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Empowering Patients with Persistent Pain Using an Internet-based Self-Management Program.

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This study shows an 8-week online Chronic Pain Management Program improved pain self-efficacy and reduced opioid misuse in patients with chronic pain. Engagement with the program correlated with better pain outcomes.

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Area of Science:

  • Pain Management
  • Digital Health Interventions
  • Behavioral Therapy

Background:

  • Persistent pain requires new strategies for effective treatment access.
  • Cognitive and behavioral therapies are crucial for managing chronic pain.
  • Online interventions offer a scalable approach to pain management.

Purpose of the Study:

  • To evaluate the effectiveness of an 8-week online Chronic Pain Management Program.
  • To assess program efficacy and engagement in patients with chronic noncancer pain on opioid therapy.
  • To determine if the intervention improves pain-related outcomes and reduces opioid misuse.

Main Methods:

  • Randomized controlled trial with 92 participants on opioid prescriptions.
  • Comparison between immediate intervention access (treatment) and delayed access (wait-list).
  • Biweekly online surveys measured pain, mood, self-management, and healthcare use; opioid misuse and self-efficacy assessed at baseline and 8 weeks.

Main Results:

  • The treatment group showed significantly greater improvements in pain self-efficacy and reduced opioid misuse compared to the wait-list group.
  • Higher engagement with program modules was positively associated with reduced pain intensity, interference, and increased pain self-efficacy.
  • The online intervention was feasible and effective for patients with chronic pain on opioids.

Conclusions:

  • An Internet-based self-management program can be successfully used by patients on opioids.
  • The Chronic Pain Management Program demonstrates positive outcomes in pain self-efficacy and opioid misuse.
  • Future research should focus on strategies to further enhance patient engagement for maximized therapeutic impact.