Reboot online – does telephone support improve outcomes?

INTERVENTION: Reboot Online program with telephone support (Intervention): Participants will receive the standardised Reboot Online program in conjunction with telephone support. The Reboot Online program consists of 8‐lessons delivered over 16 weeks, with a new lesson released fortnightly. This program is based on the existing multidisciplinary pain management program run at St Vincent's hospital, Sydney. It incorporates material on education and skills training in areas such as thought challenging, goal setting, pacing, communication skills, stress management, movement and reactivation. Each lesson takes approximately 1 hour to complete. With each lesson there are additional homework tasks related to the information presented in the lesson eg thought diary, sleep diary, thought challenging exercise. In addition, in contrast to existing online pain programs, the Reboot online program incorporates a suite of graded physical exercises, including stretching and strengthening exercises. The program encourages patients to choose exercises and/or some form of movement to perform regularly that is tailored to the individual interests of the patient. The is no formal individualised exercise prescription rather the patient is encouraged to incorporate movement into their daily life. The program will be delivered via the website www.thiswayup.org.au, and all participants will be encouraged via the online program to carry out homework activities and the graded exercise program between lessons. Participants will receive one phone call every fortnight for the duration of the program (8 in total). The phone call will be conducted by a clinician experienced in the management of chronic pain. During the call, participants will be asked to report on their progress, and will be encouraged to continue engaging with the program. They will have the opportunity to discuss any challenges or hurdles they are experiencing, and possible strategies to overcome these, as well as receive feedback on thei CONDITION: Chronic pain; ; Chronic pain Musculoskeletal ‐ Other muscular and skeletal disorders Neurological ‐ Other neurological disorders PRIMARY OUTCOME: Primary outcome: Adherence to the program will be collected using software existing in the Reboot Online program. It will be assessed as the percentage of people who complete all 8 lessons of the program.[Primary outcome of adherence will be collected at post treatment] SECONDARY OUTCOME: Brief Pain Inventory (BPI) – a validated self‐report measure to assess the severity of pain and the impact of pain on daily functions, [Pre ‐ immediately pre‐program ; post‐ within 1 week of completing program ; 3 month follow up‐ 3 months from completing program] International Physical Activity Questionnaire (IPAQ)‐ a validated self reported measure of physical activity[Pre ‐ immediately pre‐program ; post‐ within 1 week of completing program ; 3 month follow up‐ 3 months from completing program] Kessler‐10 (K10)–a validated measure of general psychological distress[Pre ‐ immediately pre‐program ; post‐ within 1 week of completing program ; 3 month follow up‐ 3 months from completing program ; as well as before each lesson] Pain Disability Index (PDI)– a validated self‐report index of pain related disability [Pre ‐ immediately pre‐program ; post‐ within 1 week of completing program ; post‐ within 1 week of completing program ; 3 month follow up‐ 3 months from completing program] Tampa Scale of Kinesiophobia (TSK ) – a validated self‐report measure of fear and avoidance of movement, [Pre ‐ immediately pre‐program ; post‐ within 1 week of completing program ; 3 month follow up‐ 3 months from completing program] INCLUSION CRITERIA: Participants will include those who meet the following eligibility criteria: ; 3 month follow up‐ 3 months from completing program] Pain Self‐efficacy Questionnaire (PSEQ ) – a validated self‐report measure of a participant’s perceived ability to manage their pain.[Pre ‐ immediately pre‐program • Experiencing persistent pain, for > three months • Aged 18 years or over • Have access to the internet, and a computer/smartphone/tablet • Stable medication usage over the past 3 months • Willing to provide the name and address of their general practitioner • Willingness to give informed consent and willingness to participate to and comply with the study.