title: Retaining critical therapeutic elements of behavioral interventions translated for delivery via the Internet: recommendations and an example using pain coping skills training.
abstract: Evidence supporting the efficacy of behavioral interventions based on principles of cognitive behavioral therapies has spurred interest in translating these interventions for delivery via the Internet. However, the benefits of this dissemination method cannot be realized unless the translated interventions are as effective as possible. We describe a challenge that must be overcome to ensure this occurs--Internet interventions must retain therapeutic components and processes underlying the success of face-to-face interventions on which they are based. These components and processes vary in the ease with which they can be translated to the online environment. Moreover, some are subtle and may be overlooked, despite being recognized as essential to the success of face-to-face interventions. We provide preliminary guidance for retaining critical therapeutic components and processes in the translation process, using Pain Coping Skills Training for osteoarthritis pain to illustrate methods. Directions for future research are also discussed.
authors.affiliation: University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Department of Health Behavior, Chapel Hill, NC, United States. christine.rini@unc.edu.
authors.forename: Christine
authors.identifier: http://orcid.org/0000-0002-3169-3626
authors.initials: C
authors.lastname: Rini
authors.forename: Laura S
authors.identifier: http://orcid.org/0000-0002-2962-2378
authors.initials: LS
authors.lastname: Porter
authors.forename: Tamara J
authors.identifier: http://orcid.org/0000-0002-8809-2979
authors.initials: TJ
authors.lastname: Somers
authors.forename: Daphne C
authors.identifier: http://orcid.org/0000-0003-2382-3061
authors.initials: DC
authors.lastname: McKee
authors.forename: Francis J
authors.identifier: http://orcid.org/0000-0003-0583-9326
authors.initials: FJ
authors.lastname: Keefe
mesh_terms: D000223:Adaptation, Psychological; D001521:Behavior Therapy / Q000379:methods*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D020407:Internet; D010146:Pain / Q000523:psychology*; D059408:Pain Management / Q000379:methods* / Q000523:psychology*
keywords: Internet; cognitive behavioral therapy; eHealth; intervention; musculoskeletal pain; osteoarthritis; psychotherapeutic processes; treatment efficacy