What is the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered either on the Internet or face-to-face for XXXX with acute @entity74 ? A randomized controlled trial.

@entity1 @entity74 @entity7125 @entity158
OBJECTIVE: To investigate the comparative effectiveness of current standard treatment, against an individually tailored behavioural programme delivered via the Internet or face-to-face for @entity1 with acute @entity7125 associated disorders. DESIGN: A multicentre, randomized, three-group design, with concealed allocation. SUBJECTS AND SETTINGS: A total of 55 @entity1 (37 female), age 18-65, with acute @entity74 (Grade I-II), recruited at two emergency clinics in Sweden. INTERVENTIONS: Before randomization all @entity1 received standard self-care instructions. The Internet and face-to-face groups followed a seven-week behavioural programme involving individual tailoring, via email (Internet group), or in sessions at a physical therapy unit (face-to-face group). The control group only received the self-care instructions. MAIN MEASURES: @entity158 , @entity158 intensity, self-efficacy in daily activities, catastrophizing and fear of movement/(re)injury. Assessments were performed at baseline (2-4   weeks postinjury) and at three, six and 12   months postintervention. RESULTS: Both the Internet (n   =   16) and face-to-face (n   =   14) group showed a larger decrease in @entity158 than the control group (n   =   16); -12 and -11, respectively, compared with -5 in the control group at 12-months follow-up. Significant differences between the groups in overall treatment effect were shown in all outcomes except @entity158 intensity. All groups improved significantly over time in all outcomes, except for fear of movement/(re)injury and catastrophizing in the control group. CONCLUSION: An individually tailored behavioural programme improved biopsychosocial factors in @entity1 with @entity7125 associated disorders up to 12   months after treatment. Internet-delivered intervention was as effective as clinic-based face-to-face therapy sessions.
