Evidence map›Paper›PMID 19695776›Full record

Trial reportPain2009

Randomized controlled trial of an Internet-delivered family cognitive-behavioral therapy intervention for children and adolescents with chronic pain.

Tonya M Palermo, Anna C Wilson, Meaghan Peters, Amy Lewandowski, Hannah Somhegyi

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pain, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00853138 (Web-based CBT for Children With Chronic Pain), which is not on this map. Cited by 141 papers, 26 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 26 pooled it
28.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00853138 phase2completednot on this map

Web-based CBT for Children With Chronic Pain

TypeinterventionalSponsorSeattle Children's HospitalRan2007 to 2009Enrolled48ConditionsChronic Pain, Headache, Abdominal PainArmscognitive-behavioral therapy
3 · Its place in the literature

Who cites it

141 citing papers in PubMed, 26 syntheses or guidelines pooled it, 372 citations in OpenAlex.

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  12. Psychosocial interventions for recurrent abdominal pain in childhood.The Cochrane database of systematic reviews · 2017
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  14. Pain Assessment--Can it be Done with a Computerised System? A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2016
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81 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Tonya M PalermoDepartment of Anesthesiology and Perioperative Medicine, Mail Code: UHN-2, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd., Portland, OR 97239-3098, USA. palermot@ohsu.edu
Anna C Wilson
Meaghan Peters
Amy Lewandowski
Hannah Somhegyi
University of Portland · USGeorge Fox University · USLewis & Clark College · US

Funding

Innovations in Pediatric Pain ResearchK24HD060068 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI PALERMO, TONYA M · 2009 to 2018
$1.6M
Web-based CBT for Chronic Pain in ChildrenR21HD050674 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI PALERMO, TONYA M · 2006 to 2007
$346k
NICHD NIH HHS HD050674NICHD NIH HHS K24 HD060068NICHD NIH HHS R21 HD050674
6 · The paper itself

Abstract

Cognitive-behavioral therapy (CBT) interventions show promise for decreasing chronic pain in youth. However, the availability of CBT is limited by many factors including distance to major treatment centers and expense. This study evaluates a more accessible treatment approach for chronic pediatric pain using an Internet-delivered family CBT intervention. Participants included 48 children, aged 11-17 years, with chronic headache, abdominal, or musculoskeletal pain and associated functional disability, and their parents. Children were randomly assigned to a wait-list control group or an Internet treatment group. Primary treatment outcomes were pain intensity ratings (0-10 NRS) and activity limitations on the Child Activity Limitations Interview, both completed via an online daily diary. In addition to their medical care, the Internet treatment group completed 8 weeks of online modules including relaxation training, cognitive strategies, parent operant techniques, communication strategies, and sleep and activity interventions. Youth randomized to the wait-list control group continued with the current medical care only. Findings demonstrated significantly greater reduction in activity limitations and pain intensity at post-treatment for the Internet treatment group and these effects were maintained at the three-month follow-up. Rate of clinically significant improvement in pain was also greater for the Internet treatment group than for the wait-list control group. There were no significant group differences in parental protectiveness or child depressive symptoms post-treatment. Internet treatment was rated as acceptable by all children and parents. Findings support the efficacy and acceptability of Internet delivery of family CBT for reducing pain and improving function among children and adolescents with chronic pain.

Indexed as

InternetPain ManagementAdolescentChildChronic DiseaseCognitive Behavioral TherapyDepressionFemaleFollow-Up StudiesHumansMaleMotor ActivityPainPain MeasurementPatient Acceptance of Health CarePatient Compliance

Identifiers

PMID19695776
PMCPMC2760656
OpenAlexW2088188917

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.