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

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.

• Authors: Jessica Smith, Steven G Faux, Tania Gardner, Megan J Hobbs, Mathew A James, Amy E Joubert, Natalie Kladnitski, Jill M Newby, Regina Schultz, Christine T Shiner, Gavin Andrews
• Journal: Pain medicine (Malden, Mass.) (Pain Med) Vol. 20 Issue 12 Pg. 2385-2396 (12 01 2019) ISSN: 1526-4637 [Electronic] England
• PMID: 31498393 (Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
• Copyright: © 2019 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: [email protected].

Topics

• Adult
• Aged
• Aged, 80 and over
• Australia
• Avoidance Learning
• Catastrophization
• Chronic Pain (physiopathology, psychology, therapy)
• Cognitive Behavioral Therapy
• Exercise Therapy
• Female
• Humans
• Internet-Based Intervention
• Male
• Middle Aged
• Pain Management (methods)
• Pain Measurement
• Patient Health Questionnaire
• Physical Therapy Modalities
• Psychological Distress
• Self Efficacy
• Self-Management
• Young Adult