Telehealth and Online Cognitive Behavioral Therapy–Based Treatments for High-Impact Chronic Pain
JAMA 10.1001/jama.2025.11178July 23, 2025 at 11:00 AM EDT
How effective are remote, scalable cognitive behavioral therapy skills training programs for chronic pain (CBT-CP) for individuals with high-impact chronic pain?In this randomized clinical trial that included 2331 participants, both the telephonic/video health coach-led and the online self-completed CBT-CP programs resulted in a significantly greater proportion of participants achieving at least 30% improvement from baseline in pain severity at 3 months compared with usual care. Intervention benefits were sustained at 12 months, and the 3-month outcome was better for those in the health coach group vs the online self-completed program.These remote, scalable CBT-CP programs are effective for treating individuals with high-impact chronic pain.
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