About The Study: Self-directed cognitive behavioral therapy for chronic pain (CBT-CP) was associated with modest improvements in pain interference at 4 months that were sustained to 12 months, small to moderate improvements in all secondary outcomes at 4 months, and higher session-completion rates, relative to clinician-delivered CBT-CP. Scalable, convenient self-directed CBT may be an effective alternative to clinician-delivered CBT that could increase uptake of CBT-CP.
Corresponding Author: To contact the corresponding author, Alicia Heapy, PhD, email alicia.heapy@va.gov .
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(doi:10.1001/jama.2026.7861)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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