Therapeutic Interactive Voice Response for chronic pain reduction and relapse prevention.

Journal Article (Journal Article)

We developed Therapeutic Interactive Voice Response (TIVR) as an automated, telephone-based tool for maintenance enhancement following group cognitive-behavioral therapy (CBT) for chronic pain. TIVR has four components: a daily self-monitoring questionnaire, a didactic review of coping skills, pre-recorded behavioral rehearsals of coping skills, and monthly personalized feedback messages from the CBT therapist based on a review of the patient's daily reports. The first three components are pre-recorded and all four can be accessed remotely by patients via touch-tone telephone on demand. Following 11 weeks of group CBT, 51 subjects with chronic musculoskeletal pain were randomized to one of two study groups. Twenty-six subjects participated in 4 months of TIVR, while a control group of 25 subjects received standard care only. The TIVR group showed maximum improvement over baseline at the 8-month follow-up for seven of the eight outcome measures; improvement was found to be significant for all outcomes (p

Full Text

Duke Authors

Cited Authors

  • Naylor, MR; Keefe, FJ; Brigidi, B; Naud, S; Helzer, JE

Published Date

  • February 2008

Published In

Volume / Issue

  • 134 / 3

Start / End Page

  • 335 - 345

PubMed ID

  • 18178011

Pubmed Central ID

  • PMC2693197

Electronic International Standard Serial Number (EISSN)

  • 1872-6623

Digital Object Identifier (DOI)

  • 10.1016/j.pain.2007.11.001


  • eng

Conference Location

  • United States