ArticlePsychotherapie, Psychosomatik, medizinische Psychologie2026
[CHRONIC: A didactically constructed clinical vignette illustrating a digital multimodal self-help program for chronic pain].
Article in Psychotherapie, Psychosomatik, medizinische Psychologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: The aim of this article is to provide a conceptual description and clinical illustration of CHRONIC, a web-based multimodal program, by means of a didactically constructed clinical vignette. Methods: We present a clinically typical course of a 47-year-old woman with chronic pain disorder (F45.41), long-standing back and leg pain, pronounced avoidance and protective behavior, and marked restrictions in meaningful activities. CHRONIC is accessed via a browser and provides weekly unlocked video modules with in-session interactive exercises (auto-pause), worksheets, and structured home practice. Mindfulness exercises are provided as audio (up to ~15 minutes), and three physiotherapy units are embedded within the module flow (posture in daily life, dose-adaptable whole-body exercises, safe gait and stance). Brief weekly assessments (past 7 days) are displayed on the dashboard as line graphs of sum scores from selected MPI-D subscales. Written feedback is delivered in-app and via email. Clinical Illustration: The vignette illustrates how psychoeducation (biopsychosocial model and vicious cycle of pain), acceptance and defusion strategies, and values-based goal setting can be translated into everyday action while gradually increasing pain-adapted physical activation. Over the 12-week course, the vignette illustrates a possible course toward personally meaningful goals with reduced avoidance and excessive guarding. Conclusions: This didactically constructed vignette illustrates the intended clinical application and conceptual structure of CHRONIC. The article is hypothesis-generating and does not allow conclusions regarding effectiveness, implementation success, or comparative utility in routine care.
Indexed as
Identifiers
What OpenQuestion holds
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.