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 …
