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An Internet-Based Intervention for Chronic Pain.

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Summary
This summary is machine-generated.

Guided online acceptance and commitment therapy (ACT) significantly reduced pain interference in chronic pain patients. This online ACTonPain intervention shows effectiveness, particularly when guided, offering a new treatment avenue.

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Area of Science:

  • Psychology
  • Behavioral Science
  • Health Services Research

Background:

  • Chronic pain affects millions, necessitating effective treatment options.
  • Acceptance and Commitment Therapy (ACT) has shown promise for managing chronic pain.
  • Online interventions offer scalable solutions for widespread access to pain management therapies.

Purpose of the Study:

  • To evaluate the effectiveness of a guided and unguided online ACT-based intervention (ACTonPain) for individuals with chronic pain.
  • To compare the outcomes of ACTonPain against a waiting-list control group.
  • To assess various secondary outcomes including pain interference, functioning, and quality of life.

Main Methods:

  • 302 individuals with chronic pain were randomized into three groups: guided ACTonPain, unguided ACTonPain, or a waiting-list control.
  • Primary outcome: pain interference measured by the Multidimensional Pain Inventory.
  • Secondary outcomes included physical/emotional functioning, pain intensity, ACT processes, quality of life, and adherence, assessed at baseline, 9 weeks, and 6 months.

Main Results:

  • The guided ACTonPain group demonstrated significantly reduced pain interference compared to the control group (p=0.01, d=0.58).
  • Guided ACTonPain also led to increased pain acceptance (d=0.59-0.76).
  • The unguided group showed reduced depression at 6 months (d=0.50), but no significant differences were found between the guided and unguided ACTonPain groups.

Conclusions:

  • Guided online ACT (ACTonPain) is an effective treatment for reducing pain interference in chronic pain patients.
  • The findings support the implementation of guided online ACT interventions in healthcare settings.
  • Further research is recommended to explore broader implementation strategies for ACTonPain across diverse healthcare contexts.