Internet-based rehabilitation for individuals with chronic pain and burnout: a randomized trial
Abstract
This study investigates utilization of the Internet in the rehabilitation of people on long-term sick leave with chronic pain and/or burnout. Fifty-five people were randomly assigned to two groups: a treatment group (n=27) that participated in a rehabilitation course over the Internet and a waiting list group (n=28). The goals were to improve participants' health and increase quality of life, and, for those who were not on permanent disability pensions, to increase work capacity, if possible. A 20-week program, based on 19 films on different themes, was supplemented with written material and a Socratic dialogue over the Internet. Upon completion of the rehabilitation course, statistically significant improvements were observed in the treatment group in comparison to the waiting list group, for variables such as depression, pain, vitality, social function, performance problems involving work or other activities due to physical illness and the presence of stress symptoms. Thirteen of 23 individuals (57%) also increased their work capacity. The number needed to treat regarding recovering from anxiety and depression was 2. For increased work capacity, the number needed to treat was 3. Rehabilitation of people on long-term sick leave carried out over the Internet is a good complement to other rehabilitation programs. Die vorliegende Studie befasst sich mit der Nutzung des Internets bei der Rehabilitation von Langzeitkranken mit chronischen Schmerzen und/oder Burnout-Syndrom. Zwei Gruppen wurden insgesamt 55 Studienteilnehmer randomisiert zugeordnet, d. h. einer Therapiegruppe (n=27), die an einem Internet-basierten Reha-Kurs teilnahm, und einer Wartelistengruppe (n=28). Die Ziele waren die gesundheitliche Verbesserung der Teilnehmer und die Steigerung der Lebensqualität und – für diejenigen, die nicht permanent eine Erwerbsunfähigkeitsrente bezogen – nach Möglichkeit eine Steigerung der Arbeitsleistung. Ein 20-Wochen-Programm auf der Grundlage von 19 Filmen zu unterschiedlichen Themen wurde durch schriftliches Material und einen sokratischen Dialog per Internet ergänzt. Nach Beendigung des Reha-Kurses wurden in der Therapiegruppe verglichen mit der Wartelistengruppe statistisch signifikante Verbesserungen bei Variablen wie Depression, Schmerzen, Lebenskraft, gesellschaftliche Funktion, Leistungsprobleme bei der Arbeit oder anderen Aktivitäten infolge von körperlicher Krankheit und das Vorhandensein von Stresssymptomen beobachtet. Dreizehn von 23 Teilnehmern (57%) steigerten zudem ihre Arbeitsleistung. Wegen der Rekonvaleszenz von Angstgefühlen und Depression mussten insgesamt zwei Teilnehmer behandelt werden, bei der Steigerung der Arbeitsleistung lag die Zahl bei drei. Mit einer Internet-basierten Rehabilitation von Langzeitkranken lassen sich andere Reha-Programme gut ergänzen. Este estudio investiga la utilización de Internet en la rehabilitación de individuos con ausencia prolongada al trabajo por enfermedad, por padecer dolor crónico o el síndrome del desgaste profesional, o ambos. Se distribuyeron a 55 individuos al azar en dos grupos: un grupo de tratamiento (n=27), quienes participaron en un curso de rehabilitación impartido mediante Internet, y un grupo en lista de espera (n=28). Los objetivos fueron mejorar la salud y calidad de vida de los participantes y, para aquellos que no estaban percibiendo pensión de invalidez permanente, aumentar la capacidad de trabajo, de ser posible. Se aplicó un programa de 20 semanas, por Internet, en el que se emplearon 19 películas sobre diferentes temas, complementadas con materiales escritos y un diálogo socrático. Al terminar el curso de rehabilitación se hallaron mejorías estadísticamente significativas en el grupo sometido a tratamiento, a diferencia del grupo en la lista de espera, en relación con variables tales como la depresión, el dolor, la vitalidad, la función social, problemas de rendimiento en el trabajo o al realizar otras actividades debido a la presencia de enfermedades orgánicas, y la presencia de síntomas de estrés. Trece de los 23 individuos (57%) mejoraron su capacidad de trabajo. De estas personas, 2 recibieron el tratamiento como alivio a la ansiedad y depresión que padecían; y 3 para mejorar su capacidad de trabajo. La rehabilitación de individuos con ausencia prolongada al trabajo por enfermedad, mediante Internet, es un buen complemento al resto de los programas de rehabilitación empleados. Cette étude s'intéresse à l'utilisation de l'Internet pour la rééducation des individus en congé maladie de longue durée souffrant de douleurs chroniques et/ou d'épuisement. Cinquante-cinq personnes ont été réparties de manière aléatoire dans deux groupes; un groupe de traitement (n=27), qui a participé au stage de rééducation sur Internet, et un groupe sur liste d'attente (n=28). Les objectifs étaient d'améliorer la santé et la qualité de vie des participants et, pour les individus ne bénéficiant pas de pensions d'invalidité permanentes, d'accroître la capa
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Web-based self-help interventions have been shown to have notable benefits with a variety of patient populations with pain.
“Furthermore, web-based self-help interventions have been shown to have notable benefits with a variety of patient populations with pain.49–52”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [50]
Several cognitive-behavioral oriented Internet interventions have been studied for use with chronic pain.
“Several cognitive-behavioral oriented Internet interventions have been studied for use with chronic pain (e.g., [14; 10; 46])”
From Internet-enhanced management of fibromyalgia: A randomized controlled trial (2010) · cites this paper as [10]
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“Es gibt starke bzw. mittlere Evidenz dafür, dass OnlineCoaches bei folgenden Indikationen nicht wirksam sind: Förderung gesunder Ernährung ([Ia] [50]), vorzeitige Ejakulation ([IIa] [42]) sowie Burnout ([IIa] [51]).”
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“They are also consistent with research demonstrating the effectiveness of longer-term technology-based interventions for mitigating psychosocial issues among those with chronic pain.(35) Nonetheless, this was a pilot study, so changes in depression and other outcomes may not have been the direct result of the interven…”
ResultTake charge: Patients' experiences during participation in a rehabilitation programme for burnout
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“The rehabilitation programme was based on 19 films (30–60 min in length) of authentic group discussions in a support group for individuals with chronic pain and burnout (Brattberg, 2006a).”
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“Our results are consistent with those of previous online pain management studies that reported improved pain interference after the intervention [44-46].”
ResultVerhoef, J. A. C., Bal, M. I., Roelofs, P. D. D. M., Borghouts, J. A. J., Roebroeck, M. E., & Miedema, H. S. (2020) · Disability and Rehabilitation · doi:10.1080/09638288.2020.1788180 · Cited by 14 · see citing works
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- Authors
- Brattberg, G.
- Affiliations
- Uppsala University (SE)
- Corresponding author
- Brattberg, Gunilla
- Venue
- International Journal of Rehabilitation Research
- Published
- 2006-09
- Volume
- 29
- Issue
- 3
- Pages
- 221-227
- ISSN
- 0342-5282 (ISSN-L)
- OpenAlex
- W1983764399
- Cited by
- 69
- References
- 24
- Citations by year
- 2025: 1 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 4 · 2018: 2 · 2017: 2 · 2016: 5 · 2015: 2 · 2014: 7 · 2013: 5 · 2012: 9
- FWCI
- 12.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Rehabilitation Research (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- internet-based rehabilitation, chronic pain, burnout, long-term sick leave, work capacity, depression, anxiety, quality of life, Socratic dialogue, film-based intervention, return to work, stress symptoms, social function, vitality, disability pension, number needed to treat, waitlist control, self-efficacy
- MeSH terms
- Adult, Burnout, Professional, Chronic Disease, Female, Humans, Male, Middle Aged, Pain, Internet
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