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A. Doorenbos, Ph.D.
Pain is the primary reason that people seek medical care. While medication continues to be the first line of defense against pain, empirical support for the effectiveness of behavioral techniques continues to grow. Used alone or in conjunction with pharmacological treatment, techniques such as guided imagery, relaxation and distraction have been shown to significantly reduce both cancer and non-cancer related pain. Currently, however, a lack of training and knowledge are barriers to the more wide-spread use of these treatments especially in rural and Native American clinics. This application proposes to modify and expand a computer-delivered multimedia trainer (Pain Trainer; PT) to teach behavioral pain management (BPM) skills to rural clinicians to equip them to teach these skills to their patients. The innovation of this project is to create effective and engaging training delivered via the Internet. Combining the best features of books and classes, web-based training is low cost, convenient, and offers interactivity, feedback and practice opportunities.