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document
The Pain Course : a randomised controlled trial of a clinician-guided Internet-delivered cognitive behaviour therapy program for managing chronic pain and emotional well-being . The present study evaluated the efficacy of a clinician-guided Internet-delivered cognitive behaviour therapy ( iCBT ) program , the Pain Course , to reduce disability , anxiety , and depression associated with chronic pain . Sixty-three adults with chronic pain were randomised to either a Treatment Group or waitlist Control Group . Treatment consisted of 5 iCBT-based lessons , homework tasks , additional resources , weekly e-mail or telephone contact from a Clinical Psychologist , and automated e-mails . Twenty-nine of 31 Treatment Group participants completed the 5 lessons during the 8-week program , and posttreatment and 3-month follow-up data were collected from 30/31 and 29/31 participants , respectively . Treatment Group participants obtained significantly greater improvements than Control Group participants in levels of disability , anxiety , depression , and average pain levels at posttreatment . These improvements corresponded to small to large between-groups effect sizes ( Cohen 's d ) at posttreatment for disability ( d = .88 ) , anxiety ( d = .38 ) , depression ( d = .66 ) , and average pain ( d = .64 ) , respectively . These outcomes were sustained at follow-up and participants rated the program as highly acceptable . Overall , the clinician spent a total mean time of 81.54 minutes ( SD 30.91 minutes ) contacting participants during the program . The results appear better than those reported in iCBT studies to date and provide support for the potential of clinician-guided iCBT in the treatment of disability , anxiety , and depression for people with chronic pain .
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Intervention_Physical
clinician-guided Internet-delivered cognitive behaviour therapy program
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Intervention_Physical
clinician-guided Internet-delivered cognitive behaviour therapy ( iCBT ) program
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Intervention_Educational
Pain Course
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Intervention_Control
Treatment Group or waitlist Control Group
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Intervention_Psychological
5 iCBT-based lessons
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Intervention_Pharmacological
homework tasks
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Intervention_Control
additional resources
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Intervention_Psychological
e-mail or telephone contact from a Clinical Psychologist
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Intervention_Psychological
automated e-mails
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Intervention_Other
Treatment Group
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Intervention_Control
Control Group
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Intervention_Physical
clinician-guided iCBT
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Outcome_Mental
disability
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Outcome_Mental
anxiety
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Outcome_Mental
depression
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Outcome_Pain
average pain levels
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Outcome_Mental
disability
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Outcome_Mental
anxiety
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Outcome_Mental
depression
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Outcome_Pain
average pain
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Outcome_Other
total mean time
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Outcome_Mental
disability
59632
Outcome_Mental
anxiety
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Outcome_Mental
depression