Meeting them where they are: Using the Internet to deliver behavioral medicine interventions for pain
Identifieur interne : 000139 ( Pmc/Corpus ); précédent : 000138; suivant : 000140Meeting them where they are: Using the Internet to deliver behavioral medicine interventions for pain
Auteurs : Christine Rini ; David A. Williams ; Joan E. Broderick ; Francis J. KeefeSource :
- Translational Behavioral Medicine [ 1869-6716 ] ; 2012.
Abstract
Pharmacological and interventional pain medicine treatments are emphasized in the routine treatment of chronic pain despite strong evidence for the efficacy and safety of behavioral approaches. Most medical professionals have not incorporated behavioral pain treatments into their practices. Internet-based interventions have the potential to increase clinical use of these treatments. We discuss the strengths and weaknesses of current Internet-based behavioral pain management interventions, focusing on three broad intervention categories: therapist-guided interventions, unguided (automated) interventions, and pain-relevant applications for mobile platforms. Examples of each category are discussed, revealing a high degree of variation in approaches, user interfaces, and components as well as variability in the degree to which these interventions have been subjected to empirical testing. Finally, we highlight key issues for research and clinical implementation, with the goal of advancing this field so that it can meet its potential to increase access to evidence-based behavioral medicine treatments for chronic pain.
Url:
DOI: 10.1007/s13142-011-0107-2
PubMed: 22924084
PubMed Central: 3423892
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PMC:3423892Le document en format XML
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<author><name sortKey="Rini, Christine" sort="Rini, Christine" uniqKey="Rini C" first="Christine" last="Rini">Christine Rini</name>
<affiliation><nlm:aff id="Aff1">Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC USA</nlm:aff>
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<author><name sortKey="Williams, David A" sort="Williams, David A" uniqKey="Williams D" first="David A." last="Williams">David A. Williams</name>
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<author><name sortKey="Broderick, Joan E" sort="Broderick, Joan E" uniqKey="Broderick J" first="Joan E." last="Broderick">Joan E. Broderick</name>
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<front><div type="abstract" xml:lang="en"><p>Pharmacological and interventional pain medicine treatments are emphasized in the routine treatment of chronic pain despite strong evidence for the efficacy and safety of behavioral approaches. Most medical professionals have not incorporated behavioral pain treatments into their practices. Internet-based interventions have the potential to increase clinical use of these treatments. We discuss the strengths and weaknesses of current Internet-based behavioral pain management interventions, focusing on three broad intervention categories: therapist-guided interventions, unguided (automated) interventions, and pain-relevant applications for mobile platforms. Examples of each category are discussed, revealing a high degree of variation in approaches, user interfaces, and components as well as variability in the degree to which these interventions have been subjected to empirical testing. Finally, we highlight key issues for research and clinical implementation, with the goal of advancing this field so that it can meet its potential to increase access to evidence-based behavioral medicine treatments for chronic pain.</p>
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Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC USA</aff>
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UNC Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC USA</aff>
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Chronic Pain and Fatigue Research Center, University of Michigan, Ann Arbor, MI USA</aff>
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Department of Psychiatry and Behavioral Science, Putnam Hall, Stony Brook University, Stony Brook, NY USA</aff>
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Pain Prevention and Treatment Research Program, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC USA</aff>
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<volume>2</volume>
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<fpage>82</fpage>
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<abstract id="Abs1"><p>Pharmacological and interventional pain medicine treatments are emphasized in the routine treatment of chronic pain despite strong evidence for the efficacy and safety of behavioral approaches. Most medical professionals have not incorporated behavioral pain treatments into their practices. Internet-based interventions have the potential to increase clinical use of these treatments. We discuss the strengths and weaknesses of current Internet-based behavioral pain management interventions, focusing on three broad intervention categories: therapist-guided interventions, unguided (automated) interventions, and pain-relevant applications for mobile platforms. Examples of each category are discussed, revealing a high degree of variation in approaches, user interfaces, and components as well as variability in the degree to which these interventions have been subjected to empirical testing. Finally, we highlight key issues for research and clinical implementation, with the goal of advancing this field so that it can meet its potential to increase access to evidence-based behavioral medicine treatments for chronic pain.</p>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Chronic pain</kwd>
<kwd>Internet-based interventions</kwd>
<kwd>Behavioral medicine</kwd>
<kwd>Cognitive-behavioral therapy</kwd>
<kwd>eHealth</kwd>
<kwd>mHealth</kwd>
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