An internet-delivered cognitive-behavioral intervention with telephone support improved some coping skills in patients with chronic low back pain.
An internet-delivered cognitive-behavioral intervention with telephone support improved some coping skills in patients with chronic low back pain.
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通过互联网提供的认知行为干预和电话支持提高了慢性腰痛患者的一些应对技能。
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发表时间：
2005
期刊：
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通讯作者：
D. Polly
中科院分区：
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作者：
D. Polly
患者：56 名患者，年龄在 18 至 65 岁之间（平均年龄 45 岁；63% 为女性），能够上网，与医生保持联系，并且背痛（即腰椎、胸部和/或颈椎疼痛）持续时间≥3 个月。排除标准是活动引起的疼痛、需要轮椅或手术治疗以及心脏或血管疾病。随访时间为 92%。干预：患者被分配接受治疗 (n = 22) 或等待名单 (n = 29)，为期 6 周。该治疗要求患者每周阅读材料并通过互联网提交疼痛日记。该计划的目的是教导患者识别更积极的方法来应对疼痛以改善功能。该计划包括心理（处理无益的想法和信念以及改变焦点）和身体（个性化、分级伸展和体育锻炼）部分。患者可以使用幻灯片、音频文件或光盘来指导他们应用放松技巧。每周与治疗师进行电话交谈，让患者回顾前一周的作业、提出任何问题、接收提醒并保持动力。主要结果指标：主要结果指标是应对策略问卷（CSQ）。次要结果指标是多维疼痛量表（MPI）、疼痛损害评定量表（PAIRS）和医院焦虑和抑郁量表（HADS）。
Patients: 56 patients who were 18 to 65 years of age (mean age, 45 y; 63% women), had access to the Internet, were in contact with a physician, and had back pain (i.e., lumbar, thoracic, and/or cervical pain) of ≥3-month duration. Exclusion criteria were pain that resulted from activity, need for a wheelchair or surgical treatment, and heart or vascular disease. Duration of follow-up was 92%. Intervention: Patients were allocated to treatment (n = 22) or a waiting list (n = 29) for 6 weeks. The treatment required that patients read material weekly and submit pain diaries by way of the Internet. The aim of the program was to teach patients to identify more active ways of coping with pain to improve functioning. The program included psychological (dealing with unhelpful thoughts and beliefs and changing focus) and physical (individualized, graded stretching and physical exercises) components. Patients could use a slideshow, audio files, or a compact disc to guide them through applied relaxation techniques. Weekly telephone conversations with a therapist allowed patients to review the previous week’s homework, ask any questions, receive reminders, and maintain motivation. Main outcome measures: The primary outcome measure was the Coping Strategies Questionnaire (CSQ). Secondary outcome measures were the Multidimensional Pain Inventory (MPI), the Pain Impairment Rating Scale (PAIRS), and the Hospital Anxiety and Depression Scale (HADS).