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Increasing access to pain management: Feasibility of a self-compassion psychoeducational website using a minimally monitored delivery model
Internet Interventions ( IF 3.6 ) Pub Date : 2021-09-20 , DOI: 10.1016/j.invent.2021.100458
D Basque 1 , F Talbot 1 , D J French 2
Affiliation  

Self-compassion has been associated with several positive pain-related outcomes. However, little is known about the impact of targeting self-compassion on pain management. This study assesses the feasibility of a self-compassion psychoeducation website among adults with chronic pain using a minimally monitored delivery model. Participants (N = 26) were recruited online and a single group pre-test and post-test design with a 3-month follow-up was used. The intervention was a 6-week program comprised of a video, writing exercises, guided meditations and automated emails. Feasibility outcome measures were grouped into the following categories: study engagement (ease of recruitment, attrition, adherence, satisfaction), pain vulnerability variables (intensity, interference, catastrophizing, mood) and protective pain variables (self-compassion, resilience and acceptance). Challenges pertaining to uptake were encountered. Attrition was higher (n = 11/26; 42%) and adherence to the full treatment protocol lower (n = 6/26; 23%) than expected. Treatment satisfaction was high with nearly all study completers (93%) reporting that they would recommend the program to a friend. Intent-to-treat mixed effects models showed a significant and large increase of self-compassion (d = 0.92) and a significant impact on several outcome variables (ds from 0.24 to 1.15) with most gains either maintained or increased at follow-up. The recruitment strategy may have negatively impacted participant engagement. Methodological modifications are proposed to improve the feasibility of the program. Minimally monitored web-based programs targeting self-compassion may benefit adults with chronic pain who may have limited access to traditional psychological services or who prefer online-based interventions.



中文翻译:

增加对疼痛管理的访问:使用最低限度监控交付模型的自我同情心理教育网站的可行性

自我同情与几种积极的疼痛相关结果有关。然而,关于以自我同情为目标对疼痛管理的影响知之甚少。本研究使用最低限度监控的交付模型评估了在患有慢性疼痛的成年人中建立自我同情心理教育网站的可行性。参与者 (N = 26) 是在线招募的,并使用单组前测和后测设计,并进行 3 个月的随访。干预是一个为期 6 周的计划,包括视频、写作练习、指导冥想和自动电子邮件。可行性结果测量分为以下几类:研究参与(招募的难易程度、减员、依从性、满意度)、疼痛脆弱性变量(强度、干扰、灾难性、情绪)和保护性疼痛变量(自我同情、韧性和接受度)。遇到了与吸收有关的挑战。损耗更高(n  = 11/26;42%) 并且对完整治疗方案的依从性 低于预期( n = 6/26; 23%)。几乎所有研究完成者 (93%) 都报告说他们会向朋友推荐该计划,因此治疗满意度很高。意向治疗混合效应模型显示自我慈悲显着且大幅增加 ( d  = 0.92) 并对多个结果变量 ( ds ) 产生显着影响从 0.24 到 1.15),大多数收益在随访中保持或增加。招聘策略可能对参与者的参与产生了负面影响。提出了方法学上的修改,以提高该计划的可行性。针对自我同情的最低限度监控的基于网络的计划可能会使患有慢性疼痛的成年人受益,他们可能无法获得传统心理服务或更喜欢在线干预。

更新日期:2021-10-22
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