The effectiveness of an improved multidisciplinary pain management programme: a 6- and 12-month follow-up study

2011 ◽  
Vol 68 (5) ◽  
pp. 1061-1072 ◽  
Author(s):  
Elin Dysvik ◽  
Jan Terje Kvaløy ◽  
Gerd Karin Natvig
1996 ◽  
Vol 59 (9) ◽  
pp. 411-414 ◽  
Author(s):  
Mary Gough ◽  
Michael Frost

Given poor outcomes in pain reduction, It has recently been recommended in this Journal that the primary aim of multidisciplinary pain management programmes should be to improve physical functioning rather than attempting to reduce the experience of pain. This study evaluates the effectiveness of a pain management programme in reducing self-reported pain within the overall context of improvements in quality of life, as assessed by the SF36 Health Survey Questionnaire. Logistical and methodological problems in evaluating self-reported pain are discussed. The results at discharge show a statistically significant reduction in reported pain for the group as a whole and a clinically relevant Improvement in 53.8% of patients. These benefits are maintained up to one-year follow-up, which suggests that pain management programmes should not abandon the attempt to reduce self-reported pain.


2005 ◽  
Vol 30 (5) ◽  
pp. 198-206 ◽  
Author(s):  
Elin Dysvik ◽  
Gerd Karin Natvig ◽  
Ole-Johan Eikeland ◽  
Gunilla Brattberg

2008 ◽  
Vol 39 (6) ◽  
pp. 281-288 ◽  
Author(s):  
Ilario Guardini ◽  
Renato Talamini ◽  
Francesca Fiorillo ◽  
Moreno Lirutti ◽  
Alvisa Palese

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Claire Gudex ◽  
Preben H Skellgaard ◽  
Torben West ◽  
Jan Sørensen

2012 ◽  
Vol 18 (2) ◽  
pp. 167-175 ◽  
Author(s):  
Tage Orenius ◽  
Taru Koskela ◽  
Petteri Koho ◽  
Timo Pohjolainen ◽  
Hannu Kautiainen ◽  
...  

We examined the relative impact of baseline anxiety, depression and fear of movement on health related quality of life at 12-month follow-up after a multidisciplinary pain management programme. One hundred and eleven patients who had chronic musculoskeletal pain (mean age 45 years, 65% women) attended during 2003–2005 a multidisciplinary three-phase pain management programme with a total time frame of six to seven months, totalling 19 days. The Beck Anxiety Inventory was used to rate anxiety, the Beck Depression Inventory depression, the Tampa Scale of Kinesiophobia fear of movement. The generic 15D questionnaire was used to assess health related quality of life. Baseline data were collected at admission, follow-up data at 12 months. Mean health related quality of life increased significantly from baseline to 12-month follow-up. Anxiety at baseline predicted significant negative change in the health related quality of life, depression predicted significant positive change in the health related quality of life. Fear of movement did not predict any significant change in the health related quality of life. We concluded that patients with chronic musculoskeletal pain and mild to moderate depression benefit from a multidisciplinary pain management programme in contrast to anxious patients. The findings imply further research with bigger sample sizes, other than HRQoL outcome measures as well as with other groups of patients.


2013 ◽  
Vol 14 (2) ◽  
pp. 96-102 ◽  
Author(s):  
Scott French ◽  
Shu Chan ◽  
Jill Ramaker

Pain Medicine ◽  
2019 ◽  
Vol 20 (12) ◽  
pp. 2385-2396 ◽  
Author(s):  
Jessica Smith ◽  
Steven G Faux ◽  
Tania Gardner ◽  
Megan J Hobbs ◽  
Mathew A James ◽  
...  

Abstract Objective Chronic pain is a prevalent and burdensome condition. Reboot Online was developed to address treatment barriers traditionally associated with accessing face-to-face chronic pain management programs. It is a comprehensive multidisciplinary online treatment program, based on an existing and effective face-to-face multidisciplinary pain program (the Reboot program). Design & Participants A CONSORT-compliant randomized controlled trial was conducted, enrolling adults who had experienced pain for three months or longer. Methods Participants were randomly allocated to either an eight-lesson multidisciplinary pain management program, Reboot Online (N = 41), or to a usual care (UC) control group (N = 39). Clinical oversight was provided by a multidisciplinary team remotely, including physiotherapists and clinical psychologists. Participants were measured at baseline, post-treatment (week 16), and three-month follow-up (week 28). Results Intention-to-treat analyses revealed that Reboot Online was significantly more effective than UC at increasing pain self-efficacy (g = 0.69) at post-treatment, and these gains were maintained at follow-up. Similarly, Reboot Online was significantly more effective than UC on several secondary measures at post-treatment and follow-up, including movement-based fear avoidance and pain-related disability, but it did not significantly reduce pain interference or depression compared with UC. Clinician input was minimal, and adherence to Reboot Online was moderate, with 61% of participants (N = 25) completing all eight lessons. Conclusions Reboot Online presents a novel approach to multidisciplinary pain management and offers an accessible, efficacious alternative and viable treatment option for chronic pain management.


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