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 .
Trajectories of change during a randomized controlled trial of internet-delivered psychological treatment for adolescent chronic pain: how does change in pain and function relate?
Abstract Although pain and function improve at immediate posttreatment for youth receiving cognitive behavioral therapy for chronic pain , limited data are available to underst and changes that youth make during psychological treatment . We sought to characterize distinct trajectory patterns of change in pain and function to underst and the temporal association of these changes during internet-delivered cognitive behavioral therapy ( CBT ) . Weekly repeated assessment s of pain and function were conducted during 8 weeks of treatment among 135 adolescents , aged 11 to 17 years , with chronic pain who were r and omized to the cognitive behavioral intervention arm of an ongoing trial of internet-delivered CBT ( Web-based management of adolescent pain ; Web-MAP2 ) . Using r and om-effects growth mixture models , we characterized pain and functional disability trajectories finding distinct trajectory groups indicating patterns of both linear and quadratic effects . Trajectories of change showed that some patients ' pain and functional disability were improving , others worsened or changed minimally . Paired t tests compared the within-subject relative change rate in pain and function demonstrating similar change range for pain and function during the treatment period . There was no support for improvements in either pain or function to precede changes in the other domain . Findings may be useful in informing future studies of psychosocial treatments for pediatric chronic pain to consider how to target treatment strategies to distinct patient response profiles . This may lead to the development of intervention strategies that can both more effectively target children 's pain and function during treatment and lead to sustained changes after treatment
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 .