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Correction: Haddock et al. <i>Imagine the Possibilities Pain Coalition</i> and Opioid Marketing to Veterans: Lessons for Military and Veterans Healthcare. <i>Healthcare</i> 2025, <i>13</i>, 434.

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Web-Based Cognitive Behavior Therapy for Chronic Pain Patients with Aberrant Drug-Related Behavior: Outcomes from a

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A new web-based program effectively reduced aberrant drug-related behavior and pain catastrophizing in chronic pain patients. This technology-based approach shows promise for those mismanaging opioid medications.

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Area of Science:

  • Pain Management
  • Behavioral Health
  • Digital Therapeutics

Background:

  • High unmet need exists for effective behavioral treatments for chronic pain patients with opioid misuse.
  • Few technology-based interventions target co-occurring chronic pain and aberrant drug-related behavior.
  • Cognitive Behavior Therapy (CBT) principles form the basis for novel self-management tools.

Purpose of the Study:

  • To evaluate a novel web-based self-management intervention for chronic pain patients with aberrant drug-related behavior.
  • To assess the intervention's impact on pain severity, pain interference, aberrant drug-related behavior, pain catastrophizing, and emergency department visits.

Main Methods:

  • A randomized controlled trial was conducted with 110 opioid-treated chronic pain patients screening positive for aberrant drug-related behavior.
  • Participants were randomized to receive treatment as usual plus the web-based program or treatment as usual alone.
  • Outcomes were assessed over a 12-week intervention period and at one and three months postintervention.

Main Results:

  • Patients using the web-based program showed significantly greater reductions in aberrant drug-related behavior compared to the control group.
  • Significant improvements were observed in pain catastrophizing and reduced emergency department visits for pain.
  • No significant differences were found in pain severity or pain interference between groups.

Conclusions:

  • A web-based self-management program, combined with standard care, effectively reduced aberrant drug-related behavior, pain catastrophizing, and pain-related emergency department visits.
  • Technology-based self-management tools offer a promising therapeutic avenue for chronic pain patients struggling with opioid medication management.
  • This intervention supports vulnerable patient populations at risk for or with histories of opioid misuse.