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Journal of Pediatric Psychology Advance Access published online on August 10, 2005

Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj065
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Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org
Received March 5, 2004
Revised June 22, 2004
Accepted July 26, 2004

Article

Online Psychological Treatment for Pediatric Recurrent Pain: A Randomized Evaluation

Carrie L. Hicks PhD1*, Carl L. von Baeyer PhD2, and Patrick J. McGrath OC, PhD, FRSC3

1 Department of Psychology, University of Saskatchewan
2 Department of Psychology, University of Saskatchewan; Department of Pediatrics, University of Saskatchewan
3 Departments of Psychology, Pediatrics, and Psychiatry, Dalhousie University; Departments of Psychology, Pediatrics, and Psychiatry, IWK Health Centre

* To whom correspondence should be addressed.
Carrie L. Hicks, E-mail: carrie.hicks{at}shaw.ca


   Abstract

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.

Keywords: abdominal pain; distance treatment; headache; Internet; online; pediatric; recurrent pain.
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