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Evid Based Nurs 11:79 doi:10.1136/ebn.11.3.79
  • Treatment

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 …

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