Telemedicine versus Clinic-based Delivery of a Psychological Intervention for Chronic Pain Management: Patient Preferences, Adherence, and Satisfaction

Abstract

Psychological interventions for chronic pain management have traditionally been delivered in-person. Telemedicine appointments are increasing; however, patient preferences for treatment delivery and whether this is associated with adherence in chronic pain management is not well understood. This study examined patient preferences, satisfaction, adherence, and preliminary outcomes among those completing a psychological intervention for chronic pain in a primary care clinic or via telemedicine. Participants were surveyed about their preferences for treatment modality, and completed measures of satisfaction with the intervention, depression, anxiety, pain severity, and pain interference. When given a choice of treatment modality, most patients selected telemedicine (64%). The rate of completing all 5 sessions was higher among the telemedicine group (86%) compared to in-clinic (74%). Levels of satisfaction and outcomes were similar among both groups. Telemedicine delivery of a psychological intervention for chronic pain is desirable and may increase adherence to treatment without sacrificing satisfaction or outcomes.