Therapeutic Interactive Voice Response for chronic pain reduction and relapse prevention

Naylor, Magdalena R.; Keefe, Francis J.; Brigidi, Bart; Naud, Shelly; Helzer, John E.

doi:10.1016/j.pain.2007.11.001

Cited by 111Musculoskeletal pain and rehabilitationDigital Mental Health InterventionsTelemedicine and Telehealth Implementation

Therapeutic Interactive Voice Response for chronic pain reduction and relapse prevention

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Naylor, Magdalena R., Keefe, Francis J., Brigidi, Bart, Naud, Shelly, Helzer, John E.·2008·Pain

DOI 10.1016/j.pain.2007.11.001PMC PMC2693197

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Abstract

We developed Therapeutic Interactive Voice Response (TIVR) as an automated, telephone-based tool for maintenance enhancement following group cognitive–behavioral therapy (CBT) for chronic pain. TIVR has four components: a daily self-monitoring questionnaire, a didactic review of coping skills, pre-recorded behavioral rehearsals of coping skills, and monthly personalized feedback messages from the CBT therapist based on a review of the patient’s daily reports. The first three components are pre-recorded and all four can be accessed remotely by patients via touch-tone telephone on demand. Following 11 weeks of group CBT, 51 subjects with chronic musculoskeletal pain were randomized to one of two study groups. Twenty-six subjects participated in 4 months of TIVR, while a control group of 25 subjects received standard care only. The TIVR group showed maximum improvement over baseline at the 8-month follow-up for seven of the eight outcome measures; improvement was found to be significant for all outcomes (p ≤ .001). Between-group analysis of covariance (ANCOVA) revealed significantly greater improvement for the experimental group at both 4- and 8-month follow-ups for most of the outcomes. Results demonstrate that TIVR can be used to decrease pain, improve coping and decrease likelihood of relapse into pain behavior. Preliminary analysis of medication usage suggests that the superior outcome of the TIVR group was unlikely to be a consequence of differential medication use.

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Few studies have examined home-delivered interventions that aim to support self-management of chronic pain following rehabilitation.
“Few studies have examined home-delivered interventions that aim to support self-management of chronic pain following rehabilitation [11-13].”
From A Smartphone-Based Intervention With Diaries and Therapist-Feedback to Reduce Catastrophizing and Increase Functioning in Women With Chronic Widespread Pain: Randomized Controlled Trial (2013) · cites this paper as [13]

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pattern included SF-36 Mental Health Composite Score (P <.0004), McGill Pain Questionnaire pain (P <.01), Coping Strategies Questionnaire Catastrophizing (P <.0006), Treatment Outcomes in Pain Survey Total Pain Experience (P <.03), and Perceived Family/So
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Therapeutic Interactive Voice Response enhanced CBT gains in chronic painCommentary
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Authors: Naylor, M. R., Keefe, F. J., Brigidi, B., Naud, S., & Helzer, J. E.
Affiliations: University of Vermont (US)
Duke University (US)
Corresponding author: Naylor, Magdalena R.
ORCID: Keefe, Francis J.
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2008-02
Volume: 134
Issue: 3
Pages: 335-345
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2007.11.001
PMC: PMC2693197
OpenAlex: W2105524065
Cited by: 111
References: 41
Citations by year: 2025: 3 · 2024: 3 · 2023: 1 · 2022: 5 · 2021: 7 · 2020: 9 · 2019: 4 · 2018: 5 · 2017: 11 · 2016: 9 · 2015: 6 · 2014: 7 · 2013: 12 · 2012: 7
FWCI: 5.14
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (R01AA014270)
National Institute on Drug Abuse (R21DA016115)
National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR059674, R01AR052131)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords: chronic pain, group cognitive behavioral therapy, telephone-delivered intervention, maintenance therapy, relapse prevention, coping strategies, self-monitoring, personalized feedback, musculoskeletal pain, medication use
MeSH terms: Chronic Disease, Humans, Middle Aged, Self-Assessment, Self Care, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Telemedicine, Secondary Prevention, Pain Management

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Therapeutic Interactive Voice Response for chronic pain reduction and relapse prevention

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