Treatment engagement in an internet-delivered cognitive behavioral program for pediatric chronic pain.
Treatment engagement in an internet-delivered cognitive behavioral program for pediatric chronic pain.
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DOI：
10.1016/j.invent.2018.07.005
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发表时间：
2018-09
期刊：
影响因子：
--
通讯作者：
Palermo TM
中科院分区：
文献类型：
--
作者：
Alberts NM;Law EF;Chen AT;Ritterband LM;Palermo TM
互联网提供的认知行为疗法（iCBT）是一种很有前途的青少年慢性疼痛治疗方法，但效果很小，需要采取旨在提高治疗效果的策略。参与者参与该计划可能是决定治疗结果的重要因素。本研究的主要目的是检查治疗参与和治疗结果之间的关系。其次，我们试图描述参与者参与慢性疼痛青少年及其父母的iCBT计划的特征。参与者包括134名青少年，随机分配到一项对照试验的干预组，检查iCBT治疗慢性疼痛。青少年和家长对干预措施的总体参与度很高。父母参与（父母完成的模块数量和父母登录的数量）预测青少年活动限制在治疗后的变化分数。与我们的预期相反，青少年治疗参与并不能预测治疗结果。结果表明，父母参与该计划可能是治疗结果的一个重要预测因素。需要进一步的研究来更好地了解治疗参与对青少年iCBT结果的影响。青少年和家长对干预措施的参与度很高。父母的参与预测青少年活动限制在治疗后的变化分数。青少年治疗参与度不能预测治疗结果。
Internet-delivered cognitive-behavioral therapy (iCBT) is a promising treatment for chronic pain among youth, but effect sizes are small, and strategies aimed at enhancing treatment effects are needed. Participants' engagement with the program may be an important factor in determining treatment outcomes. The primary aim of the current study was to examine the relationship between treatment engagement and treatment outcomes. Secondarily, we sought to characterize participant engagement in an iCBT program for adolescents with chronic pain and their parents. Participants included 134 adolescents randomized to the intervention arm of a controlled trial examining iCBT for chronic pain. Overall engagement with the intervention by adolescents and parents was high. Parental engagement (number of modules completed by parents and number of parent logins) predicted adolescent activity limitations change scores at post-treatment. Contrary to our expectation, adolescent treatment engagement was not predictive of treatment outcomes. Results indicate that parental engagement with the program may be an important predictor of treatment outcomes. Further research is needed to better understand influences of treatment engagement on outcomes in iCBT for youth. Engagement with the intervention by adolescents and parents was high. Parental engagement predicted adolescent activity limitations change scores at post-treatment. Adolescent treatment engagement was not predictive of treatment outcomes.
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DOI：
10.3390/children3040040
发表时间：
2016-12-02
期刊：
Children (Basel, Switzerland)
影响因子：
--
作者：
Vinall J;Pavlova M;Asmundson GJ;Rasic N;Noel M
通讯作者：
Noel M
影响因子：
7.4
作者：
Palermo, Tonya M.;Law, Emily F.;Tai, Gabrielle
通讯作者：
Tai, Gabrielle
DOI：
10.1002/14651858.cd011118.pub2
发表时间：
2015-03-23
期刊：
The Cochrane database of systematic reviews
影响因子：
--
作者：
Fisher, Emma;Law, Emily;Eccleston, Christopher
通讯作者：
Eccleston, Christopher
影响因子：
3.7
作者：
Morgan, Amy J.;Rapee, Ronald M.;Bayer, Jordana K.
通讯作者：
Bayer, Jordana K.
影响因子：
7.4
作者：
Law EF;Fisher E;Howard WJ;Levy R;Ritterband L;Palermo TM
通讯作者：
Palermo TM