An internet-delivered cognitive behavioural therapy pain management programme for spinal cord injury pain: A randomized controlled trial
| Résumé | Background Chronic pain is common after spinal cord injury (SCI) and dedicated SCI cognitive behavioural therapy pain management programmes (CBT-PMPs) have a growing evidence base to support their uptake clinically. The development of internet-delivered treatment options may overcome barriers to the access and uptake of centre-based programmes. This study examines such an approach on quality of lie (QoL), pain, mood and sleep. Methods Adults with SCI pain (>3 months) were recruited and randomly assigned to the intervention or control group. The intervention comprised a six module CBT-PMP delivered once weekly. A blinded assessor determined changes in self-reported outcome measures post-intervention and at 3 months. Linear mixed models and effect sizes based on changes between groups were reported. Significance was set p < 0.05. Results The recruitment rate was 32% (intervention n = 35, control n = 34), and the drop-out rate at 3 months was 26%. On average, participants accessed three (SD 2.1) of six modules. While no difference in QoL was reported, a significant group*time interaction was found for NRS of current pain (χ2 = 8.22, p = 0.016), worst pain (χ2 = 11.20, p = 0.004), and Brief Pain Inventory (interference) (χ2 = 6.924, p = 0.031). Moderate to large effect sizes favouring the intervention were demonstrated at each time point for the pain metrics (Cohen’s d: 0.38–0.84). At 3-month follow-up, 48% of the intervention group rated themselves improved or very much improved (p < 0.05). Conclusions This study demonstrates the potential of an internet-delivered SCI specific CBT-PMP in reporting significant statistical and clinical benefit in pain intensity and interference. Strategies to improve engagement are needed. |
| Auteurs | Dearbhla Burke, Olive Lennon, Catherine Blake, Maeve Nolan, Sorcha Barry, Eimear Smith, Fiona Maye, John Lynch, Lorna O’Connor, Liz Maume, Sheena Cheyne, Sadb Ní Ghiollain, Brona M. Fullen |
| Titre de revue/journal, volume et numéro | European Journal of Pain, Volume 23, no 7 |
| Langue de la publication et/ou de traduction | Anglais |
| Année de parution | 2019 |
| Pays | Irlande |
| Institutions affiliées | University College Dublin, Dublin, The National Rehabilitation Hospital, Ireland |
| Lien vers la publication | https://onlinelibrary.wiley.com/doi/10.1002/ejp.1402 |
| Type d’accès à la publication | Gratuit |
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