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Internet-based rehabilitation for individuals with chronic pain and burnout: a randomized trial

This study investigated use of the Internet in rehabilitating people with chronic pain and/or burnout on long-term sick leave. Adults of working age were randomly assigned to a treatment group (n=27) that participated in a cognitive behavioral therapy course delivered over the Internet or to a waiting list group (n=28) for at least 6 months. The goals were to improve health outcomes and increase quality of life, in terms of anxiety, depression, and stress symptoms. For those who were not on permanent disability, the goal was to increase the capacity to work. A 20-week program, based on Web-based videos, was supplemented with a weekly facilitated asynchronous discussion board. Upon completion of the online course, statistically significant improvements were observed in the treatment group in comparison to the waiting list group. These improvements were in the areas of anxiety and depression, pain, vitality, social function, stress, and other symptoms. Thirteen of 23 individuals (57%) also increased their work capacity. The researchers conclude that the rehabilitation of people on long-term sick leave using the Internet is a good complement to other rehabilitation strategies. Brattberg G. Adapted from International journal of rehabilitation research; 2006 Sep 1;29 (3).

PMID 16900043
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed

Credit: PubMed, developed by the National Center for Biotechnology Information (NCBI) at the National Library of Medicine (NLM).



Department of Pain Medicine and Palliative Care
Beth Israel Medical Center, New York City
©2005 Continuum Health Partners, Inc.
www.stoppain.org/pain_medicine