The pain course: exploring the feasibility of an internet-delivered pain management program when offered by a tertiary pain management service

Dear, Blake F.; Courtney, Catherine; Khor, Kok Eng; McDonald, Sarah; Ricciardi, Tahlia; Gandy, Milena; Fogliati, Vincent J.; Titov, Nick

doi:10.1097/ajp.0000000000000565

Cited by 20Digital Mental Health InterventionsMusculoskeletal pain and rehabilitationTelemedicine and Telehealth Implementation

The pain course: exploring the feasibility of an internet-delivered pain management program when offered by a tertiary pain management service

Dear, Blake F., Courtney, Catherine, Khor, Kok Eng, McDonald, Sarah, Ricciardi, Tahlia, Gandy, Milena, Fogliati, Vincent J., Titov, Nick·2018·The Clinical Journal of Pain

DOI 10.1097/ajp.0000000000000565

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Abstract

BACKGROUND: This study examined the acceptability and preliminary outcomes of an internet-delivered pain management program, the Pain Course, when offered by a specialist pain management clinic in a large public hospital. METHODS: A single-group feasibility open-trial design was used and 39 patients participated in the program, which ran for 8 weeks. Participants were supported through the program with weekly contact from a Clinical Psychologist at the clinic. RESULTS: All participants provided data at posttreatment and >90% of participants completed all 5 lessons of the course. High levels of satisfaction were observed and relatively little clinician time (M=71.99 min/participant; SD=32.82 min) was required to support patients through the program. Preliminary evidence of clinical improvements in depression symptoms (avg. improvement=38%; Cohen d=0.74), but not disability levels or anxiety symptoms, was observed in the overall sample. However, evidence of improvements was observed across all the primary outcomes among patients who had clinical levels of difficulties with disability (n=20; avg. improvement=11%; Cohen d=0.64), depression (n=17; avg. improvement=35%; Cohen d=1.24) and anxiety (n=8; avg. improvement=29%; Cohen d=0.57). CONCLUSIONS: These findings highlight the potential value of internet-delivered programs when provided by specialist pain management clinics as a part of their services and the value of larger scale studies in this area.

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Two recent feasibility studies have demonstrated that online-delivered group-based PMPs are feasible in a tertiary pain service setting.
“Two recent feasibility studies have, however, demonstrated that online-delivered group-based PMPs are feasible in a tertiary pain service setting33 and can be delivered successfully for people living in rural and remote areas.34”
From Clinical and cost-effectiveness of an online-delivered group-based pain management programme in improving pain-related disability for people with persistent pain - Protocol for a non-inferiority randomised controlled trial (iSelf-help trial) (2021) · cites this paper as [33]

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Authors: Dear, B. F., Courtney, C., Khor, K. E., McDonald, S., Ricciardi, T., Gandy, M., Fogliati, V. J., & Titov, N.
Affiliations: Prince of Wales Hospital (AU)
Macquarie University (AU)
Department of Psychology, Macquarie University
Corresponding author: Dear, Blake F.
McDonald, Sarah
Ricciardi, Tahlia
Gandy, Milena
Fogliati, Vincent J.
ORCID: Dear, Blake F.
McDonald, Sarah
Gandy, Milena
Fogliati, Vincent J.
Venue: The Clinical Journal of Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2018-06
Volume: 34
Issue: 6
Pages: 505-514
ISSN: 0749-8047 (ISSN-L)
DOI: 10.1097/ajp.0000000000000565
OpenAlex: W2765577409
Cited by: 19
References: 45
Citations by year: 2026: 2 · 2025: 4 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 4 · 2020: 5 · 2018: 1
FWCI: 1.88
Type: journal article
Language: en
Open access: closed
Locations: Clinical Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords: pain course, online intervention, pain management, chronic pain, depression, anxiety, disability, feasibility, acceptability
MeSH terms: Adult, Aged, Aged, 80 and over, Australia, Disability Evaluation, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pain, Pain Measurement, Surveys and Questionnaires, Treatment Outcome, Mood Disorders, Self Efficacy, Internet, Young Adult, Pain Management

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The pain course: exploring the feasibility of an internet-delivered pain management program when offered by a tertiary pain management service

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