painACTION-Back Pain: A Self-Management Website for People with Chronic Back Pain
Abstract
OBJECTIVE: To determine whether an interactive self-management Website for people with chronic back pain would significantly improve emotional management, coping, self-efficacy to manage pain, pain levels, and physical functioning compared with standard text-based materials. DESIGN: The study utilized a pretest-posttest randomized controlled design comparing Website (painACTION-Back Pain) and control (text-based material) conditions at baseline and at 1-, 3, and 6-month follow-ups. PARTICIPANTS: Two hundred and nine people with chronic back pain were recruited through dissemination of study information online and at a pain treatment clinic. The 6-month follow-up rates for the Website and control groups were 73% and 84%, respectively. MEASUREMENTS: Measures were based on the recommendations of the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials and included measures of pain intensity, physical functioning, emotional functioning, coping, self-efficacy, fear-avoidance, perceived improvement with treatment, self-efficacy, and catastrophizing. RESULTS: Compared with controls, painACTION-Back Pain participants reported significantly: 1) lower stress; 2) increased coping self-statements; and 3) greater use of social support. Comparisons between groups suggested clinically significant differences in current pain intensity, depression, anxiety, stress, and global ratings of improvement. Among participants recruited online, those using the Website reported significantly: 1) lower "worst" pain; 2) lower "average" pain; and 3) increased coping self-statements, compared with controls. Participants recruited through the pain clinic evidenced no such differences. CONCLUSIONS: An online self-management program for people with chronic back pain can lead to improvements in stress, coping, and social support, and produce clinically significant differences in pain, depression, anxiety, and global rates of improvement.
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All included studies except 2 presented a high risk of performance bias regarding blinding of participants, and the same was the case for detection bias.
“In terms of performance bias, all studies except for 2 (low and unclear risks) [48,52] presented a high risk in regard to blinding of participants, which was also the case for detection bias.”
From Tailored web-based interventions for pain: Systematic review and meta-analysis (2017) · cites this paper as [52]
The 2 studies included in the pain catastrophizing analysis were quite different.
“The 2 studies included in this analysis were quite different [46,52].”
From Tailored web-based interventions for pain: Systematic review and meta-analysis (2017) · cites this paper as [52]
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Technological Interventions for Pain Management
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- Authors
- Chiauzzi, E., Pujol, L. A., Wood, M., Bond, K., Black, R., Yiu, E., & Zacharoff, K.
- Affiliations
- Inflexxion (United States) (US)
- Thomas Jefferson University (US)
- Brigham and Women's Hospital (US)
- Corresponding author
- Chiauzzi, Emil
- Venue
- Pain Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-07
- Volume
- 11
- Issue
- 7
- Pages
- 1044-1058
- ISSN
- 1526-2375 (ISSN-L)
- 1526-4637
- OpenAlex
- W1946234620
- Cited by
- 130
- References
- 49
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 9 · 2023: 9 · 2022: 12 · 2021: 6 · 2020: 9 · 2019: 15 · 2018: 6 · 2017: 11 · 2016: 7 · 2015: 6 · 2014: 7 · 2013: 9 · 2012: 8
- FWCI
- 4.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain Medicine (publishedVersion)
- PubMed (publishedVersion)
- NSUWorks (Nova Southeastern University) (submittedVersion)
- Funders
- Brigham and Women's Hospital
- Small Business Innovation Research
- National Institutes of Health (5r44da022802-03)
- National Institute on Drug Abuse (9R44DA022802-02, R44 DA022802)
- 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 › Health Literacy and Information Accessibility
- Keywords
- chronic back pain, self-management, online intervention, coping, stress, social support, pain catastrophizing, fear-avoidance beliefs, depression, anxiety, pain intensity, physical function, self-efficacy, online health education
- MeSH terms
- Adaptation, Psychological, Back Pain, Humans, Pain Measurement, Patient Education as Topic, Surveys and Questionnaires, Self Care, Social Support, Stress, Physiological, Stress, Psychological, Treatment Outcome, Internet
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