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Pain Med. 2019 Dec 1;20(12):2385-2396. doi: 10.1093/pm/pnz208.

Reboot Online: A Randomized Controlled Trial Comparing an Online Multidisciplinary Pain Management Program with Usual Care for Chronic Pain.

Author information

1
Clinical Research Unit for Anxiety and Depression (CRUfAD), University of New South Wales at St Vincent's Hospital, Sydney, NSW, Australia.
2
Department of Pain Medicine, St Vincent's Hospital, Sydney, NSW, Australia.
3
St Vincent's Clinical School.
4
School of Psychology, University of New South Wales, Sydney, NSW, Australia.

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.

KEYWORDS:

Chronic Pain; Internet; Multidisciplinary Pain Management Program; Online Treatment; Telehealth

PMID:
31498393
DOI:
10.1093/pm/pnz208

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