The Journal of Pain
Volume 11, Issue 10 , Pages 917-929 , October 2010

The Efficacy of Web-Based Cognitive Behavioral Interventions for Chronic Pain: A Systematic Review and Meta-Analysis

  • Debora Duarte Macea

      Affiliations

    • Laboratory of Neuromodulation, Physical Medicine and Rehabilitation Department, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts
    • Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
  • ,
  • Krzysztof Gajos

      Affiliations

    • School of Engineering and Applied Sciences Health, Harvard University, Boston, Massachusetts
  • ,
  • Yasser Armynd Daglia Calil

      Affiliations

    • School of Public Health Harvard University, Boston, Massachusetts
  • ,
  • Felipe Fregni

      Affiliations

    • Laboratory of Neuromodulation, Physical Medicine and Rehabilitation Department, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts
    • Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
    • Corresponding Author InformationAddress reprint requests to F. Fregni, MD, PhD, 125 Nashua Street, 7th floor, Laboratory of Neuromodulation, Spaulding Rehabilitation Hospital, Boston, MA 02114-1198.

References 

  1. American Academy of Orthopaedic Surgeons: International focus on Bone, Joint Decade. Available at: http://www2.aaos.org/aaos/archives/acadnews/99news/decade.htm. Accessed September 21, 2009
  2. American Academy of Orthopaedic Surgeons: Academy focuses research resources on burden of musculoskeletal disease. Available at http://www2.aaos.org/aaos/archives/acadnews/99news/os1-brd.htm. Accessed July 26, 2009
  3. American Academy of Orthopaedic Surgeons: Musculoskeletal conditions in the United States. Available at: http://www2.aaos.org/aaos/archives/bulletin/oct99/musculo.htm. Accessed July 10, 2009
  4. Andersson G, Lundstrom P, Strom L. Internet-based treatment of headache: Does telephone contact add anything?. Headache. 2003;43:353–361
  5. Baker CD, Kamke H, O'Hara MW, Stuart S. Web-based training for implementing evidence-based management of postpartum depression. J Am Board Fam Med. 2009;22:588–589
  6. Bee PE, Bower P, Lovell K, Gilbody S, Richards D, Gask L, et al. Psychotherapy mediated by remote communication technologies: A meta-analytic review. BMC Psychiatry. 2008;8:60
  7. Berman RL, Iris MA, Bode R, Drengenberg C. The effectiveness of an online mind-body intervention for older adults with chronic pain. J Pain. 2009;10:68–79
  8. Brattberg G. Internet-based rehabilitation for individuals with chronic pain and burnout II: A long-term follow-up. Int J Rehabil Res. 2007;30:231–234
  9. Brattberg G. Internet-based rehabilitation for individuals with chronic pain and burnout: A randomized trial. Int J Rehabil Res. 2006;29:221–227
  10. Buchbinder R, Jolley D, Wyatt M. Population-based intervention to change back pain beliefs and disability: Three part evaluation. BMJ. 2001;322:1516–1520
  11. Buhrman M, Faltenhag S, Strom L, Andersson G. Controlled trial of Internet-based treatment with telephone support for chronic back pain. Pain. 2004;111:368–377
  12. Cognitive Therapy of Depression, Beck AT, Rush AJ, Shaw BJ, Emery G (eds), 1st ed. New York, NY, Guilford Press, 1979
  13. Connelly M, Rapoff MA, Thompson N, Connelly W. Headstrong: A pilot study of a CD-ROM intervention for recurrent pediatric headache. J Pediatr Psychol. 2006;31:737–747
  14. Christophersen ER, Mortweet SL. Treatments that work: Empirically supported strategies for managing childhood problems. 4th ed.. Washington, DC: APA Books; 2005;
  15. de Groen PC, Barry JA, Schaller WJ. Applying World Wide Web technology to the study of patients with rare diseases. Ann Intern Med. 1998;129:107–113
  16. Devineni T, Blanchard EB. A randomized controlled trial of an internet-based treatment for chronic headache. Behav Res Ther. 2005;43:277–292
  17. Eccleston C, Williams AC, Morley S: Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev:CD007407, 2009
  18. Egger M, Davey Smith G, Schneider M. Minder C: Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629–634
  19. Fordyce WE, Fowler RS, Lehmann JF, DeLateur BJ. Some implications of learning in problems of chronic pain. J Chronic Dis. 1968;21:12
  20. Gega L, Marks I, Mataix-Cols D. Computer-aided CBT self-help for anxiety and depressive disorders: Experience of a London clinic and future directions. J Clin Psychol. 2004;60:147–157
  21. Griffiths KM, Christensen H, Jorm AF, Evans K, Groves C. Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatizing attitudes to depression: Randomized controlled trial. Br J Psychiatry. 2004;185:342–349
  22. Harris G. The new telecare: Emerging Internet-based models for home healthcare. Telemed Today. 1999;7:15–16
  23. Hicks CL, von Baeyer CL, McGrath PJ. Online psychological treatment for pediatric recurrent pain: A randomized evaluation. J Pediatr Psychol. 2006;31:724–736
  24. Hollon SD, Stewart MO, Strunk D. Enduring effects for cognitive behavior therapy in the treatment of depression and anxiety. Annu Rev Psychol. 2006;57:285–315
  25. Hollon S, Munoz RF, Barlow DH, Beardslee WR, Bell CC, Bernal G, et al. Psychosocial intervention development for the prevention and treatment of depression: Promoting innovation and increasing access. Biol Psychiatry. 2002;52:610–630
  26. Hubbard PA, Broome ME, Antia LA. Pain, coping, and disability in adolescents and young adults with cystic fibrosis: A Web-based study. Pediatr Nurs. 2005;31:82–86
  27. Jensen MP, Hakimian S, Sherlin LH, Fregni F. New insights into neuromodulatory approaches for the treatment of pain. J Pain. 2008;9:193–199
  28. Kendall PC, Southam-Gerow M. Long-term follow-up of a cognitive-behavioral therapy for anxiety-disordered youth. J Consult Clin Psychol. 1996;64:724–730
  29. Kendall PC. Treating anxiety disorders in children: Results of a randomized clinical trial. J Consult Clin Psychol. 1994;62:100–110
  30. Kiropoulos LA, Klein B, Austin DW, Gilson K, Pier C, Mitchell J, et al. Is internet-based CBT for panic disorder and agoraphobia as effective as face-to-face CBT?. J Anxiety Disord. 2008;22:1273–1284
  31. Loh PK, Flicker L, Horner B. Attitudes toward information and communication technology (ICT) in residential aged care in Western Australia. J Am Med Dir Assoc. 2009;10:408–413
  32. Lorig KR, Laurent DD, Deyo RA, Marnell ME, Minor MA, Ritter PL. Can a Back Pain E-mail Discussion Group improve health status and lower health care costs? A randomized study. Arch Intern Med. 2002;162:792–796
  33. Lorig KR, Ritter PL, Dost A, Plant K, Laurent DD, McNeil I. The Expert Patients Programme online, a 1-year study of an Internet-based self-management programme for people with long-term conditions. Chronic Illn. 2008;4:247–256
  34. Lorig KR, Ritter PL, Laurent DD, Plant K. Internet-based chronic disease self-management: A randomized trial. Med Care. 2006;44:964–971
  35. Lorig KR, Ritter PL, Laurent DD, Plant K. The internet-based arthritis self-management program: A one-year randomized trial for patients with arthritis or fibromyalgia. Arthritis Rheum. 2008;59:1009–1017
  36. Mackinnon A, Griffiths KM, Christensen H. Comparative randomised trial of online cognitive-behavioural therapy and an information website for depression: 12-month outcomes. Br J Psychiatry. 2008;192:130–134
  37. Mackintosh C, Elson S: Chronic pain: Clinical features, assessment and treatment. Nurs Stand 23:48-56; quiz 58, 60, 2008
  38. Morley S, Eccleston C, Williams A. Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache. Pain. 1999;80:1–13
  39. National Headache Foundation: Migraine prevention summit proceedings. Available at http://www.headaches.org/pdf/Monograph12.pdf Accessed September 2, 2009
  40. National Institute of Neurological Disorders and Stroke: Low Back Pain Fact Sheet. Available at http://www.ninds.nih.gov/disorders/backpain/detail_backpain.htm. Accessed August 10, 2009
  41. National Institute of Neurological Disorders and Stroke: Second Annual Research Symposium for Advances in Pain Research. Available at http://www.ninds.nih.gov/news_and_events/proceedings/Advances_Pain_Research_Second_Annual.htm. Accessed September 21, 2009
  42. Nutting PA, Rost K, Dickinson M, Werner JJ, Dickinson P, Smith JL, et al. Barriers to initiating depression treatment in primary care practice. J Gen Intern Med. 2002;17:103–111
  43. Pew Internet & American Life Project: E-patients with disability of chronic disease. Available at: http://www.pewinternet.org/Reports/2007/Epatients-With-a-Disability-or-Chronic-Disease.aspx Accessed at October 12, 2009
  44. Pew Internet & American Life Project: How women and men use the internet, Deborah Fallows. Available at: http://www.pewinternet.org/Reports/2005/How-Women-and-Men-Use-the-Internet.aspx. Accessed at 04/08/2010
  45. Romano JM, Turner JA. Chronic pain and depression: Does the evidence support a relationship?. Psychological Bulletin. 1985;97:18–34
  46. Schulz PJ, Rubinell S, Hartung U. An internet-based approach to enhance self-management of chronic low back pain in the Italian-speaking population of Switzerland: Results from a pilot study. Int J Public Health. 2007;52:286–294
  47. Sirey J, Bruce M, Alexopoulos G, Perlick D, Friedman S, Meyers B. Stigma as a barrier to recovery: Perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatr Serv. 2001;52:1615–1620
  48. Straus SE: FY 2002 Hearing on Chronic Diseases. Available at: http://nccam.nih.gov/about/offices/od/directortestimony/032801.htm. Accessed July 1, 2009
  49. Strom L, Pettersson R, Andersson G. A controlled trial of self-help treatment of recurrent headache conducted via the Internet. J Consult Clin Psychol. 2000;68:722–727
  50. Wantland DJ, Portillo CJ, Holzemer WL, Slaughter R, McGhee EM: The effectiveness of Web-based vs. non-Web-based interventions: A meta-analysis of behavioral change outcomes. J Med Internet Res10:6-4, 2004
  51. Warmerdam L, van Straten A, Cuijpers P. Internet-based treatment for adults with depressive symptoms: The protocol of a randomized controlled trial. BMC Psychiatry. 2007;7:72
  52. Wright JH, Wright AS, Albano AM, Basco MR, Goldsmith LJ, Raffield T, et al. Computer-assisted cognitive therapy for depression: Maintaining efficacy while reducing therapist time. Am J Psychiatry. 2005;162:1158–1164

PII: S1526-5900(10)00559-6

doi: 10.1016/j.jpain.2010.06.005

The Journal of Pain
Volume 11, Issue 10 , Pages 917-929 , October 2010