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Systematic review
Review of internet-based interventions for pain finds some evidence to support the effectiveness of cognitive and behavioural interventions, but further quality study is needed to assess the effect of peer support and social networking programmes
  1. David A Williams
  1. Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan , USA
  1. Correspondence to David A Williams
    Department of Anesthesiology, University of Michigan, 24 Frank Lloyd Wright Drive, Lobby M, Ann Arbor, MI 48106, USA; daveawms{at}umich.edu

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Implications for practice and research

  • The internet can deliver some elements of multidisciplinary pain care to patients (and clinical practices) where such services are desired but often unavailable.

  • Cognitive-behavioural therapy (CBT) is a non-pharmacological intervention for pain that appears in this study to have the greatest number of high-quality studies supporting its use over the internet as a means of decreasing pain, improving functional status and decreasing treatment costs.

  • The effects of internet-delivered CBT appear comparable with those of more traditional face-to-face treatment delivery, although none of the studies reviewed made this direct comparison.

Context

Pharmacological pain treatments and interventional pain treatments (ie, injection therapies and surgery) are common approaches to chronic pain management. …

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