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

“Focus on the Good” - Participant Perspectives after Engaging in an Online Pain Self-Management Program

“…Pain self-management interventions have been recommended as an essential component of evidence-based clinical practice guidelines for chronic pain [16]. Online and face-toface self-management interventions have demonstrated improved outcomes in small, specific populations of patients who suffer with a variety of painful conditions, such as patients with fibromyalgia, headaches, and arthritis [15,6]. However, no such interventions have been accepted for widespread use in the general population of patients with chronic pain, and the optimal means to engage patients in pain self-management strategies remains unclear.…”

“…More than half of those with chronic pain describe it as "unbearable" or "excruciating" [5]. Behavioral and cognitive therapies have been wellestablished in research literature as effective components that can improve pain treatment outcomes [6,7]. Yet, treatment-seeking adults with chronic pain are most likely to receive pharmacological interventions and less likely to access psychologically-based treatments [1].…”

Effectiveness of Serious Gaming During Multidisciplinary Rehabilitation for Patients with Complex Chronic Pain or Fatigue: A Natural Quasi-experiment (Preprint)

“…Supporting evidence from randomized controlled trials consists of at most medium-sized effects for biopsychosocial interventions [20,21]. Behavioral interventions, typically cognitive behavioral therapy, have approximately equivalent effects when delivered via computer systems, but adherence can be disappointing [22]. Improvement is sought to the modest additional effects of multi-or interdisciplinary rehabilitation over other kinds of 'unimodal' treatments [10,18,23].…”

eHealth cognitieve gedragstherapie voor patiënten met chronische somatische aandoeningen

“…28 De resultaten van deze review zijn vergelijkbaar met eerdere reviews en meta-analyses die kleine tot middelgrote effecten vonden bij psychologische klachten, [9][10][11][12][13][14][15][16][17][18] voor patiënten met gezondheidsproblemen [19][20][21][22][23][24]57 en voor face-to-face CGt. 1,58,59 Nieuw in onze review is dat we ook de meer recente studies meenamen, de rol van behandelduur onderzochten en verschillen in effectiviteit voor specifieke categorieën van uitkomstmaten lieten zien.…”

“…[9][10][11][12][13][14][15][16][17][18] Steeds meer studies laten zien dat internetinterventies ook effectief kunnen zijn voor psychologische en lichamelijke klachten bij mensen met gezondheidsproblemen [19][20][21][22][23][24] en in het bevorderen van gezondheidsgedrag, zoals meer bewegen en gezonder eten. 25,26 Om te onderzoeken of eCGt eveneens effectief is bij chronische somatische aandoeningen, moeten de resultaten van het toenemende aantal recente studies systematisch geëvalueerd en kwantitatief geanalyseerd worden.…”