Automated Internet-based pain coping skills training to manage osteoarthritis pain

The role of mental health and self-efficacy in the pain experience of patients with amyotrophic lateral sclerosis

“…Interventions that focus on utilizing self-efficacy theory (13) may aid in reducing perceptions of pain or help in the relief of pain. Cognitive-behavioral interventions can help to develop self-efficacy using activities such as coping skills and self-management training with rehearsal and practice in the individual's daily environment (30)(31)(32). Successful experiences in pain control can produce the greatest changes in self-efficacy beliefs (14).…”

Moderators of Effects of Internet-Delivered Exercise and Pain Coping Skills Training for People With Knee Osteoarthritis: Exploratory Analysis of the IMPACT Randomized Controlled Trial (Preprint)

“…Participants in the intervention arm of the trial received three internet-delivered treatments: 1) educational material about exercise and physical activity, pain management, emotions, healthy eating, complementary therapies, and medications (freely available on the Arthritis Australia website [19]); 2) an online interactive automated PCST program [9,20] brief assessment and prescribed a lower-limb strengthening home exercise program to be completed by the participant three times per week. Participants were also encouraged to increase their physical activity levels and were given the opportunity to use a pedometer for motivation if desired, and were also encouraged to practice pain coping skills daily.…”

“…In addition, as low self-efficacy, increased pain catastrophising and maladaptive pain coping strategies are common amongst people with OA [4][5][6], interventions that target these psychological factors may also provide benefits. Growing evidence supports the use of pain coping skills training (PCST) to improve pain and physical and psychological functioning in chronic pain conditions [7][8][9]. However, many people with OA may have difficulties accessing health professionals skilled in the prescription of exercise or psychological interventions.…”

The Conundrum of Treating Chronic Pain in Older Adults

“…These approaches are limited by program heterogeneity, accessibility, attrition and difficulty sustaining modest therapeutic gains [27][28][29][30][31][32][33]. Internet, smart phone and/or tablet computer technologies are being introduced to address barriers and enhance treatment effects with the potential to transform the way chronic pain is understood and managed by patients [34][35][36][37][38]. These are increasingly viable ways to engage older adults in therapy that has traditionally been difficult for them to benefit from by overcoming transportation, cost and other barriers to access in this population [39][40][41].…”