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Online tutorials for chronic pain reduced pain, anxiety, disability

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Tags: neck, IT band pain, back pain, patellar pain, shin pain, plantar fasciitis, site news, head/neck, spine, knee, leg, limbs, pain problems, overuse injury, injury, running, exercise, self-treatment, treatment, tendinosis, arthritis, aging, foot

Three articles on PainSci cite Dear 2015: (1) The Complete Guide to IT Band Syndrome(2) The Complete Guide to Neck Pain & Cricks(3) Complete Guide to Frozen Shoulder

PainSci summary of Dear 2015: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided at the bottom of the page, as often as possible.

Researchers tested a series of web-based pain management tutorials on a group of adults who had been suffering symptoms for more than six months. Regardless of how much contact the patients had with clinicians, they all experienced significant reductions in disability, anxiety, and average pain levels at the end of the eight week experiment as well as three months down the line.

It’s hard to imagine study results any more in harmony with my business model. 😃

“While face-to-face pain management programs are important, many adults with chronic pain can benefit from programs delivered via the internet, and many of them do not need a lot of contact with a clinician in order to benefit.”

~ Paul Ingraham

original abstract Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.

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 one of four 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 (CBT) and comprised 5 internet-delivered lessons provided over 8 weeks. The three Treatment Groups reported significant improvements (between-groups Cohen's d; avg. reduction) in disability (ds ≥ 0.50; avg. reduction ≥ 18%), anxiety (ds ≥ .44; avg. reduction ≥ 32%), depression (ds ≥ 0.73; avg. reduction ≥ 36%) and average pain (ds ≥ 0.30; avg. reduction ≥ 12%) immediately post-treatment, 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.This is an open access article distributed under the terms of the Creative Commons Attribution-Noncommercial No Derivatives 3.0 License, which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially.

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Specifically regarding Dear 2015:

This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights: