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Internet-based pain self-management for veterans: Feasibility and preliminary efficacy of the Pain EASE program

Pain Practice Jan 31, 2020

Higgins DM, et al. - Researchers aimed at generating and testing the feasibility and preliminary efficacy of a cognitive behavioral therapy–based, internet-delivered self-management program for chronic low back pain (cLBP) in veterans. They performed program development, involving expert panel and participant feedback, in phase 1. A single-arm feasibility and preliminary efficacy study of the Pain e-health for Activity, Skills, and Education (Pain EASE) program was undertaken in phase 2. The participants (n = 15) in phase 1 proposed modifications including style changes, content reduction, additional “Test Your Knowledge” quizzes, and cognitive behavioral therapy skill practice monitoring form revisions for enhanced usability. In phase 2, participants [n = 58; mostly male (93%) and White (60%); average age: 55 years] had moderate pain; the postbaseline assessment was completed by 41 (71%). Over 10 weeks, participants (N = 58) logged on 6.1 (SD = 8.6) times. Eighty-five percent of participants reported high to moderate satisfaction with Pain EASE. Outcomes support that technology-delivered interventions may benefit veterans with cLBP, which may also decrease pain interference. Overall, Pain EASE, an internet-based self-management program, was identified as feasible and satisfactory for cLBP among veterans.
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