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dc.contributor.authorLim, DZen_US
dc.contributor.authorNewby, JMen_US
dc.contributor.authorGardner, Ten_US
dc.contributor.authorHaskelberg, Hen_US
dc.contributor.authorSchultz, Ren_US
dc.contributor.authorFaux, SGen_US
dc.contributor.authorShiner, CTen_US
dc.description.abstractObjective: Chronic pain is a prevalent and disabling condition. Reboot Online was developed as a multidisciplinary and widely accessible online treatment program for chronic pain. It has been shown to be effective in clinical trials, but the effectiveness of this program in routine care settings remains unknown. This study aimed to examine program adherence and effectiveness in a real-world sample of participants completing Reboot Online in the community. Design and subjects: A retrospective cohort study was conducted using real-world data from participants referred the Reboot Online program by clinicians as part of their routine care, from April 2017 to April 2019. Methods: Routinely collected data on program adherence, participant demography and clinical outcomes were included in the analyses. Measures included the Pain Self Efficacy Questionnaire, Brief Pain Inventory, Tampa Scale of Kinesiophobia, Pain-Disability Index, and Patient Health Questionnaire 9-item (depression). Logistic regression was used to investigate whether certain factors predict program adherence (completion versus noncompletion), and linear mixed models were used to examine effectiveness. Results: In total, 867 participants were included in the analyses, and 583 engaged with at least one Reboot Online lesson. Of these, 42% (n = 247) completed the course in its entirety, with rurality and lower Tampa scores being significant predictors of adherence. Completers demonstrated significant improvements across all outcome measures (effect sizes ranging from 0.22 to 0.51). Conclusions: Reboot Online is an effective treatment for chronic pain in the routine care setting. Adherence was variable (overall 42%), and could be predicted by rurality and less fear of movement at baseline.en_US
dc.subjectChronic Painen_US
dc.subjectOnline Treatmenten_US
dc.titleEvaluating real-world adherence and effectiveness of the "Reboot online" program for the management of chronic pain in routine careen_US
dc.typeJournal Articleen_US
dc.identifier.journaltitlePain Medicineen_US
dc.description.affiliatesFaculty of Medicine, University of New South Wales, Sydney, NSW, Australiaen_US
dc.description.affiliatesDepartment of Pain Medicine, St Vincent's Hospital, Sydney, NSW, Australiaen_US
dc.description.affiliatesClinical Research Unit for Anxiety and Depression (CRUfAD), University of New South Wales and St Vincent's Hospital, Sydney, NSW, Australiaen_US
dc.description.affiliatesSchool of Psychology, University of New South Wales, Sydney, NSW, Australiaen_US
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
Appears in Collections:Scholarly and Clinical
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