Internet-based Cognitive Behavioural Treatment for Chronic Back Pain

Study Overview
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Brief Summary
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The aim of this study was to investigate whether an Internet-based cognitive behavioural intervention would have an effect on the symptoms of chronic back pain.

Detailed Description
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All participants were screened in a live, structured interview before inclusion. It´s a experimental design with a treatment and a control group measured before and after a treatment period.

Official Title
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Guided Internet-based Cognitive Behavioural Treatment for Chronic Back Pain Reduces Catastrophizing:a Randomized Controlled Trial

Conditions
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Back Pain Lower Back Chronic

Intervention / Treatment
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* Behavioral: Guided Internet-based cognitive behavioural treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age between 18-65 years access to the Internet having been in contact with a physician back pain of chronic nature in current employment or on short-term sick leave(not longer than 6 months) Exclusion Criteria: wheelchair user surgical treatment planned history of cardiovascular treatment severe depression

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Internet delivered CBT<br>Internet delivered cognitive behavioral intervention, 8 weeks treatment. | Behavioral: Guided Internet-based cognitive behavioural treatment<br>* Eight weeks internet-based cognitive behavioural treatment. Treatment consisted of education, cognitive skills acquisition, behavioural rehearsal, generalization and maintenance.<br>|
| No Intervention: Control condition<br>Wait-list condition, received treatment after post-treatment assessment. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Coping Strategies Questionnaire - catastrophizing subscale (CSQ) | Change from baseline in the catastrophizing subscale to two weeks post treatment. | Two weeks pre treatment to two weeks post treatment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Multidimensional Pain Inventory (MPI) | MPI, assess psychosocial and behavioural consequences of pain. It´s divided into 2 sections and consisting of 8 scales. These are: Pain Severity, Interference, Life Control, Affective Distress, Support, Punishing Responses, Solicitous Responses and Distracting Responses. | Change from baseline Two weeks pre treatment to two weeks post treatment | 
| Pain and Impairment Relationship Scale (PAIRS) | The questionnaire assesses beliefs and attitudes that patients have regarding pain and ability to function despite discomfort. | Change from baseline Two weeks pre treatment to two weeks post treatment. | 
| Hospital Anxiety and Depression Scale(HADS). | HADS is designed to measure anxiety and depression in non-psychiatric patients treated at hospital clinics. | Change from baseline Two weeks pre treatment to two weeks post treatment. | 
| Quality of Life Inventory (QOLI) | The assessment yields an overall score and profile for 16 areas of life: health, self-esteem, goals and values, money, work, play, learning, creativity, helping, love, friends, children, relatives, home, neighbourhood and community. | Change from baseline Two weeks pre treatment to two weeks post treatment. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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chronic back pain, internet based treatment, pain management programme, cognitive behavioural therapy, minimal therapist contact