Abstract
We tested whether the Therapeutic Interactive Voice Response (TIVR) system can be used to prevent relapse into pain behavior. Following 11 weeks of CBT, fifty subjects with chronic musculoskeletal pain were randomized to two groups. Twenty-five subjects participated in 4 months of Therapeutic IVR (TIVR), while a control group of twenty-five subjects received standard care only. TIVR is an automated phone system designed to reinforce pain coping skills learned in group CBT. TIVR has four components: a daily self-monitoring questionnaire, didactic review of coping skills, prerecorded behavioral rehearsals of coping skills, and monthly therapist feedback.
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