Cognitive Behavioral Chronic Pain Management Workbook

描述(申请人提供)：认知行为(CBT)方法对慢性疼痛管理是有效的，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协会、美国老年学会和卫生保健组织认证联合委员会(JCAHO)等组织强烈支持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本通过互联网提供的慢性疼痛工作手册，为慢性疼痛患者提供低成本的CBT疼痛管理干预。这本疼痛工作簿可以作为不愿意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的独立干预措施，或作为全面疼痛管理计划的辅助工具。拟议的疼痛工作簿将不仅仅是在计算机屏幕上顺序显示的几页文本。计算机技术使该工作簿能够高度交互，使用多媒体演示格式(例如，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簿的三个章节：一个展示精神/身体治疗原理的疼痛教育章节，一个认知重建章节，以及一个教患者设定与他们更大的生活目标相一致的合理小目标并积极参与解决问题的章节。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。我们还将使用等待名单控制组设计进行一项小型随机研究。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Pain工作簿的可用性和功能的信息。第二阶段的计划是完成疼痛工作手册，并进行更大规模的随机有效性试验。

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.