Authors: Trudeau, K. J.; Pujol, L. A.; DasMahapatra, P.; Wall, R.; Black, R. A.; Zacharoff, K

Journal of Behavioral Medicine, Volume 38, Issue 3pp 483–496

The objective of this RCT was to assess the efficacy of an online pain self-management program
with adults who had a self-reported doctor diagnosis of arthritis pain (N = 228). Participants were
recruited via flyers and online postings then randomized to the experimental condition or the wait-list control condition. Individuals in the experimental condition reported significantly (1) increased arthritis self-efficacy and (2) reduced pain catastrophizing from baseline to follow up compared to those in the control condition. High user engagement (>204.5 min on the website) was also significantly associated with improved self-management outcomes. These findings suggest that use of an online self-management program may positively impact self-efficacy and catastrophizing among adults with arthritis pain at 6 month follow up. Nonsignificant findings for hypothesized variables such as pain intensity and health behaviors are also discussed. Future longitudinal research is needed to assess if cognitive changes associated with participation in an online self-management program leads to reduced pain.