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Living with Pain online : effect- and processevaluation of an internet- based intervention of acceptance & commitment therapy for chronic pain patients: a randomized controlled trial

Böing, J. (2014) Living with Pain online : effect- and processevaluation of an internet- based intervention of acceptance & commitment therapy for chronic pain patients: a randomized controlled trial.

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Abstract:Background. Chronic pain is remarkably common. In Europe almost 20% of adults suffer from chronic pain. The impact of chronic pain is multifaceted, extensive and reduces the quality of life more than any other chronical condition. Common pharmacological treatments do not help in handling with the consequences. Therefore, it is important to treat pain interference in daily life correctly. In order to improve functioning in daily life an online- delivered self- help intervention named ‘Living with pain online’ is developed, which is based on Acceptance and Commitment Therapy [ACT] and mindfulness. The focus of ACT is not on controlling, reducing or fighting the pain as it is the case with other forms of treatment, but rather on improving functioning by increasing the ability to act effectively in the presence of pain. Aims. The present study aimed to examine the effects of the ACT on pain interference. Moreover, the underlying processes of the intervention are analyzed in order to understand how the ACT works and to develop effective and viable interventions for people with chronic pain. Method. After eligibility for the participation in this study, based on different in- and exclusion criteria, randomization took place. The individuals were randomized either to the online ACT group or to a minimal intervention condition, the expressive writing group [EW] or to the waiting list control group [WL]. The participants completed measures of pain interference as the main outcome measure and process measures (MPI- pain interference scale, PIPS, ELS, FFMQ-SF) at pre-, post- and 3- months follow up assessment. Additionally, the ACT and the EW group completed measures at a 9- months follow- up measurement. Results. The online ACT was effective in the improvement of pain interference in comparison to the EW group, but not in comparison to the WL group. Thereby the open response style mediated the relation between the treatment and pain interference. Conclusion. The present study of the online- based ACT intervention ‘Living with pain online’ suggests to be an effective method for the treatment of chronic pain conditions and worked by improving the open response style. More research is needed to confirm these results.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/64878
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