KMAN Publication Inc. (KMANPUB) Journal of Assessment and Research in Applied Counseling (JARAC) 6 Serial Number 21 2024 04 01 The Impact of Web-Based Cognitive-Behavioral Therapy on Pain Self-Efficacy in Patients with Rheumatoid Arthritis The Impact of Web-Based Cognitive-Behavioral Therapy on Pain Self-Efficacy in Patients with Rheumatoid Arthritis 144 151 10.61838/kman.jarac.6.2.18 EN Journal Article <table> <tbody> <tr> <td> <p><strong>Objective:</strong>  This study aims to assess the effectiveness of web-based cognitive-behavioral therapy (CBT) in enhancing pain self-efficacy among patients diagnosed with rheumatoid arthritis (RA), a chronic condition characterized by significant pain and functional limitations.</p> <p><strong>Methods and Materials:</strong>  Employing a quasi-experimental design, the study recruited adult RA patients aged 30-60 years from specialized clinics in Mashhad, Iran. Participants were randomly assigned to either the intervention group, which received web-based CBT sessions focused on managing pain and improving self-efficacy, or the control group, which received no such intervention. The intervention consisted of eight sessions designed to educate patients on pain management, cognitive restructuring, and coping strategies. Data on pain self-efficacy were collected at three points: pre-intervention, immediately post-intervention, and at a follow-up session using the Pain Self-Efficacy Questionnaire (PSEQ). Data were analyzed with analysis of variance with repeated measurements and post-hoc tests using SPSS-22.</p> <p><strong>Findings:</strong>  Statistical analysis revealed significant improvements in pain self-efficacy scores in the intervention group compared to the control group at post-test and follow-up stages (p&lt;0.001).</p> <p><strong>Conclusion:</strong>  Web-based cognitive-behavioral therapy significantly improves pain self-efficacy in patients with rheumatoid arthritis, providing a feasible and effective approach to managing chronic pain and enhancing patients' beliefs in their ability to control pain.</p> </td> </tr> </tbody> </table> https://journals.kmanpub.com/index.php/jarac/article/download/1834/3469