HealthDay News — Online symptom self-management plus clinician telecare can be effective for individuals with pain, depression, and anxiety, according to a study recently published in the Journal of General Internal Medicine.
Kurt Kroenke, MD, from Indiana University in Indianapolis, and colleagues evaluated the effectiveness of automated self-management (ASM; automated monitoring and 9 web-based self-management modules) vs comprehensive symptom management (CSM; ASM with enhanced collaborative care by a nurse-physician team). Analysis included 294 patients with chronic musculoskeletal pain of at least moderate intensity and clinically significant depressive and/or anxiety symptoms who were seen in 6 primary care clinics in a US Department of Veterans Affairs medical center.
The researchers found that both CSM and ASM groups had moderate pain-anxiety-depression (PAD) score improvement at 12 months. The CSM group had a greater decline in composite PAD z-score over 12 months compared to the ASM group. Additionally, CSM patients were also more likely to report global improvement and less likely to report worsening at both 6 and 12 months.
“Two intervention models relying heavily on telecare delivery but differing in resource intensity both produced moderate improvements in pain and mood symptoms,” the authors write.