Cited by 232Musculoskeletal pain and rehabilitationDigital Mental Health InterventionsPain Management and Treatment

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Controlled trial of Internet-based treatment with telephone support for chronic back pain

Buhrman, Monica, Fältenhag, Sofia, Ström, Lars, Andersson, Gerhard·2004·Pain

DOI 10.1016/j.pain.2004.07.021

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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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“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
ORCID: Buhrman, Monica
Ström, Lars
Andersson, Gerhard
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2004-10
Volume: 111
Issue: 3
Pages: 368-377
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2004.07.021
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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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Controlled trial of Internet-based treatment with telephone support for chronic back pain

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