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Therapeutic Interactive Voice Response enhanced CBT gains in chronic pain

M R Naylor

Dr M R Naylor, University of Vermont College of Medicine, Burlington, VT, USA; magdalena.naylor@vtmednet.org

QUESTION
In patients with chronic pain who have completed a pain coping skills programme, does Therapeutic Interactive Voice Response (TIVR) enhance maintenance of treatment gains?

METHODS
Design: randomised controlled trial.

Allocation: unclear allocation concealment.

Blinding: unblinded.

Follow-up period: 8 months.

Setting: university hospital in Vermont, USA.

Patients: 55 patients 18 years of age (mean age 46 y, 84% women) who had chronic musculoskeletal pain for 6 months with severity scores 4 out of 10 and had completed 11 weeks of group cognitive–behavioural therapy (CBT) for pain management. Exclusion criteria included cancer-related pain, awaiting surgery, mental illness, and cognitive or hearing impairment.

Intervention: TIVR for 4 months plus usual care (n = 29) or usual care alone (n = 26). TIVR, an automated telephone-based tool, consisted of 4 components: a daily self-monitoring questionnaire to assess coping . . . [Full text of this article]

Sandra M LeFort

School of Nursing, Memorial University of Newfoundland, St John’s, Newfoundland & Labrador, Canada