Outcome evaluation of a multidisciplinary pain management programme comparing group with individual change measures

2011 ◽  
Vol 15 (3) ◽  
pp. 133-138 ◽  
Author(s):  
Xiuwen HAN ◽  
Saul GEFFEN ◽  
Miles BROWNING ◽  
Justin KENARDY ◽  
Gina GEFFEN
Keyword(s):  
Pain Management ◽  
Outcome Evaluation ◽  
Management Programme ◽  
Individual Change ◽  
Multidisciplinary Pain Management

Patients’ experiences of occupational therapy within a multidisciplinary pain management programme: A qualitative study

2021 ◽  
pp. 204946372110546
Author(s):  
Jacqueline Goodall ◽  
Terence Brown
Keyword(s):  
Pain Management ◽  
Occupational Therapy ◽  
Occupational Therapists ◽  
Management Programme ◽  
Structured Interviews ◽  
Structured Intervention ◽  
Therapy Interventions ◽  
Occupational Therapy Interventions ◽  
Multidisciplinary Pain Management

Background Occupational problems are common for adults experiencing chronic pain, but occupational therapists are not always accessed as part of the multidisciplinary team. Despite evidence of benefit for work-focused interventions, there is limited evidence for broader benefit from occupational therapy interventions within the context of multidisciplinary pain management. The aim of this study was to explore the experiences of programme attendees who received structured intervention from an occupational therapist as part of a multidisciplinary pain management programme, and gain an understanding as to how they felt it influenced changes they made to occupational participation. Method A qualitative approach was undertaken with 9 individual patients recruited from a group pain management programme for adults with chronic low back pain. Semi-structured interviews were carried out, recorded and transcribed. Thematic analysis was used to identify themes in the data. Results Three key themes were identified: 1) the helpfulness of activity pacing techniques 2) the value of participating in a therapeutic activity-based session and 3) an increased understanding of the importance of leisure and creative activities in the context of their lives. Conclusion Participants perceived the specific occupational therapy content of the programme to be helpful in a number of different ways. The findings suggest that occupational therapy can be important in facilitating patients to apply theoretical techniques in the real world, thereby increasing the likelihood of long term benefit.

Should Multidisciplinary Pain Management Programmes Attempt to Reduce Self-Reported Pain in Patients with Chronic Back Pain? The Experience of a Welsh Inpatient Unit

1996 ◽  
Vol 59 (9) ◽  
pp. 411-414 ◽  
Author(s):  
Mary Gough ◽  
Michael Frost
Keyword(s):  
Pain Management ◽  
Chronic Back Pain ◽  
Management Programme ◽  
Survey Questionnaire ◽  
Methodological Problems ◽  
Poor Outcomes ◽  
One Year ◽  
Multidisciplinary Pain Management

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.

Evaluation of a Multidisciplinary Pain Management Programme in Patients with Chronic Low Back Pain

Physiotherapy ◽  
2000 ◽  
Vol 86 (7) ◽  
pp. 375-376
Author(s):  
MP Armstrong ◽  
S McDonough ◽  
I Gillespie ◽  
A Kenny ◽  
L Carson ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pain Management ◽  
Chronic Low Back Pain ◽  
Management Programme ◽  
Low Back ◽  
Multidisciplinary Pain Management

Development of an interdisciplinary specialist facial pain management programme

2021 ◽  
pp. 204946372110276
Author(s):  
John Tetlow ◽  
Christian Ainsley ◽  
Hannah Twiddy ◽  
Graham Derbyshire ◽  
Rajiv Chawla
Keyword(s):  
Pain Management ◽  
Facial Pain ◽  
Small Sample Size ◽  
Small Sample ◽  
Management Programme ◽  
Management Service ◽  
Team Members ◽  
End Of Treatment ◽  
Programme Content ◽  
Multidisciplinary Perspective

Aims: This article aims to describe the development of a specialist chronic facial pain (CFP) management programme within an already well-established pain management service, including the content from a multidisciplinary perspective, and present preliminary descriptive 6-month outcomes from patients who have attended the programme. Methods: Authors used their clinical experience of working with people who have a diagnosis of CFP. They researched available literature, liaised with CFP support organisations and visited an existing UK-based CFP programme. Programme content was designed based on findings. The roles of pain interdisciplinary team members involved in delivering the programme are described, as well as a brief description of the structure of the programme and programme sessions provided by each discipline. Results: Clinical outcomes from programme participants were collected at assessment, end of treatment and 6 months post-treatment, which measured relevant outcomes for a pain management programme (PMP). Outcomes from 36 participants at both end of programme and 6 months following completion of programme demonstrate promising improvements. Qualitative data from patient satisfaction questionnaires completed at the end of programme suggest that providing a CFP-specific programme was beneficial for participants, with the main critique being that the programme sessions should be longer than 45 minutes. Conclusion: Attending a CFP-specific programme demonstrated positive 6-month changes in relevant outcome measures for people with CFP. With a small sample size, there is a need for further research into the effectiveness. It would also be beneficial to compare outcomes from the usual PMP treatment with people who have CFP, with outcomes from a CFP-specific programme.

scholarly journals What is the content of virtually delivered pain management programmes for people with persistent musculoskeletal pain? A systematic review

2021 ◽  
pp. 204946372110230
Author(s):  
Gregory Booth ◽  
Deborah Williams ◽  
Hasina Patel ◽  
Anthony W Gilbert
Keyword(s):  
Systematic Review ◽  
Pain Management ◽  
Musculoskeletal Pain ◽  
Clinical Guidelines ◽  
Reporting Quality ◽  
Skills Training ◽  
Evidence Based ◽  
Core Element ◽  
Multidisciplinary Pain Management ◽  
Pain Services

Introduction: Virtual consultations (VC) have been embraced by healthcare organisations during the COVID-19 pandemic. VC allows continuation of patient care while adhering to government advised restrictions and social distancing measures. Multidisciplinary pain management programmes (PMPs) are a core element of many pain services and utilising virtual methods to deliver PMPs has allowed them to continue to provide care. This systematic review aimed to explore the content of existing virtually delivered PMPs and discuss if and how these findings can be used to guide clinical delivery. Methods: Eligible studies included adults (aged ⩾18 years) with persistent musculoskeletal pain and any virtually delivered intervention that was described as a PMP or that had components of PMPs. Databases were searched from inception until July 2020. We performed a content analysis comparing existing interventions with established evidence-based clinical guidelines published by the British Pain Society (BPS). Intervention reporting quality was assessed using the Template for Intervention Description and Replication (TIDieR) checklist: an established checklist developed to improve the completeness of the reporting of interventions. Results: Eight studies were included. One intervention included six of the seven components recommended by the BPS; none included all seven. ‘Skills training and activity management’ was present in all eight interventions; ‘education’ and ‘cognitive therapy methods’ were present in six interventions; ‘graded activation’ and ‘methods to enhance acceptance, mindfulness and psychological flexibility’ were present in four interventions; ‘physical exercise’ was present in two interventions and ‘graded exposure’ was present in one intervention. None of the studies described all 12 items of the TIDieR checklist adequately enough for replication. Conclusion: Published virtual PMPs partially meet established clinical guidelines. Future virtual PMPs should be based on evidence-based clinical guidelines, and more research is needed to explore the effectiveness of virtually delivered PMPs and each recommended component.

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