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 Behavior Therapy for Adolescents With Irritable Bowel Syndrome: A Randomized Controlled Trial
Objectives : Few treatments have been able to effectively manage pediatric irritable bowel syndrome ( IBS ) . Internet-delivered cognitive behavior therapy ( Internet-CBT ) based on exposure for abdominal symptoms is effective for adult IBS . The objective of this study was to evaluate the efficacy of Internet-CBT based on behavioral exposure for adolescents with IBS . Methods : Adolescents with IBS fulfilling the Rome III criteria were r and omized to either  Internet-CBT  or a wait-list control . The Internet-CBT was a 10-week intervention where the main component was exposure to IBS symptoms by reduction of avoidance of abdominal symptoms and instead stepwise provocation of symptoms . The primary outcome was total score on Gastrointestinal Symptoms Rating Scale for IBS ( GSRS-IBS ) . Secondary outcomes included adolescent- and parent-rated quality of life and parent-rated gastrointestinal symptoms . Difference between groups was assessed from pretreatment to posttreatment and the Internet-CBT group was also evaluated at 6 months after treatment completion . Results : A total of 101 adolescents with IBS ( 13–17 years of age ) were included in this study . Dropout rates were low ( 6 % ) and all r and omized patients were included in intent-to-treat analyses based on mixed effects models . Analyses showed a significant larger pretreatment to posttreatment change on the primary outcome GSRS-IBS ( B=−6.42 , P=0.006 , effect size Cohen ’s d=0.45 , 95 % confidence interval ( 0.12 , 0.77 ) ) and on almost all secondary outcomes for the Internet-CBT group compared with the control group . After 6 months , the results were stable or significantly improved . Conclusions : Internet-CBT based on exposure exercises for adolescents with IBS can effectively improve gastrointestinal symptoms and quality of life
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 .