The Effectiveness of an Online Mind-Body Intervention for Older Adults With Chronic Pain |
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| Authors: | Rebecca LH Berman Madelyn A Iris Rita Bode Carol Drengenberg |
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| Institution: | 2. Rehabilitation Institute of Chicago, Chicago, Illinois;3. Midwest Palliative and Hospice CareCenter, Glenview, Illinois;1. Key Laboratory of Cognition and Personality, China Education Ministry, Southwest University, Chongqing, China;2. Faculty of Psychological Science, Southwest University, Chongqing, China;3. College of Education and Sports Science, Bohai University, Jinzhou, China;1. Health Psychology Section, Psychology Department, King''s College London, London, United Kingdom;2. INPUT Pain Management, Guy''s and St Thomas'' Hospitals, London, United Kingdom;3. Centre for Pain Research, University of Bath, Bath, United Kingdom;1. Center of Excellence for Stress and Mental Health (CESAMH), San Diego, California;2. VA San Diego Healthcare System, University of California, San Diego, California;3. Department of Psychiatry, University of California, San Diego, California;4. Department of Family Medicine and Public Health, University of California, San Diego, California;5. Biogen, Neurology Clinical Development, Cambridge, Massachusetts;6. Durham VA Medical Center, University of North Carolina, Chapel Hill, North Carolina;1. The Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia;2. School of Social Sciences and Psychology, Centre for Health Research, University of Western Sydney, Australia;1. INPUT Pain Management, Guys and St Thomas NHS Foundation Trust Hospitals, London, United Kingdom;2. Department of Psychology, Institute of Psychiatry, Psychology, and Neuroscience, King''s College London, London, United Kingdom;3. Royal Holloway, University of London, United Kingdom;1. University of Twente, Department of Psychology, Health and Technology, Postbox 217, 7500 AE, Enschede, The Netherlands;2. University of Twente, Department of Research Methodology, Measurement and Data Analysis, Postbox 217, 7500 AE, Enschede, The Netherlands;3. Roessingh Research and Development, Postbox 310, 7500 AH, Enschede, The Netherlands |
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| Abstract: | The Self-care Pain Management Project assessed the feasibility and efficacy of delivering online mind-body self-care techniques to 78 adults aged 55 and older with chronic pain. To assess feasibility, the study monitored use of the intervention and documented participant satisfaction. A randomized trial with intervention (n = 41) and waiting list comparison groups (n = 37) was used to assess changes in pain intensity, limitations due to pain, pain self-efficacy, depression, anxiety, and awareness of responses to pain from baseline to follow-up at 6 weeks. There were statistically significant results for between-group difference in awareness of responses to pain, improvements in pain intensity and pain interference for both groups, and increases in confidence with using nonmedical self-care techniques to manage pain for the intervention group. Reductions in mean pain scores reported by the intervention group at log on and log off also suggest that the intervention may have an immediate impact on reducing pain. Findings document the feasibility of a relatively short-term, online mind-body pain management intervention that can have benefits for participants. The characteristics of those who volunteered for an online self-care pain management intervention also have implications for identifying target populations for such interventions.PerspectiveThis article documents the outcomes of an Internet-based self-care pain management intervention that focused on mind-body exercises. The study suggests that the Internet can be an efficient mode for delivering self-care education to older adults with chronic pain and has potential benefits that complement clinical care. |
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