The treatment for chronic pain continues to be a challenge, for clinicians and those suffering, because the complete exclusion of pain is seldom attainable for any considerable period of time. If treated ineffectively, the emotional consequences of pain, including psychological comorbidities, can increase considerably. It is well documented that severe pain is more common in older adults than it is younger persons. Of concern, older adults may not have access to traditional face-to-face self-management programs, which are recognized to be valuable in chronic pain management. Access to effective self-management approaches is particularly challenging for older adults who have mobility limitations or reside in rural and/or remote areas where access to health care services is limited. Internet self-management programs have the potential to address pain undermanagement, especially as the digital divide between the older and younger demographic continues to grow. Given the known difficulties with treatment access, the purpose of this study was to explore the efficacy and acceptability of a remotely delivered chronic pain management program tailored to older adults, the Pain Course, when delivered in online and workbook formats. Using a patient preference randomized controlled trial (RCT) design, four participants were not willing to be randomized to the online group. They were then offered the workbook, but not included in the analyses. These participants cited inconsistent internet access and difficulties navigating the internet as the reasons for selecting a preference. Therefore, the final sample included 117 participants. Participants were randomized to an intervention group (online or workbook) or wait list control group. The content of both formats was identical and contained 5 core lessons that participants were encouraged to work through over an 8-week period. Primary, secondary and tertiary measures evaluated depression, anxiety, disability, chronic pain severity, pain beliefs, functional status, fear of movement and quality of life at pre-treatment, post-treatment, and follow-up. The wait list control group had the highest completion rates (85%) in comparison to workbook (83%) and online (76%) groups. Participants, in online and workbook groups, expressed a great deal of satisfaction with the program despite the absence of significant differences across groups with respect to any of the primary, secondary, and tertiary measures. By exploring the efficacy of an online group vs. workbook group, we expanded valuable methodological considerations for testing these programs in older adults. For example, future studies need to ensure recruited participants are experiencing distress and disability and furthermore, longer term follow-up would be beneficial.