B F Dear1, K Nicholson Perry2, P Siddall3,4, J W Middleton4,5, J Johnson6, L Katte7, F Monypenny5, E Karin8, M Gandy8, N Titov8. 1. eCentreClinic, Department of Psychology, Macquarie University, Sydney, NSW, Australia. blake.dear@mq.edu.au. 2. Discipline of Psychological Sciences, Australia College of Applied Psychology, Sydney, NSW, 2000, Australia. 3. Department of Pain Management,Greenwich Hospital, HammondCare, Sydney, NSW, Australia. 4. Sydney Medical School-Northern, University of Sydney, Sydney, NSW, 2006, Australia. 5. State Spinal Cord Injury Service, NSW Agency for Clinical Innovation, Chatswood, Sydney, NSW, Australia. 6. Pain Management Network, NSW Agency for Clinical Innovation, Chatswood, Sydney, NSW, Australia. 7. NSW Spinal Outreach Service, Royal Rehab Centre, Ryde, Sydney, NSW, Australia. 8. eCentreClinic, Department of Psychology, Macquarie University, Sydney, NSW, Australia.
Abstract
STUDY DESIGN: Single-group feasibility clinical trial. OBJECTIVES: This study examined the feasibility and outcomes of a modified version of a validated internet-delivered pain management programme, the Pain Course, for adults with SCI. SETTING: Nationwide in Australia. METHODS: Sixty-eight adults participated in the programme, which comprises five online lessons and homework tasks that are systematically released over 8 weeks. Participants were supported through the course with weekly contact from a clinical psychologist. RESULTS: Eighty-five percent of participants provided data at post-treatment and 76% of participants completed all five lessons of the course. High levels of satisfaction were observed and relatively little clinician time (M = 93.16 min; SD = 52.76 min) was required per participant to provide the course. Preliminary evidence of clinical improvements in pain-related disability (ds ≥ 0.53.; avg. improvement ≥ 20%; Mdiff ≥ 7.77), depression (ds ≥ 0.44.; avg. improvement ≥ 24%; Mdiff ≥ 2.44), anxiety (ds ≥ 0.41.; avg. improvement ≥ 26%; Mdiff ≥ 1.8) and average pain intensity (ds ≥ 0.46.; avg. improvement ≥ 13%; Mdiff ≥ 0.71) were observed at post-treatment, which were maintained or further improved to 3-month follow-up. These improvements were reflected in overall improvements in self-reported satisfaction with life (ds ≥ 0.31; avg. improvement ≥ 25%; Mdiff ≥ 2.16) CONCLUSION: These findings highlight the potential of carefully developed internet-delivered interventions as an approach for overcoming barriers and increasing access to psychosocial care for adults with SCI. SPONSORSHIP: iCare Lifetime Care and Support Authority and the Australian National Health and Medical Research Council.
STUDY DESIGN: Single-group feasibility clinical trial. OBJECTIVES: This study examined the feasibility and outcomes of a modified version of a validated internet-delivered pain management programme, the Pain Course, for adults with SCI. SETTING: Nationwide in Australia. METHODS: Sixty-eight adults participated in the programme, which comprises five online lessons and homework tasks that are systematically released over 8 weeks. Participants were supported through the course with weekly contact from a clinical psychologist. RESULTS: Eighty-five percent of participants provided data at post-treatment and 76% of participants completed all five lessons of the course. High levels of satisfaction were observed and relatively little clinician time (M = 93.16 min; SD = 52.76 min) was required per participant to provide the course. Preliminary evidence of clinical improvements in pain-related disability (ds ≥ 0.53.; avg. improvement ≥ 20%; Mdiff ≥ 7.77), depression (ds ≥ 0.44.; avg. improvement ≥ 24%; Mdiff ≥ 2.44), anxiety (ds ≥ 0.41.; avg. improvement ≥ 26%; Mdiff ≥ 1.8) and average pain intensity (ds ≥ 0.46.; avg. improvement ≥ 13%; Mdiff ≥ 0.71) were observed at post-treatment, which were maintained or further improved to 3-month follow-up. These improvements were reflected in overall improvements in self-reported satisfaction with life (ds ≥ 0.31; avg. improvement ≥ 25%; Mdiff ≥ 2.16) CONCLUSION: These findings highlight the potential of carefully developed internet-delivered interventions as an approach for overcoming barriers and increasing access to psychosocial care for adults with SCI. SPONSORSHIP: iCare Lifetime Care and Support Authority and the Australian National Health and Medical Research Council.
Authors: Alan E Hubbard; Jennifer Ahern; Nancy L Fleischer; Mark Van der Laan; Sheri A Lippman; Nicholas Jewell; Tim Bruckner; William A Satariano Journal: Epidemiology Date: 2010-07 Impact factor: 4.822
Authors: B F Dear; M Gandy; E Karin; T Ricciardi; V J Fogliati; S McDonald; L G Staples; K Nicholson Perry; L Sharpe; M K Nicholas; N Titov Journal: Pain Date: 2017-07 Impact factor: 6.961
Authors: Alessio Conti; Marco Clari; Maeve Nolan; Eva Wallace; Marco Tommasini; Silvia Mozzone; Sara Campagna Journal: Top Spinal Cord Inj Rehabil Date: 2019