Conclusion : Systemic changes to academic and funding structures could better support eHealth tool availability and may reduce potential for research waste .
Abstract Introduction : Numerous eHealth tools for pain assessment and management have been developed and evaluated with promising results regarding psychometric properties , efficacy , and effectiveness .
Although considerable re sources are spent on developing and evaluating these tools with the aim of increasing access to care , current evidence suggests they are not made available to end users , reducing their impact and creating potential research waste .
Internet-delivered cognitive-behavioral treatment for adolescents with chronic pain and their parents: a randomized controlled multicenter trial
Abstract Internet-delivered interventions are emerging as a strategy to address barriers to care for individuals with chronic pain . This is the first large multicenter r and omized controlled trial of Internet-delivered cognitive-behavioral therapy ( CBT ) for pediatric chronic pain . Participants included were 273 adolescents ( 205 females and 68 males ) , aged 11 to 17 years with mixed chronic pain conditions and their parents , who were r and omly assigned in a parallel-group design to Internet-delivered CBT ( n = 138 ) or Internet-delivered Education ( n = 135 ) . Assessment s were completed before treatment , immediately after treatment , and at 6-month follow-up . All data collection and procedures took place online . The primary analysis used linear growth models . Results demonstrated significantly greater reduction on the primary outcome of activity limitations from baseline to 6-month follow-up for Internet CBT compared with Internet education ( b = −1.13 , P = 0.03 ) . On secondary outcomes , significant beneficial effects of Internet CBT were found on sleep quality ( b = 0.14 , P = 0.04 ) , on reducing parent miscarried helping ( b = −2.66 , P = 0.007 ) and protective behaviors ( b = −0.19 , P = 0.001 ) , and on treatment satisfaction ( P values < 0.05 ) . On exploratory outcomes , benefits of Internet CBT were found for parent-perceived impact ( ie , reductions in depression , anxiety , self-blame about their adolescent 's pain , and improvement in parent behavioral responses to pain ) . In conclusion , our Internet-delivered CBT intervention produced a number of beneficial effects on adolescent and parent outcomes , and could ultimately lead to wide dissemination of evidence -based psychological pain treatment for youth and their families
Conclusion : Systemic changes to academic and funding structures could better support eHealth tool availability and may reduce potential for research waste .
Abstract Introduction : Numerous eHealth tools for pain assessment and management have been developed and evaluated with promising results regarding psychometric properties , efficacy , and effectiveness .
Although considerable re sources are spent on developing and evaluating these tools with the aim of increasing access to care , current evidence suggests they are not made available to end users , reducing their impact and creating potential research waste .