Christine Rini|Laura S. Porter|Tamara J. Somers|Daphne C. McKee|Robert F. DeVellis|Meredith Y. Smith|Gary Winkel|David K. Ahern|Roberta Goldman|Jamie L. Stiller|Cara Mariani|Carol Patterson|Joanne M. Jordan|David S. Caldwell|Francis J. Keefe
Automated Internet-based pain coping skills training to manage osteoarthritis pain
osteoarthritis oa places significant burden worldwide public health large growing number people affected oa associated pain disability pain coping skills training pcst evidencebased intervention targeting oa pain disability reduce barriers currently limit access pcst developed 8week automated internetbased pcst program called paincoach evaluated potential efficacy acceptability smallscale 2arm randomized controlled feasibility trial participants 113 men women clinically confirmed hip knee oa associated pain randomized group completing paincoach assessmentonly control group osteoarthritis pain painrelated interference functioning painrelated anxiety selfefficacy pain management positive negative affect measured intervention midway intervention intervention findings indicated high acceptability adherence 91 participants randomized complete paincoach finished 8 modules 8 10 weeks linear mixed models showed treatment women received paincoach intervention reported significantly lower pain women control group cohen 033 intervention effects could tested men low pain small sample size additionally men women demonstrated increases selfefficacy baseline intervention compared control group 043 smaller effects observed painrelated anxiety 020 painrelated interference functioning 013 negative affect 010 positive affect 024 findings underscore value continuing develop automated internetbased approach disseminate empirically supported intervention