A smartphone-based intervention with diaries and therapist-feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain. Part 2. 11-month results of a randomized controlled trial
2013 (English)In: Journal of Medical Internet Research, ISSN 1438-8871, Vol. 15, no 3, 152-170 p.Article in journal (Refereed) Published
Background: Internet-based interventions are increasingly used to support self-management of individuals with chronic illnesses. Web-based interventions may also be effective in enhancing self-management for individuals with chronic pain, but little is known about long-term effects. Research on Web-based interventions to support self-management following participation in pain management programs is limited.
Objective: The aim is to examine the long-term effects of a 4-week smartphone-intervention with diaries and therapist-written feedback following an inpatient chronic pain rehabilitation program, previously found to be effective at short-term and 5-month follow-ups.
Methods: 140 women with chronic widespread pain, participating in a 4-week inpatient rehabilitation program, were randomized into two groups: with or without a smartphone intervention after the rehabilitation. The smartphone intervention consisted of one face-to-face individual session and 4 weeks of written communication via a smartphone, consisting of three diaries daily to elicit pain-related thoughts, feelings, and activities, as well as daily personalized written feedback based on cognitive behavioral principles from a therapist. Both groups were given access to an informational website to promote constructive self-management. Outcomes were measured with self-reported paper-and-pencil format questionnaires with catastrophizing as the primary outcome measure. Secondary outcomes included daily functioning and symptom levels, acceptance of pain, and emotional distress.
Place, publisher, year, edition, pages
2013. Vol. 15, no 3, 152-170 p.
IdentifiersURN: urn:nbn:no:ntnu:diva-23229DOI: 10.2196/jmir.2442OAI: oai:DiVA.org:ntnu-23229DiVA: diva2:659241
The work is licensed under the Creative Commons Attribution License CC-BY 2.0.2013-10-242013-10-242013-10-24Bibliographically approved