Evidence map›Paper›PMID 32252707›Full record

Trial reportBMC musculoskeletal disorders2020

Patients' experiences of internet-based Acceptance and commitment therapy for chronic pain: a qualitative study.

Nina Bendelin, Pär Björkdahl, Mimmi Risell, Karin Zetterqvist Nelson, Björn Gerdle, Gerhard Andersson, Monica Buhrman

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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.

NCT01603797 nacompletednot on this map

Guided Internet-delivered Acceptance and Commitment Therapy for Chronic Pain Patients: a Randomized Controlled Trial

TypeinterventionalSponsorGerhard AnderssonRan2010 to 2010Enrolled76ConditionsChronic PainArmsGuided internet-delivered acceptance and commitment therapy
NCT07270588 narecruitingnot on this mapstarted 2025, after this paper: background citation

MOBACT: An Internet-Based Guided Self-Help Intervention Based on Acceptance and Commitment Therapy for Chronic Pain

TypeinterventionalSponsorCatholic University of the Sacred HeartRan2025 to 2027Enrolled140ConditionsChronic PainArmsInternet-based intervention
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Physiotherapy informed by acceptance and commitment therapy for chronic low back pain: A randomized trial.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2026
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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

7 authors at 2 institutions in 1 country.

Nina BendelinPain and Rehabilitation Center, and Department of Health, Medicine and Caring Sciences, Linköping University, SE-581 85, Linköping, Sweden. nina.bendelin@liu.se.
Pär BjörkdahlDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Mimmi RisellDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Karin Zetterqvist NelsonDepartment of Thematic Studies/Child Studies, Linköping University, Linköping, Sweden.
Björn GerdlePain and Rehabilitation Center, and Department of Health, Medicine and Caring Sciences, Linköping University, SE-581 85, Linköping, Sweden.
Gerhard AnderssonDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Monica BuhrmanDepartment of Psychology, Uppsala University, Uppsala, Sweden.
Linköping University · SEUppsala University · SE

Funding

County Council of Östergötland SC-2019-00155-39
6 · The paper itself

Abstract

backgroundChronic pain is a globally widespread condition with complex clusters of symptoms within a heterogeneous patient group. Internet-delivered Acceptance and Commitment Therapy (IACT) has shown promising results in the treatment of chronic pain. How IACT is experienced by patients is less well known. Qualitative studies of patients' experiences are needed to further understand factors behind both engagement and negative effects. The aim of this study was to explore how IACT was experienced by chronic pain patients who had participated in a controlled trial.

methodsThrough an open and exploratory approach this study aimed to investigate how IACT was experienced when delivered as a guided self-help program to persons with chronic pain. Eleven participants were interviewed over telephone after completing IACT.

resultsQualitative analysis based on grounded theory resulted in 2 core categories and 8 subcategories. In treatment: Physical and cognitive restraints, Time and deadline, Therapist contact, and Self-confrontation. After treatment: Attitude to pain, Image of pain, Control or Command, and Acting with pain. Individual differences as well as specific conditions of the treatment may explain variations in how the treatment was approached, experienced and what consequences it led to. Therapist guidance and deadlines for homework play complex roles in relation to autonomy and change.

conclusionsAdjusting treatment content and format based on participants' characteristics, such as expectations, motivation and restraints, might positively affect engagement, autonomy and change. Further research on attrition and negative effects of treatment might clarify what enables chronic pain patients to benefit from IACT.

trial registrationclinicaltrials.gov (NCT01603797). Registered 22 May 2012. Retrospectively registered.

Indexed as

Internet-Based InterventionAcceptance and Commitment TherapyAdultAgedAged, 80 and overChronic PainFemaleHumansInterviews as TopicMaleMiddle AgedMotivationQualitative ResearchTelephoneTreatment OutcomeACTAttritionChangeConstructivist grounded theoryEngagementICBTMotivationPerson-based approach

Identifiers

PMID32252707
PMCPMC7137329
OpenAlexW3014193525

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.