Evidence map›Paper›PMID 26039902›Full record

Trial reportPain2015

The Pain Course: a randomised controlled trial examining an internet-delivered pain management program when provided with different levels of clinician support.

Blake F Dear, Milena Gandy, Eyal Karin, Lauren G Staples, Luke Johnston, Vincent J Fogliati, Bethany M Wootton, Matthew D Terides, Rony Kayrouz, Kathryn Nicholson Perry and 3 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 11 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Blake F DeareCentreClinic, Department of Psychology, Macquarie University, Sydney, Australia Departments of Medicine and Psychology, University of Tasmania, Hobart, Australia Australian College of Applied Psychology, Sydney, Australia Department of Psychology, University of Sydney, Sydney, Australia Pain Management Research Institute, Kolling Institute of Medical Research, Northern Clinical School, University of Sydney, Sydney, Australia.
Milena Gandy
Eyal Karin
Lauren G Staples
Luke Johnston
Vincent J Fogliati
Bethany M Wootton
Matthew D Terides
Rony Kayrouz
Kathryn Nicholson Perry
Louise Sharpe
Michael K Nicholas
Nickolai Titov

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present study evaluated an internet-delivered pain management program, the Pain Course, when provided with different levels of clinician support. Participants (n = 490) were randomised to 1 of 4 groups: (1) Regular Contact (n = 143), (2) Optional Contact (n = 141), (3) No Contact (n = 131), and (4) a treatment-as-usual Waitlist Control Group (n = 75). The treatment program was based on the principles of cognitive behaviour therapy and comprised 5 internet-delivered lessons provided over 8 weeks. The 3 Treatment Groups reported significant improvements (between-group Cohen's d; avg. reduction) in disability (ds ≥ 0.50; avg. reduction ≥ 18%), anxiety (ds ≥ 0.44; avg. reduction ≥ 32%), depression (ds ≥ 0.73; avg. reduction ≥ 36%), and average pain (ds ≥ 0.30; avg. reduction ≥ 12%) immediately posttreatment, which were sustained at or further improved to 3-month follow-up. High treatment completion rates and levels of satisfaction were reported, and no marked or consistent differences were observed between the Treatment Groups. The mean clinician time per participant was 67.69 minutes (SD = 33.50), 12.85 minutes (SD = 24.61), and 5.44 minutes (SD = 12.38) for those receiving regular contact, the option of contact, and no clinical contact, respectively. These results highlight the very significant public health potential of carefully designed and administered internet-delivered pain management programs and indicate that these programs can be successfully administered with several levels of clinical support.

Indexed as

Chronic PainPain ManagementTreatment OutcomeAdolescentAdultAgedAged, 80 and overAnxietyCognitive Behavioral TherapyDelivery of Health CareDisability EvaluationFemaleHumansInternetMaleMiddle Aged

Identifiers

PMID26039902
PMCPMC4770347

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.