Journal of Pediatric Psychology Advance Access originally published online on August 10, 2005
Journal of Pediatric Psychology 2006 31(7):724-736; doi:10.1093/jpepsy/jsj065
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Online Psychological Treatment for Pediatric Recurrent Pain: A Randomized Evaluation
1 Department of Psychology, University of Saskatchewan, 2 Department of Pediatrics, University of Saskatchewan, 3 Departments of Psychology, Pediatrics, and Psychiatry, Dalhousie University, and 4 Departments of Psychology, Pediatrics, and Psychiatry, IWK Health Centre
All correspondence concerning this article should be addressed to Carrie L. Hicks, PhD, Mental Health Services - Victoria Square, Box 3003, Prince Albert, Saskatchewan, Canada S6V 6G1. E–mail: carrie.hicks{at}shaw.ca.
Received March 5, 2004; revisions received June 22, 2004; accepted July 26, 2004
Objective To evaluate the efficacy of a distance treatment delivered through Internet and telephone for pediatric recurrent pain. Methods Forty-seven participants (9–16 years of age) were randomly assigned to either an Internet-based treatment or a standard medical care waitlist. Treatment employed a Web-based manual for children and parents with weekly therapist contact by telephone or e-mail. At 1- and 3-month follow-ups, participants were assessed on the outcome variables of pain and quality of life. A 50% reduction in diary pain scores was considered clinically significant. Results Significant between-group differences were found: 71 and 72% of the treatment group achieved clinically significant improvement at the 1- and 3-month follow-ups, respectively, whereas only 19 and 14% of the control group achieved the criterion. No significant differences were found on the quality of life variable. Conclusions Distance methods have considerable potential for making effective treatments more accessible with lower associated costs.
Key words: abdominal pain; distance treatment; headache; Internet; online; pediatric; recurrent pain.
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