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This study compared a remote-delivered pain management program, the Pain Course, when delivered in online and workbook formats. Participants (n 5 178) were randomised into 2 groups:(1) an Internet Group (n 5 84) who were provided with secure accounts to the program in an online format; or (2) a Workbook Group (n 5 94) who were mailed workbook versions of the program. The content of both programs was identical and comprised 5 core lessons, which participants were encouraged to work through over an 8-week period, according to a prescribed timetable. All participants were provided with weekly contact with a clinical psychologist through email and telephone throughout the program. The overall findings suggest that the workbook format was no less effective or acceptable than the validated online format. Significant improvements (avg. improvement; Internet Group vs Workbook Group) in levels of …