Reboot Online: A Randomized Controlled Trial Comparing an Online Multidisciplinary Pain Management Program with Usual Care for Chronic Pain.
Pain Med
; 20(12): 2385-2396, 2019 12 01.
Article
en En
| MEDLINE
| ID: mdl-31498393
ABSTRACT
OBJECTIVE:
Chronic pain is a prevalent and burdensome condition. Reboot Online was developed to address treatment barriers traditionally associated with accessing face-to-face chronic pain management programs. It is a comprehensive multidisciplinary online treatment program, based on an existing and effective face-to-face multidisciplinary pain program (the Reboot program). DESIGN &PARTICIPANTS:
A CONSORT-compliant randomized controlled trial was conducted, enrolling adults who had experienced pain for three months or longer.METHODS:
Participants were randomly allocated to either an eight-lesson multidisciplinary pain management program, Reboot Online (N = 41), or to a usual care (UC) control group (N = 39). Clinical oversight was provided by a multidisciplinary team remotely, including physiotherapists and clinical psychologists. Participants were measured at baseline, post-treatment (week 16), and three-month follow-up (week 28).RESULTS:
Intention-to-treat analyses revealed that Reboot Online was significantly more effective than UC at increasing pain self-efficacy (g = 0.69) at post-treatment, and these gains were maintained at follow-up. Similarly, Reboot Online was significantly more effective than UC on several secondary measures at post-treatment and follow-up, including movement-based fear avoidance and pain-related disability, but it did not significantly reduce pain interference or depression compared with UC. Clinician input was minimal, and adherence to Reboot Online was moderate, with 61% of participants (N = 25) completing all eight lessons.CONCLUSIONS:
Reboot Online presents a novel approach to multidisciplinary pain management and offers an accessible, efficacious alternative and viable treatment option for chronic pain management.Palabras clave
Texto completo:
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Bases de datos:
MEDLINE
Asunto principal:
Terapia Cognitivo-Conductual
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Modalidades de Fisioterapia
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Dolor Crónico
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Manejo del Dolor
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Automanejo
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Intervención basada en la Internet
Tipo de estudio:
Clinical_trials
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
Oceania
Idioma:
En
Revista:
Pain Med
Asunto de la revista:
NEUROLOGIA
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PSICOFISIOLOGIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Australia