Treatment engagement in an internet-delivered cognitive behavioral program for pediatric chronic pain

Nicole M. Alberts · Emily F. Law · Annie Chen · Lee Michael Ritterband · Tonya Mizell Palermo

14 citations0/0 files storedInternet Interventions

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Digital Mental Health Interventions Musculoskeletal pain and rehabilitation Pediatric Pain Management Techniques

Abstract

Internet-delivered cognitive-behavioral therapy (iCBT) is a promising treatment for chronic pain among youth, but effect sizes are small, and strategies aimed at enhancing treatment effects are needed. Participants' engagement with the program may be an important factor in determining treatment outcomes. The primary aim of the current study was to examine the relationship between treatment engagement and treatment outcomes. Secondarily, we sought to characterize participant engagement in an iCBT program for adolescents with chronic pain and their parents. Participants included 134 adolescents randomized to the intervention arm of a controlled trial examining iCBT for chronic pain. Overall engagement with the intervention by adolescents and parents was high. Parental engagement (number of modules completed by parents and number of parent logins) predicted adolescent activity limitations change scores at post-treatment. Contrary to our expectation, adolescent treatment engagement was not predictive of treatment outcomes. Results indicate that parental engagement with the program may be an important predictor of treatment outcomes. Further research is needed to better understand influences of treatment engagement on outcomes in iCBT for youth.

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References

2016Understanding and Promoting Effective Engagement With Digital Behavior Change Interventions 2009A Behavior Change Model for Internet Interventions 2006Stigma starts early: Gender differences in teen willingness to use mental health services 2015Internet-delivered cognitive-behavioral treatment for adolescents with chronic pain and their parents 2013A Systematic Review of Sleep in Pediatric Pain Populations 2015The Pain Course 2011Identifying Health-Related Topics on Twitter 2013Guided Internet-Based CBT for Common Mental Disorders

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