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In individuals with chronic pain, internet-delivered psychological pain management programs are acceptable and efficient in routine care.
A pragmatic prospective cohort study suggests that internet-delivered psychological pain management programs (PMPs) have potential in routine care for chronic pain, emphasizing the need for effective integration into care pathways. Blake F Dear et al. sought to assess the effectiveness of a therapist-guided virtual psychological PMP when administered within the context of regular healthcare.
A group of 1367 users was incorporated in the study. Additionally, the efficacy of an established internet-based psychological PMP when administered through a national digital mental health service over a span of 5 years was also investigated. Furthermore, the study delved into a thorough examination of factors that could predict the initiation of treatment, successful completion of the program, and clinical betterment.
Clinical improvements were observed in all outcome measures, including reduced pain-catastrophizing (26.3%; Hedges g = 0.56), improved pain self-efficacy (-23.8%; Hedges g = -0.46), lower pain intensity (12.8%; Hedges g = 0.41), decreased anxiety (23.9%; Hedges g = 0.39), alleviation of depression (26.1%; Hedges g = 0.50), and reductions in pain interference (18.9%; Hedges g = 0.55).
A small percentage (13%) of users enrolled but did not start treatment. However, among those who did begin treatment, there were high rates of completion (63% for the entire treatment and 75% for the majority of it) and satisfaction (45% very satisfied, 37% satisfied). Various clinical and demographic factors were related to treatment initiation, completion, and betterment, but no dominant or decisive predictor was noted.
The internet-delivered psychological PMPs proved to be both efficient and well-received within standard healthcare practices. This highlights the importance of strategizing the seamless integration of such interventions into the care pathways for individuals dealing with chronic pain.
Pain Medicine
Evaluation of a therapist-guided virtual psychological pain management program when provided as routine care: A prospective pragmatic cohort study
Blake F Dear et al.
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