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Title
Reboot Online: A Randomized Controlled Trial Comparing an Online Multidisciplinary Pain Management Program with Usual Care for Chronic Pain
Fields of Research (FoR) 2008:
Author(s)
Smith, Jessica
Faux, Steven G
Gardner, Tania
James, Matthew A
Joubert, Amy E
Kladnitski, Natalie
Newby, Jill M
Schultz, Regina
Shiner, Christine T
Andrews, Gavin
Publication Date
2019-12
Socio-Economic Objective (SEO) 2008
Early Online Version
Open Access
Yes
Abstract
Objective: Chronic pain is a prevalent and burdensome condition. Reboot Online was developed to address treatment barriers traditionally associated with accessing face-to-face chronic pain management programs. It is a comprehensive multidisciplinary online treatment program, based on an existing and effective face-to-face multidisciplinary pain program (the Reboot program). Design & Participants: A CONSORT-compliant randomized controlled trial was conducted, enrolling adults who had experienced pain for three months or longer. Methods: Participants were randomly allocated to either an eight-lesson multidisciplinary pain management program, Reboot Online (N=41), or to a usual care (UC) control group (N=39). Clinical oversight was provided by a multidisciplinary team remotely, including physiotherapists and clinical psychologists. Participants were measured at baseline, post-treatment (week 16), and three-month follow-up (week 28). Results: Intention-to-treat analyses revealed that Reboot Online was significantly more effective than UC at increasing pain self-efficacy (g=0.69) at post-treatment, and these gains were maintained at follow-up. Similarly, Reboot Online was significantly more effective than UC on several secondary measures at post-treatment and follow-up, including movement-based fear avoidance and pain-related disability, but it did not significantly reduce pain interference or depression compared with UC. Clinician input was minimal, and adherence to Reboot Online was moderate, with 61% of participants (N=25) completing all eight lessons. Conclusions: Reboot Online presents a novel approach to multidisciplinary pain management and offers an accessible, efficacious alternative and viable treatment option for chronic pain management.
Publication Type
Journal Article
Source of Publication
Pain Medicine, 20(12), p. 2385-2396
Publisher
Oxford University Press
Socio-Economic Objective (SEO) 2020
2019-09-09
Place of Publication
United States of America
ISSN
1526-4637
1526-2375
Fields of Research (FoR) 2020
Socio-Economic Objective (SEO) 2020
Peer Reviewed
Yes
HERDC Category Description
Peer Reviewed
Yes
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