The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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  • Recent Comments

    Telephone-delivered CBT and exercise to treat chronic widespread pain

    Researchers at the University of Manchester, in the UK, studied the clinical impact of telephone-delivered cognitive behavioral therapy (CBT) and exercise alone vs both for patients with chronic widespread pain.

    First, the details.

    • 442 patients with chronic widespread pain were randomly assigned to a treatment group for 6 months.
      • Telephone-delivered CBT
      • Graded exercise
      • Telephone-delivered CBT + exercise
      • Treatment as usual
    • A 7-point patient global assessment scale of change in health since study enrollment (range: very much worse to very much better) was used to assess the patients at baseline, at the end of the study, and 9 months after starting the study.
    • A positive outcome was defined as “much better” or “very much better.”

    And, the results.

    • Positive outcomes at 6 and 9 months, respectively, were recorded for the following.
      • Treatment as usual group, 8% and 8%
      • Telephone-delivered CBT groups, 30% and 33%
      • Exercise group, 35% and 24%
      • Telephone-delivered cognitive behavioral therapy + exercise, 37% and 37% (all treatments were significantly better than the start of the study)
    • At 6 and 9 months, telephone-delivered CBT + exercise was associated with improvements in the 36-Item Short Form Health Questionnaire physical component score and a reduction in passive coping strategies.

    The bottom line?

    The authors concluded, “Telephone-delivered cognitive behavioral therapy was associated with substantial, statistically significant, and sustained improvements in patient global assessment.”

    It’s all about the follow-up.

    11/27/11 21:16 JR

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