Cited by 369Pediatric Pain Management TechniquesDigital Mental Health InterventionsMusculoskeletal pain and rehabilitation

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Randomized controlled trial of an Internet-delivered family cognitive-behavioral therapy intervention for children and adolescents with chronic pain.

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Palermo, Tonya M., Wilson, Anna C., Peters, Meaghan, Lewandowski, Amy, Somhegyi, Hannah·2009·Pain

DOI 10.1016/j.pain.2009.07.034PMC PMC2760656

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Abstract

Cognitive-behavioral therapy (CBT) interventions show promise for decreasing chronic pain in youth. However, the availability of CBT is limited by many factors including distance to major treatment centers and expense. This study evaluates a more accessible treatment approach for chronic pediatric pain using an Internet-delivered family CBT intervention. Participants included 48 children, aged 11-17 years, with chronic headache, abdominal, or musculoskeletal pain and associated functional disability, and their parents. Children were randomly assigned to a wait-list control group or an Internet treatment group. Primary treatment outcomes were pain intensity ratings (0-10 NRS) and activity limitations on the Child Activity Limitations Interview, both completed via an online daily diary. In addition to their medical care, the Internet treatment group completed 8 weeks of online modules including relaxation training, cognitive strategies, parent operant techniques, communication strategies, and sleep and activity interventions. Youth randomized to the wait-list control group continued with the current medical care only. Findings demonstrated significantly greater reduction in activity limitations and pain intensity at post-treatment for the Internet treatment group and these effects were maintained at the three-month follow-up. Rate of clinically significant improvement in pain was also greater for the Internet treatment group than for the wait-list control group. There were no significant group differences in parental protectiveness or child depressive symptoms post-treatment. Internet treatment was rated as acceptable by all children and parents. Findings support the efficacy and acceptability of Internet delivery of family CBT for reducing pain and improving function among children and adolescents with chronic pain.

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BackgroundMethod
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Authors: Palermo, T. M., Wilson, A. C., Peters, M., Lewandowski, A., & Somhegyi, H.
Affiliations: Oregon Health & Science University (US)
George Fox University (US)
Lewis & Clark College (US)
Corresponding author: Palermo, Tonya M.
ORCID: Palermo, Tonya M.
Wilson, Anna C.
Lewandowski, Amy
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2009-11
Volume: 146
Issue: 1
Pages: 205-213
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2009.07.034
PMC: PMC2760656
OpenAlex: W2088188917
Cited by: 368
References: 37
Citations by year: 2026: 7 · 2025: 7 · 2024: 9 · 2023: 13 · 2022: 8 · 2021: 27 · 2020: 17 · 2019: 28 · 2018: 27 · 2017: 19 · 2016: 37 · 2015: 32 · 2014: 31 · 2013: 36 · 2012: 33
FWCI: 20.17
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health
National Institute of Child Health and Human Development
Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD050674, R21HD050674, K24HD060068)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Keywords: online intervention, children and adolescents, headache, abdominal pain, musculoskeletal pain, activity limitation, pain intensity, relaxation training, treatment acceptability, functional disability
MeSH terms: Adolescent, Child, Chronic Disease, Depression, Female, Follow-Up Studies, Humans, Male, Motor Activity, Pain, Pain Measurement, Patient Acceptance of Health Care, Patient Compliance, Socioeconomic Factors, Cognitive Behavioral Therapy, Treatment Outcome, Patient Satisfaction, Sample Size, Internet, Pain Management

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Randomized controlled trial of an Internet-delivered family cognitive-behavioral therapy intervention for children and adolescents with chronic pain.

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