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A randomized controlled evaluation of an online chronic pain self management program
Open accessAbstract
Internet-based educational and therapeutic programs (e-health applications) are becoming increasingly popular for a variety of psychological and physical disorders. We tested the efficacy of an online Chronic Pain Management Program, a comprehensive, fully self-directed and self-paced system that integrates social networking features and self-management tools into an interactive learning environment. Of 305 adult participants (196 women, 109 men), a total of 162 individuals with chronic pain were randomly assigned unsupervised access to the program for approximately 6 weeks; 143 were assigned to the wait-listed control group with treatment as usual. A comprehensive assessment was administered before the study and approximately 7 and 14 weeks thereafter. All recruitment, data collection, and participant involvement took place online. Participation was fully self-paced, permitting the evaluation of program effectiveness under real-world conditions. Intent-to-treat analysis that used linear growth models was used as the primary analytic tool. Results indicated that program utilization was associated with significant decreases in pain severity, pain-related interference and emotional burden, perceived disability, catastrophizing, and pain-induced fear. Further, program use led to significant declines in depression, anxiety, and stress. Finally, as compared to the wait-listed control group, the experimental group displayed a significant increase in knowledge about the principles of chronic pain and its management. Study limitations are considered, including the recognition that not all persons with chronic pain are necessarily good candidates for self-initiated, self-paced, interactive learning.
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“Another study, testing the effect of a no-therapist contact online intervention found positive effects on pain, catastrophizing, and disability for the intervention group [18].”
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Metadata
- Authors
- Ruehlman, L. S., Karoly, P., & Enders, C.
- Affiliations
- Goalistics (US)
- Arizona State University (US)
- Corresponding author
- Ruehlman, Linda S.
- Venue
- Pain
- Published
- 2012-02
- Volume
- 153
- Issue
- 2
- Pages
- 319-330
- ISSN
- 0304-3959 (ISSN-L)
- PMC
- PMC3514416
- OpenAlex
- W2013030216
- Semantic Scholar
- 65cbfec304942739a85e6107407cdfdc1a0bbf85
- Cited by
- 172
- References
- 47
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 9 · 2023: 14 · 2022: 20 · 2021: 7 · 2020: 15 · 2019: 17 · 2018: 11 · 2017: 11 · 2016: 12 · 2015: 15 · 2014: 13 · 2013: 8 · 2012: 4
- FWCI
- 9.41
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (R44NS048743)
- 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 pain, self-management, e-health, online intervention, pain catastrophizing, fear of pain, depression, anxiety, stress, pain knowledge, social networking, self-paced learning, program utilization
- MeSH terms
- Adult, Aged, Computer-Assisted Instruction, Female, Humans, Male, Middle Aged, Online Systems, Self Care, Software, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult, Chronic Pain
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