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To evaluate the effectiveness of a telephone-delivered, home-based cognitive-behavioural therapy for chronic low back pain as compared to a matched supportive care (SC) therapy.
Common current pharmacological approaches to chronic back pain
concern with the adverse consequences associated with long-term use of opioids
that may limit treatment options. An emerging alternative approach is the use
of telehealth interventions, but limited evidence is available regarding the
relative efficacy of the different telehealth approaches. Therefore, the results
of this clinical trial suggest that home-based, telephone-delivered treatments
did not significantly differ in their benefits for back pain severity and
disability.
To evaluate the effectiveness of a telephone-delivered,
home-based cognitive-behavioural therapy for chronic low back pain as compared
to a matched supportive care (SC) therapy.
A total of sixty-six participants with low back pain were
divided to either an SC condition matched for contact frequency, format, and
time or an 8-week Cognitive-Behavioral
Therapy (CBT) and accomplished the approved measures of improvement in pain
severity, back pain disability, and overall improvement.
Treatment group did not exhibit a meaningful difference
in decline in pain severity or improvements in back pain disability. Subjects
ranked their overall improvement levels at 31% (CBT) versus 18.5% (SC).
According to the findings of the analysis, home-based, telephone-delivered CBT and SC
treatments showed no significant difference in their advantages for back pain
disability and severity, and may need more investigation for applications to
hospital settings.
The Clinical Journal of Pain
Randomized Controlled Trial of Telephone-delivered Cognitive Behavioral Therapy Versus Supportive Care for Chronic Back Pain
Rutledge Thomas et al.
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