Internet-based Cognitive Behavioural Treatment for Chronic Back Pain

This study has been completed.
Uppsala University
Information provided by:
Linkoeping University Identifier:
First received: April 4, 2011
Last updated: April 5, 2011
Last verified: April 2011

The aim of this study was to investigate whether an Internet-based cognitive behavioural intervention would have an effect on the symptoms of chronic back pain.

Condition Intervention
Back Pain Lower Back Chronic
Behavioral: Guided Internet-based cognitive behavioural treatment

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Guided Internet-based Cognitive Behavioural Treatment for Chronic Back Pain Reduces Catastrophizing:a Randomized Controlled Trial

Resource links provided by NLM:

Further study details as provided by Linkoeping University:

Primary Outcome Measures:
  • Coping Strategies Questionnaire - catastrophizing subscale (CSQ) [ Time Frame: Two weeks pre treatment to two weeks post treatment ] [ Designated as safety issue: No ]
    Change from baseline in the catastrophizing subscale to two weeks post treatment.

Secondary Outcome Measures:
  • Multidimensional Pain Inventory (MPI) [ Time Frame: Change from baseline Two weeks pre treatment to two weeks post treatment ] [ Designated as safety issue: No ]
    MPI, assess psychosocial and behavioural consequences of pain. It´s divided into 2 sections and consisting of 8 scales. These are: Pain Severity, Interference, Life Control, Affective Distress, Support, Punishing Responses, Solicitous Responses and Distracting Responses.

  • Pain and Impairment Relationship Scale (PAIRS) [ Time Frame: Change from baseline Two weeks pre treatment to two weeks post treatment. ] [ Designated as safety issue: No ]
    The questionnaire assesses beliefs and attitudes that patients have regarding pain and ability to function despite discomfort.

  • Hospital Anxiety and Depression Scale(HADS). [ Time Frame: Change from baseline Two weeks pre treatment to two weeks post treatment. ] [ Designated as safety issue: No ]
    HADS is designed to measure anxiety and depression in non-psychiatric patients treated at hospital clinics.

  • Quality of Life Inventory (QOLI) [ Time Frame: Change from baseline Two weeks pre treatment to two weeks post treatment. ] [ Designated as safety issue: No ]
    The assessment yields an overall score and profile for 16 areas of life: health, self-esteem, goals and values, money, work, play, learning, creativity, helping, love, friends, children, relatives, home, neighbourhood and community.

Enrollment: 54
Study Start Date: June 2004
Study Completion Date: August 2005
Primary Completion Date: May 2005 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Internet delivered CBT
Internet delivered cognitive behavioral intervention, 8 weeks treatment.
Behavioral: Guided Internet-based cognitive behavioural treatment
Eight weeks internet-based cognitive behavioural treatment. Treatment consisted of education, cognitive skills acquisition, behavioural rehearsal, generalization and maintenance.
No Intervention: Control condition
Wait-list condition, received treatment after post-treatment assessment.

Detailed Description:

All participants were screened in a live, structured interview before inclusion. It´s a experimental design with a treatment and a control group measured before and after a treatment period.


Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • age between 18-65 years
  • access to the Internet
  • having been in contact with a physician
  • back pain of chronic nature
  • in current employment or on short-term sick leave(not longer than 6 months)

Exclusion Criteria:

  • wheelchair user
  • surgical treatment planned
  • history of cardiovascular treatment
  • severe depression
  Contacts and Locations
Please refer to this study by its identifier: NCT01329861

Uppsala University
Uppsala, Sweden
Sponsors and Collaborators
Linkoeping University
Uppsala University
Study Director: Gerhard Andersson, Professor Linköping University
Principal Investigator: Monica Buhrman, MSc Uppsala University
Study Chair: Elisabeth Nilsson-Ihrfelt, MSc Uppsala University
Study Chair: Maria Jannert, MSc Linköping University
Study Chair: Lars Ström, PhD Livanda (private practice) Västerås
  More Information

No publications provided

Responsible Party: Gerhard Andersson, professor, Linkoeping University Identifier: NCT01329861     History of Changes
Other Study ID Numbers: smarta2011
Study First Received: April 4, 2011
Last Updated: April 5, 2011
Health Authority: Sweden: Regional Ethical Review Board

Keywords provided by Linkoeping University:
chronic back pain
internet based treatment
pain management programme
cognitive behavioural therapy
minimal therapist contact

Additional relevant MeSH terms:
Back Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms processed this record on April 17, 2014