Cognitive Behavioral Chronic Pain Management Workbook

描述（由申请人提供）：认知行为（CBT）方法对慢性疼痛管理有效，可以减少患者的疼痛体验，改善功能和生活质量。疼痛的非药物治疗被美国疼痛学会、美国老年病学会和卫生保健组织认证联合委员会（JCAHO）等组织强烈认可为全面疼痛管理方法的重要组成部分。本项目的目标是开发一种互联网传输的慢性疼痛工作手册，为慢性疼痛患者提供一种低成本的CBT疼痛管理干预。对于那些不愿或经济上无法向心理学家或其他CBT提供者寻求帮助的患者，本疼痛手册可以作为一种独立的干预手段，也可以作为一种综合疼痛管理计划的辅助手段。拟议的疼痛工作簿将不止是在计算机屏幕上按顺序显示的文本页面。计算机技术使本工作簿具有高度的互动性，使用多媒体表示格式（如声音、动画和图形），并为个人用户定制信息。在第一阶段，我们建议开发疼痛工作手册的三个章节：一个疼痛教育章节，介绍身心治疗的基本原理，一个认知重构章节，以及一个章节，教患者设定与他们更大的生活目标一致的合理的小目标，并积极解决问题。我们的专家顾问团队将协助我们制定第一阶段章节的内容。我们还将进行一项小型随机研究，采用等候名单对照组设计。本研究将评估原型章节对疼痛患者对疼痛的信念和态度的影响。我们还将收集有关疼痛工作簿的可用性和功能的信息。II期计划是完成疼痛工作手册，并进行更大的随机有效性试验。

DESCRIPTION (provided by applicant): Cognitive behavioral (CBT) approaches to chronic pain management are effective for reducing patients' experience of pain and improving functioning and quality of life. Non-pharmacological treatments for pain are strongly endorsed as an important component of a comprehensive pain management approach by organizations such as the American Pain Society, the America Geriatric Society, and the Joint Commission for the Accreditation of Health Care Organizations (JCAHO). The goal of the present project is to develop an Internet-delivered Chronic Pain Workbook which offers a low-cost CBT pain management intervention to chronic pain patients. This Pain Workbook can be used as a stand-alone intervention for patients unwilling or financially unable to seek help from psychologists or other CBT providers or as an adjunct to a comprehensive pain management program. The proposed Pain Workbook will be more than pages of text displayed sequentially on a computer screen. Computer technology enables this workbook to be highly interactive, to use a multimedia presentation format (e.g., sound, animation, and graphics), and to tailor information for the individual user. In Phase I, we propose to develop 3 chapters of the Pain Workbook: a pain education chapter which presents the mind/body treatment rationale, a cognitive restructuring chapter, and a chapter which teaches patients to set small reasonable goals consistent with their larger life goals and to engage in active problem-solving. Our team of expert consultants will assist us in developing the content of the Phase I chapters. We will also conduct a small randomized study using a wait-list control group design. This study will evaluate the impact of the prototype chapters on pain patients' beliefs and attitudes about pain. We will also collect information regarding usability and functionality of the Pain Workbook. The Phase II plan is to complete the Pain Workbook and to conduct a larger randomized effectiveness trial.