Evidence map›Paper›PMID 34592026›Full record

Observational studyEuropean journal of pain (London, England)2022

Five-year observational study of Internet-delivered cognitive behavioural pain management when offered as routine care by an online therapy clinic.

Heather D Hadjistavropoulos, Vanessa Peynenburg, David Thiessen, Luke H Schneider, Marcie Nugent, Andrew Wilhelms, Eyal Karin, Nickolai Titov, Blake F Dear

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in European journal of pain (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Observational
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

9 authors.

Heather D HadjistavropoulosDepartment of Psychology, University of Regina, Regina, Saskatchewan, Canada.ORCID 0000-0002-7092-9056
Vanessa PeynenburgDepartment of Psychology, University of Regina, Regina, Saskatchewan, Canada.
David ThiessenDepartment of Mathematics & Statistics, University of Regina, Saskatchewan, Canada.
Luke H SchneiderDepartment of Psychology, University of Regina, Regina, Saskatchewan, Canada.
Marcie NugentDepartment of Psychology, University of Regina, Regina, Saskatchewan, Canada.
Andrew WilhelmsDepartment of Psychology, University of Regina, Regina, Saskatchewan, Canada.
Eyal KarinDepartment of Psychology, MindSpot Clinic and eCentreClinic, Macquarie University, Sydney, Australia.
Nickolai TitovDepartment of Psychology, MindSpot Clinic and eCentreClinic, Macquarie University, Sydney, Australia.
Blake F DearDepartment of Psychology, MindSpot Clinic and eCentreClinic, Macquarie University, Sydney, Australia.

Funding

CIHR 152917
6 · The paper itself

Abstract

backgroundInternet-delivered cognitive behavioural pain management programmes (PMPs) are effective, but less is known about their use outside of research trials. Five years of data from offering the Internet-delivered cognitive behavioural PMP in an online therapy clinic was examined to assess effectiveness, acceptability and predictors of outcomes.

methodsPatients (N = 293) were offered a previously validated 8-week Internet-delivered cognitive behavioural PMP and administered measures at pre-treatment, post-treatment and 3 months.

resultsThere was growth in demand for an Internet-delivered cognitive behavioural PMP over time (n = 64 first year to n = 133 fifth year). Moderate-to-large improvements on depression (post-treatment 35% reduction; 3-month 41% reduction) and anxiety (post-treatment 37% reduction; 3-month 41% reduction), and small-to-moderate improvements on disability (post-treatment 19% reduction; 3-month 20% reduction) were found. Lesson completion and satisfaction were high. Lower pain acceptance, lower pain self-efficacy and higher pain intensity were associated with lower improvements on depression, anxiety and disability.

conclusionsThis longitudinal observational study provides support for Internet-delivered cognitive behavioural PMPs when offered as routine care by an online therapy clinic. SIGNIFICANCE: This 5-year observational study provides support for Internet-delivered cognitive behavioural pain management programs (PMPs) offered as routine care in an online therapy clinic. Interest in the service grew over 5 years. Outcomes, engagement and satisfaction were strong. Higher pain acceptance, pain self-efficacy and lower pain severity were associated with greater post-treatment improvements on depression, anxiety and disability.

Indexed as

Cognitive Behavioral TherapyPain ManagementAnxietyCognitionHumansInternetTreatment Outcome

Identifiers

PMID34592026
PMCPMC9293405

What OpenQuestion holds

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LicenceCC BY
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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.