Online psychological treatment for pediatric recurrent pain: A randomized evaluation
Abstract
OBJECTIVE: To evaluate the efficacy of a distance treatment delivered through Internet and telephone for pediatric recurrent pain. METHODS: Forty-seven participants (9-16 years of age) were randomly assigned to either an Internet-based treatment or a standard medical care waitlist. Treatment employed a Web-based manual for children and parents with weekly therapist contact by telephone or e-mail. At 1- and 3-month follow-ups, participants were assessed on the outcome variables of pain and quality of life. A 50% reduction in diary pain scores was considered clinically significant. RESULTS: Significant between-group differences were found: 71 and 72% of the treatment group achieved clinically significant improvement at the 1- and 3-month follow-ups, respectively, whereas only 19 and 14% of the control group achieved the criterion. No significant differences were found on the quality of life variable. CONCLUSIONS: Distance methods have considerable potential for making effective treatments more accessible with lower associated costs.
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The findings provide support for previous studies which demonstrated the efficacy of self-help type interventions with minimal therapist contact, for children with chronic headache and recurrent pain.
“they provide support for previous studies which demonstrated the efficacy of self-help type interventions with minimal therapist contact, for children with chronic headache and recurrent pain 22, 23 .”
From The Effectiveness of an Acceptance and Commitment Therapy Self-help Intervention for Chronic Pain. (2010) · cites this paper as [23]
These bodily changes from relaxation have been found to reduce the experience of stress and anxiety.
“These bodily changes have also been found to reduce the experience of stress and anxiety [74].”
From Best-evidence for the rehabilitation of chronic pain part 1: Pediatric pain (2019) · cites this paper as [74]
The Treatment Program describes relaxation and imagery techniques, and the Discussion reports reduced pain. Neither passage links bodily changes from relaxation to reduced stress or anxiety. Searches for relaxation, stress, anxiety, and physiological tension found no passage addressing that link. (LLM, conf=0.73)
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- Authors
- Hicks, C. L., von Baeyer, C. L., & McGrath, P. J.
- Affiliations
- University of Saskatchewan (CA)
- Dalhousie University (CA)
- Corresponding author
- Hicks, Carrie L.
- ORCID
- McGrath, Patrick J.
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-08-01
- Volume
- 31
- Issue
- 7
- Pages
- 724-736
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2122008385
- Cited by
- 217
- References
- 45
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 1 · 2023: 7 · 2022: 2 · 2021: 10 · 2020: 5 · 2019: 8 · 2018: 16 · 2017: 12 · 2016: 13 · 2015: 10 · 2014: 20 · 2013: 22 · 2012: 15
- FWCI
- 9.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- International Association for the Study of Pain
- University of Saskatchewan
- Canadian Pain Society
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- online therapy, telephone-delivered therapy, pain diary, quality of life, children and adolescents, treatment accessibility, cost reduction
- MeSH terms
- Adolescent, Child, Demography, Female, Follow-Up Studies, Humans, Male, Pain, Psychology, Quality of Life, Recurrence, Internet, Pain Management
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