• Pain Med · Dec 2019

    Randomized Controlled Trial

    Reboot Online: A Randomized Controlled Trial Comparing an Online Multidisciplinary Pain Management Program with Usual Care for Chronic Pain.

    • Jessica Smith, Steven G Faux, Tania Gardner, Megan J Hobbs, Mathew A James, Amy E Joubert, Natalie Kladnitski, Jill M Newby, Regina Schultz, Christine T Shiner, and Gavin Andrews.
    • Clinical Research Unit for Anxiety and Depression (CRUfAD), University of New South Wales at St Vincent's Hospital, Sydney, NSW, Australia.
    • Pain Med. 2019 Dec 1; 20 (12): 2385-2396.

    ObjectiveChronic pain is a prevalent and burdensome condition. Reboot Online was developed to address treatment barriers traditionally associated with accessing face-to-face chronic pain management programs. It is a comprehensive multidisciplinary online treatment program, based on an existing and effective face-to-face multidisciplinary pain program (the Reboot program).Design & ParticipantsA CONSORT-compliant randomized controlled trial was conducted, enrolling adults who had experienced pain for three months or longer.MethodsParticipants were randomly allocated to either an eight-lesson multidisciplinary pain management program, Reboot Online (N = 41), or to a usual care (UC) control group (N = 39). Clinical oversight was provided by a multidisciplinary team remotely, including physiotherapists and clinical psychologists. Participants were measured at baseline, post-treatment (week 16), and three-month follow-up (week 28).ResultsIntention-to-treat analyses revealed that Reboot Online was significantly more effective than UC at increasing pain self-efficacy (g = 0.69) at post-treatment, and these gains were maintained at follow-up. Similarly, Reboot Online was significantly more effective than UC on several secondary measures at post-treatment and follow-up, including movement-based fear avoidance and pain-related disability, but it did not significantly reduce pain interference or depression compared with UC. Clinician input was minimal, and adherence to Reboot Online was moderate, with 61% of participants (N = 25) completing all eight lessons.ConclusionsReboot Online presents a novel approach to multidisciplinary pain management and offers an accessible, efficacious alternative and viable treatment option for chronic pain management.© 2019 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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