An Observational Study of Outcomes Associated With Virtual Pain Management Programs Based on Acceptance and Commitment Therapy Implemented During the COVID-19 Pandemic

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Hollyfield, ShakiraINPUT Pain Management Unit, Guy’s and St Thomas’ NHS Foundation Trust (författare)

An Observational Study of Outcomes Associated With Virtual Pain Management Programs Based on Acceptance and Commitment Therapy Implemented During the COVID-19 Pandemic

Artikel/kapitelEngelska2023

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Wolters Kluwer,2023
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LIBRIS-ID:oai:DiVA.org:uu-519069
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-519069URI
https://doi.org/10.1097/ajp.0000000000001144DOI

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Språk:engelska
Sammanfattning på:engelska

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Objective: In response to COVID-19, virtual, group-based interdisciplinary pain management programs (PMPs) were rapidly implemented. This included implementing different intensities and formats of virtual PMPs to address a range of patient needs and complexity. This observational study investigated outcomes associated with virtual high and low-intensity and pre-neuromodulation PMPs based on acceptance and commitment therapy as part of routine care during the pandemic.Methods: Depending on patients’ needs, participants completed a virtual high-intensity or low-intensity PMP, or a virtual PMP in preparation for neuromodulation, from June 2020 to June 2022. Participants completed standardized measures of pain intensity and interference, work and social adjustment, depression, and pain acceptance before and after treatment. Data from 2018 to 2019 for in-person residential (n=561), outpatient (n=123), and pre-neuromodulation (n=207) PMPs were also examined to provide a historical benchmark of performance.Results: The virtual high-intensity PMP (n=294) showed significant improvements in all variables, with small effects. There were significant improvements with small effects for pain interference, depression, and acceptance for the virtual pre-neuromodulation PMP (n=129). No statistically significant improvements were observed for the virtual low-intensity PMP (n=90). The improvements associated with prepandemic in-person PMPs were generally larger relative to the virtual PMPs of comparable intensity delivered during the pandemic.Discussion: These data provide preliminary support for the potential benefits of high, but not low, intensity virtual acceptance and commitment therapy-based PMPs, including in the context of neuromodulation. Research is needed to maximize the impact of virtual PMPs and match patients with the most appropriate delivery format.

Ämnesord och genrebeteckningar

SAMHÄLLSVETENSKAP Psykologi hsv//swe
SOCIAL SCIENCES Psychology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
pain management
acceptance and commitment therapy
virtual delivery
chronic pain
pandemic

Biuppslag (personer, institutioner, konferenser, titlar ...)

Travers, WarrenINPUT Pain Management Unit, Guy’s and St Thomas’ NHS Foundation Trust (författare)
Sondh, Satwinder K.INPUT Pain Management Unit, Guy’s and St Thomas’ NHS Foundation Trust (författare)
Wilczek, AngelikaINPUT Pain Management Unit, Guy’s and St Thomas’ NHS Foundation Trust (författare)
Jacobs, ClairINPUT Pain Management Unit, Guy’s and St Thomas’ NHS Foundation Trust (författare)
McCracken, Lance M.,1962-Uppsala universitet,Institutionen för psykologi,Clinical psychology(Swepub:uu)lanmc300 (författare)
Scott, WhitneyINPUT Pain Management Unit, Guy’s and St Thomas’ NHS Foundation Trust;King’s College London, Health Psychology Section, Institute of Psychiatry, Psychology, and Neuroscience, London, UK (författare)
INPUT Pain Management Unit, Guy’s and St Thomas’ NHS Foundation TrustInstitutionen för psykologi (creator_code:org_t)

Sammanhörande titlar

Ingår i:The Clinical Journal of Pain: Wolters Kluwer39:10, s. 524-5360749-80471536-5409

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