive Behavioral Therapy, Internet
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