Publications [#273679] of Francis J. Keefe

Journal Articles

1. Naylor, MR; Keefe, FJ; Brigidi, B; Naud, S; Helzer, JE (2008). Therapeutic Interactive Voice Response for chronic pain reduction and relapse prevention.. Pain, 134(3), 335-345. [doi]
   (last updated on 2024/04/24)

   Abstract:
   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