VirtualPain. Preliminary findings from a group-based digital therapeutics intervention for fibromyalgia

IF 1.3 Q4 CLINICAL NEUROLOGY British Journal of Pain Pub Date : 2023-11-03 DOI:10.1177/20494637231210391
Ferran Vilalta-Abella, Bruno Porras-Garcia, Alexandra Ghiţă, Montserrat Vacas-Moreira, Mónica Prat-Galbany, José Gutiérrez-Maldonado
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Abstract

Introduction Fibromyalgia (FM) is a disorder characterized by chronic pain, with significant medical, psychological, and socio-economic implications. Although there is limited evidence, cognitive-behavioral therapy (CBT) has shown to be effective in improving FM symptoms. An alternative to enhance CBT effectiveness is to incorporate digital therapeutics (DTx). Aim We conducted a pilot study to investigate whether the addition of a DTx intervention ( VirtualPain) to cognitive-behavioral group therapy (CBGT) can reduce pain perception and associated symptoms in patients with FM. Method Ten patients with FM were initially recruited from a public hospital in Barcelona. The treatment consisted of 6 weeks of VirtualPain group sessions and 16 weeks of CBGT. Measures of catastrophizing, self-efficacy, and coping were recorded before, during, and after the protocol. In the DTx sessions, pain intensity was recorded before and after each session. Results The program (DTx and CBGT) showed a significant improvement in pain-related self-efficacy and relaxation measures. Improvement in pain perception was observed only after the DTx intervention. Conclusions This study provides preliminary results regarding the added value of DTx ( VirtualPain) as part of a CBGT for FM. The use of the program has facilitated a significant reduction in pain perception in each of the VirtualPain sessions, which provides further evidence of how this technology can be beneficial for improving FM treatments.
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VirtualPain。基于群体的数字治疗干预纤维肌痛的初步发现
纤维肌痛(FM)是一种以慢性疼痛为特征的疾病,具有重要的医学、心理和社会经济影响。尽管证据有限,认知行为疗法(CBT)已被证明对改善FM症状有效。提高CBT有效性的另一种选择是结合数字治疗(DTx)。目的:我们进行了一项初步研究,以调查在认知行为群体治疗(CBGT)中添加DTx干预(VirtualPain)是否可以减轻FM患者的疼痛感知和相关症状。方法从巴塞罗那一家公立医院招募10例FM患者。治疗包括6周的VirtualPain组和16周的CBGT。在治疗方案之前、期间和之后分别记录灾难化、自我效能和应对措施。在DTx治疗过程中,记录每次治疗前后的疼痛强度。结果该方案(DTx和CBGT)在疼痛相关自我效能和放松措施方面有显著改善。仅在DTx干预后才观察到疼痛感知的改善。本研究提供了关于DTx (VirtualPain)作为FM CBGT一部分的附加价值的初步结果。该程序的使用促进了每次VirtualPain会话中疼痛感知的显著减少,这进一步证明了该技术如何有助于改善FM治疗。
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来源期刊
British Journal of Pain
British Journal of Pain CLINICAL NEUROLOGY-
CiteScore
3.20
自引率
11.10%
发文量
42
期刊介绍: British Journal of Pain is a peer-reviewed quarterly British journal with an international multidisciplinary Editorial Board. The journal publishes original research and reviews on all major aspects of pain and pain management. Reviews reflect the body of evidence of the topic and are suitable for a multidisciplinary readership. Where empirical evidence is lacking, the reviews reflect the generally held opinions of experts in the field. The Journal has broadened its scope and has become a forum for publishing primary research together with brief reports related to pain and pain interventions. Submissions from all over the world have been published and are welcome. Official journal of the British Pain Society.
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