The DOI matches its Crossref record; 62 of the 62 references it cites were found in a registry or an index.
A Systematic Review of Technology-assisted Self-Management Interventions for Chronic Pain: Looking Across Treatment Modalities
Abstract
OBJECTIVES: The use of technology to provide chronic pain self-management interventions has increased in the recent years. Individual studies have primarily focused on a single technology-assisted modality and direct comparisons of different technology-assisted modalities are rare. Thus, little is known about the relative strengths and weaknesses of each technology-assisted modality. MATERIALS AND METHODS: This article is a systematic review of technology-assisted self-management interventions for chronic nonheadache, noncancer pain in adults. We examined 3 treatment modalities: telephone, interactive voice response, and Internet. Electronic searches of OVID MEDLINE, OVID PsychINFO, and the Cochrane Database of Systematic Reviews were conducted. Forty-four articles including 9890 participants were reviewed. RESULTS: Across modalities, the existing evidence suggests that technology-assisted psychological interventions are efficacious for improving self-management of chronic pain in adults. All modalities have been shown to provide benefit and no clearly superior modality has emerged. The primary gaps in the literature are lack of in-person comparison groups, lack of direct comparison among technology-assisted modalities, and heterogeneity of methods and interventions that limit comparability across studies and modalities. DISCUSSION: Future trials should focus on direct comparisons of technology-assisted interventions with in-person treatment and head to head comparisons of different technology-assisted modalities. Additional areas of focus include quantifying the cost of technology-assisted interventions, examining the effect of treatment "dose" on outcomes, and establishing guidelines for developing treatments for the technology-assisted environment.
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“This justifies further investigation using a non-inferiority trial design.35 36”
In the citing paper
“the need for more studies reporting on the feasibility, usability, and efficacy of eHealth intervention programs for patients living with chronic pain is evident [20,34].”
From Digital Self-Management in Support of Patients Living With Chronic Pain: Feasibility Pilot Study (2020) · cites this paper as [34]
In the citing paper
“Given the potential for flexibility in use, eHealth interventions may introduce more cost-effective treatment options, supplementing usual care and even reducing the need for direct involvement from health care providers [28,29].”
From A User-Centered Approach to an Evidence-Based Electronic Health Pain Management Intervention for People With Chronic Pain: Design and Development of EPIO (2020) · cites this paper as [28]
Citations
Cites
Core outcome domains for chronic pain clinical trials: IMMPACT recommendations
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Self-management approaches for people with chronic conditions: a review
Barlow, J., Wright, C., Sheasby, J., Turner, A., & Hainsworth, J. (2002) · Patient Education and Counseling · doi:10.1016/s0738-3991(02)00032-0 · Cited by 2,800
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Eccleston, C., & Morley, S. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub3 · Cited by 1,634
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Internet-Based and Other Computerized Psychological Treatments for Adult Depression: A Meta-Analysis
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Racial and Ethnic Disparities in Pain: Causes and Consequences of Unequal Care
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Behavioural treatment for chronic low-back pain
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Self-Management of Chronic Disease by Older Adults
Clark, N. M., Becker, M. H., Janz, N. K., Lorig, K. R., Rakowski, W., & Anderson, L. A. (1991) · Journal of Aging and Health · doi:10.1177/089826439100300101 · Cited by 498
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Research works printed but not linked: 1
- Newman, 2011, Llera SJ, et al.., A review of technology-assisted self-help and minimal contact therapies for anxiety and depression: is human contact necessary for therapeutic efficacy Clin Psychol Rev, 31, 89
Cited by
Sorted by citations
Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview
Pamela Serón, S., Oliveros, M. J., Gutiérrez-Arias, R. E., Fuentes-Aspe, R., Torres‐Castro, R., Merino-Osorio, C., Nahuelhual, P., Quiroz, J. I., Jalil, Y., Solano, R., et al. (2021) · Physical Therapy · doi:10.1093/ptj/pzab053 · Cited by 628
Palermo, T. M., Law, E. F., Fales, J., Bromberg, M. H., Jessen-Fiddick, T., & Tai, G. (2016) · Pain · doi:10.1097/j.pain.0000000000000348 · Cited by 244
Psychological Interventions for the Treatment of Chronic Pain in Adults
Driscoll, M. A., Edwards, R. R., Becker, W. C., Kaptchuk, T. J., & Kerns, R. D. (2021) · Psychological Science in the Public Interest · doi:10.1177/15291006211008157 · Cited by 176
“, Web-based, telephonebased, interactive voice response) to improve access; in terms of outcomes, these adapted formats are comparable to traditional ones (Heapy et al., 2015).”
BackgroundSelf-citationSlattery, B. W., Haugh, S., O'Connor, L., Francis, K., Dwyer, C. P., O'Higgins, S., Egan, J., & McGuire, B. E. (2019) · Journal of Medical Internet Research · doi:10.2196/11086 · Cited by 115
Ledel Solem, I. K., Varsi, C., Eide, H., Kristjansdottir, O. B., Børøsund, E., Schreurs, K. M. G., Waxenberg, L. B., Weiss, K. E., Morrison, E. J., Haaland-Øverby, M., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/15889 · Cited by 80
“Given the potential for flexibility in use, eHealth interventions may introduce more cost-effective treatment options, supplementing usual care and even reducing the need for direct involvement from health care providers [28,29].”
Background
Metadata
- Authors
- Heapy, A. A., Higgins, D. M., Cervone, D., Wandner, L., Fenton, B. T., & Kerns, R. D.
- Affiliations
- Boston University (US)
- VA Connecticut Healthcare System (US)
- Yale University (US)
- Corresponding author
- Heapy, Alicia A.
- Cervone, Dana
- Wandner, Laura
- Fenton, Brenda T.
- Kerns, Robert D.
- Venue
- The Clinical Journal of Pain
- Published
- 2015-06
- Volume
- 31
- Issue
- 6
- Pages
- 470-492
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2049541278
- Cited by
- 128
- References
- 62
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 7 · 2023: 8 · 2022: 22 · 2021: 20 · 2020: 15 · 2019: 10 · 2018: 8 · 2017: 16 · 2016: 11 · 2015: 2
- FWCI
- 1.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- 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 › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- chronic pain, self-management interventions, technology-based interventions, telephone-delivered intervention, interactive voice response, online intervention, psychological intervention, treatment dose
- MeSH terms
- Humans, Self Care, Telephone, Randomized Controlled Trials as Topic, Internet, Chronic Pain, Pain Management
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