Examining the Effectiveness and Acceptability of Internet‐Delivered Psychological Pain Management for Regional and Rural Australians With Chronic Pain.

Objective: To examine the characteristics, satisfaction levels and clinical outcomes of rural and remote Australians with chronic pain completing an internet‐delivered psychological pain management program (PMP). Design: Longitudinal routine care cohort study. Setting: An Australian national digital...

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Published in:Australian Journal of Rural Health Vol. 33; no. 1; pp. 1 - 12
Main Authors: Dear, Blake F., Staples, Lauren, Nielssen, Olav, Titov, Nickolai
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Feb2025
Online Access:View this record in EBSCOhost
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      dt: Feb2025
      vid: 33
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/ajr.70008
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        atl: Examining the Effectiveness and Acceptability of Internet‐Delivered Psychological Pain Management for Regional and Rural Australians With Chronic Pain.
      aug:
        au:
          Dear, Blake F.
          Staples, Lauren
          Nielssen, Olav
          Titov, Nickolai
        affil: MindSpot, MQ Health, Macquarie University, Sydney, Australia
      sug:
        subj:
          Chronic Pain Psychosocial Factors
          Chronic Pain Therapy
          Pain Management Methods
          Rural Population Australia
          Rural Areas
          Psychotherapy
          Internet-Based Intervention
          Cognitive Therapy
          Treatment Outcomes Evaluation
          Human
          Male
          Female
          Prospective Studies
          Digital Health
          Data Analysis, Statistical
          Regression
          Patient Satisfaction
          Descriptive Statistics
          Australia
          Male
          Female
      ab: Objective: To examine the characteristics, satisfaction levels and clinical outcomes of rural and remote Australians with chronic pain completing an internet‐delivered psychological pain management program (PMP). Design: Longitudinal routine care cohort study. Setting: An Australian national digital psychology service. Participants: Patients in inner regional locations (n = 401), outer regional and remote locations (n = 198), and major cities (n = 968), who used the service over a 6‐year period. Main Outcome Measures: Demographic and clinical data, patient‐reported satisfaction and improvements, and meaningful clinical improvements (≥ 30% improvement). Results: Clinical improvements were observed from pre‐treatment to post‐treatment in pain‐related disability (32% [95% CI: 29, 34]), depression symptoms (44% [95% CI: 39, 49]), anxiety symptoms (43% [95% CI: 39, 47]), and average pain intensity (23% [95% CI: 21, 26]), which were maintained to 3‐month follow‐up. High levels of satisfaction and treatment completion were also observed. Minor demographic and clinical differences were observed. However, there were similar rates of clinical improvement, treatment satisfaction and treatment completion in all groups. Conclusions: The current findings further highlight the value of internet‐delivered psychological PMPs for Australians with chronic pain living in regional and remote parts of the country. Further work is needed to raise awareness about the availability of these effective programmes and to integrate their use with traditional pain management services.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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