Web-MAP (Web-based Management of Adolescent Pain)

Description:

The multimedia program includes education, relaxation training and other cognitive and behavioural strategies for adolescents and also parent training on reinforcement of positive coping, reward systems, modeling and communication skills.  Pages are travel themed and take users to 8 different locations and include animations and audio.  Users choose their own treatment goals, spend time practicing skills, complete assignments and pain diaries and can ask questions of therapists via messaging.  Therapists provide personalised feedback.

Service URL:

http://www.webmaponline.com

Agency Responsible:

Oregon Health and Science University.

Details

Format:

Website.

Intervention Type:

Psychological – CBT. Also includes relaxation training and parent training

Course Length:

Long (more than 5 modules).

Support Option:

Clinical support.

Target Audience

Primary Category:

Pain. Targets chronic pain such as headaches, abdominal pain and musculoskeletal pain

Target Audience:

Adolescent.

Language:

English.

Access

Fee:

Free.

Access:

Closed: Research participation.

Contact Details:

palermot@ohsu.edu

Research evidence

Research Trials:

2

Research RCTs:

1

Outcome Summary:

The development of this web-based pain management progrm was supported by the US National Institutes of Health.  Long and Palermo (2009) evaluated the acceptability of the website in recovered and treatment seeking adolescents and their parents.  The participants rated the acceptability of the program moderate to strong.  An RCT was run comparing the program to a wait-list control group.  Their findings demonstrated a significantly greater reduction in activity limitations and pain intensity at post treatment for the treatment group.  These effects were maintained at 3 month follow up.  A significantly greater number of the treatment group achieved a clinically significant improvement in pain (38.5% compared to 13.6%).  There were no significant differences in depression.

Recommended rating, reviewer 1:

Recommended rating, reviewer 2:

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Research paper citations

1. Long, A.C., & Palermo, T.M. (2009). Brief report: Web-based management of adolescent chronic pain: development and usability testing of an online family congitive behavioral therapy program. Journl of Pediatric Psychology, 34(5), 511-516.
2. Palermo, T.M., Wilson, A.C., Peters, M., Lewandowski, A., Domhegyi, H. (2009). Randomized controlled trial of an internet-delivered famiy cognitive behaioural therapy intervention for children and adolescents with chronic pain. Pain, 146, 205-213.