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The role of education in the self-management of elderly patients with persistent (chronic) pain.

A randomised controlled trial on the difference in self-management outcomes between elderly patients with persistent pain that attend pre-clinic education sessions and those that only attend a consultative pain clinic.

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12613000730707
Enrollment
40
Registered
2013-07-02
Start date
2013-08-05
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The aim of the research is to compare the established prectice of the Pain Clinic versus this intervention, consisiting of 5 hours of education to promote self management in persistent pain conditions. The study will be one of a randomised controlled trial pilot design; 2 care pathways; firstly usual care where patients will be assessed by a doctor and other allied health professionals. The intervention will be the education sessions followed by the option of patients attending clinic for consultations with the doctor and other health care professionals. The study will look at the research questions: 1. To see if pre-clinic education is a significant improved model of care compared with usual care, 2. To see the interaction between education sessions and medial intervention, 3. To monitor the changes in patients self management over time.

Interventions

5 hours of education, over 2 sessions with in 1 week, covering subjects including: importance of self management, psychology and pain, mindfulness, acceptance, basic neurophysiology of pain, medical perspective, energy conservation and sleep, exercise/ activity and pain. THe education will be delivered by Clinical Psychologist, Rehabilitation Consultant, Physiotherapist and Occupational Therapist. The aim of the education is to shift patients paragigm towards that of self-management rather than

5 hours of education, over 2 sessions with in 1 week, covering subjects including: importance of self management, psychology and pain, mindfulness, acceptance, basic neurophysiology of pain, medical perspective, energy conservation and sleep, exercise/ activity and pain. THe education will be delivered by Clinical Psychologist, Rehabilitation Consultant, Physiotherapist and Occupational Therapist. The aim of the education is to shift patients paragigm towards that of self-management rather than medical management, so that patients have more insight and control in choosing options in their management. At the end of the second session patients will be asked to indicate whether they wish to have consulation within the clinic; the next available appointment will be assigned to the patient. Measurements will be made at admission, 2 weeks following initial contact and at 3 months.

Sponsors

MONARC, Monash University
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
60 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Chronic pain; pain of duration equal or greater than 3 months, Aged equal or greater than 60 years, newly referred to the Pain Clinic, non-urgent, patient able to attend independently, patient able to give informed consent.

Exclusion criteria

High dosage of opioids; greater than 100mg daily, severe somatic or psychiatric comorbidity, non-English speaking/ comprehension, deemed as unsuitable for group participation.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026