Journal of Behavioral Medicine

, Volume 38, Issue 1, pp 66–80

Internet-based guided self-help intervention for chronic pain based on Acceptance and Commitment Therapy: A randomized controlled trial

  • Hester R. Trompetter
  • Ernst T. Bohlmeijer
  • Martine M. Veehof
  • Karlein M. G. Schreurs
Article

DOI: 10.1007/s10865-014-9579-0

Cite this article as:
Trompetter, H.R., Bohlmeijer, E.T., Veehof, M.M. et al. J Behav Med (2015) 38: 66. doi:10.1007/s10865-014-9579-0

Abstract

Acceptance-based psychological interventions can potentially minimize the burden of chronic pain. This randomized controlled trial evaluated an internet-delivered, guided self-help intervention based on Acceptance and Commitment Therapy (ACT). A total of 238 chronic pain sufferers from the general population were randomly allocated to either ACT (n = 82), an internet-based control condition Expressive Writing (n = 79) or a waiting list condition (n = 77). Participants completed measures at baseline, posttreatment (3 months) and at a 3-month follow-up. At follow-up, ACT participants had improved in pain interference in daily life (primary outcome) compared to participants in Expressive Writing (Cohen’s d = .47), but not compared to waiting list participants (p value = .11). Those who adhered to the ACT-intervention (48 %) did improve significantly compared to waiting list participants (d = .49). ACT-participants also showed superior improvement on depression, pain intensity, psychological inflexibility and pain catastrophizing (d: .28–.60). Significant clinical improvement was present. Especially, 28 % of ACT-participants showed general clinically relevant improvement in pain interference, as well as in pain intensity and depression (vs. Expressive Writing and waiting list 5 %). Given these findings, internet-based ACT programs may be a promising treatment modality for chronic pain.

Keywords

Chronic pain Acceptance RCT ACT Internet-based intervention Pain interference 

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Hester R. Trompetter
    • 1
    • 2
  • Ernst T. Bohlmeijer
    • 1
  • Martine M. Veehof
    • 1
  • Karlein M. G. Schreurs
    • 1
    • 2
  1. 1.Department of Psychology, Health and Technology, Faculty of Behavioural SciencesUniversity of TwenteEnschedeThe Netherlands
  2. 2.Roessingh Research and DevelopmentEnschedeThe Netherlands

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