Wirksamkeit eines Internet-gestützten Nachsorgeangebots für Patienten mit chronischen Rückenschmerzen
Abstract
Chronic back pain leads to high societal costs and severely decreased quality of life for the sufferers. Pain treatment aims at sustainable behaviour changes in order to positively affect pain development in the medium term. A multicenter, randomised control trial was conducted. Participants (N=334) were recruited at 6 German hospitals and randomly assigned to an Internet-based aftercare intervention or treatment-as-usual. Primary endpoint was 12 months after treatment termination, primary outcome was pain intensity, and secondary outcomes were physical functioning, quality of life, and ability to work.The intervention was well accepted by the participants. Its efficacy could not be demonstrated. Neither pain intensity nor the secondary outcomes differed between the 2 study groups.Possible reasons for disappointing efficacy and preconditions for Internet-based programs will be discussed.
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Selective reporting was judged low risk except in 4 studies, where it was unclear.
“We judged selective reporting as low risk except in 4 studies (unclear) [39,59].”
From Tailored web-based interventions for pain: Systematic review and meta-analysis (2017) · cites this paper as [39]
The dosage of interventions was very diverse.
“The dosage of interventions was also very diverse, ranging from 2 sessions per week for 3 weeks [51] or 5 sessions per week for 4 weeks [46,47] to 12 to 15 weekly sessions [39] or even weekly reminders for 12 months [55].”
From Tailored web-based interventions for pain: Systematic review and meta-analysis (2017) · cites this paper as [39]
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Marchesi, G., Rapelli, G., Roselli, G., Spina, G., Semonella, M., Andersson, G., Simpson, S., & Pietrabissa, G. (2026) · doi:10.2196/preprints.95227
- Authors
- Moessner, M., Aufdermauer, N., Baier, C., Göbel, H., Kuhnt, O., Neubauer, E., Poesthorst, H., & Kordy, H.
- Affiliations
- University Hospital Heidelberg (DE)
- Helios Amper-Klinikum Dachau (DE)
- München Klinik Neuperlach (DE)
- Schmerzklinik Kiel (DE)
- m&i-Fachklinik Enzensberg, Interdisziplinäres Schmerzzentrum
- DRK Schmerzzentrum Mainz
- Corresponding author
- Kordy, Hans
- Venue
- PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie
- Publisher
- Georg Thieme Verlag KG
- Published
- 2013-10-07
- Volume
- 64
- Issue
- 02
- Pages
- 47-53
- ISSN
- 0937-2032 (ISSN-L)
- 1439-1058
- OpenAlex
- W2395699900
- Cited by
- 23
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 4 · 2021: 1 · 2019: 2 · 2018: 4 · 2017: 7 · 2016: 1 · 2014: 2
- FWCI
- 0.73
- Type
- journal article
- Language
- de
- Open access
- closed
- Locations
- PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- chronic back pain, pain intensity, physical function, quality of life, work ability, behavior change, intervention efficacy
- MeSH terms
- Adolescent, Adult, Aftercare, Aged, Female, Humans, Male, Middle Aged, Treatment Outcome, Low Back Pain, Internet, Endpoint Determination, Young Adult
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