Chronic pain Signs and Symptoms Chronic intractable pain
Conditions
Interventions
The intervention is a community based rehabilitation programme for patients with chronic pain who show elevated psychosocial risk factors for disability. Patients with pain for less than 12 months wil
Sponsors
National University of Ireland, Galway (NUIG) (Ireland)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18 years or over 2. Patients referred by their GP with a current musculoskeletal injury and associated pain The injury and pain must be of at least 1 month duration and not more than 12 months duration. Patients with a recurrence of pain associated with a pre-existing musculoskeletal injury may be included if the current pain represents a distinct recurrence. GPs must confirm the presence of the painful condition and approve participation in an activation programme.
Exclusion criteria
Exclusion criteria: 1. Patients with significant cognitive impairment or psychiatric illness (based on the recorded judgement of the GP) that would render them incapable of understanding and participating in the project 2. Pain related to a malignancy 3. Insufficient English language ability to answer questions and/or participate in treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Pain Catastrophising, measured using the Pain Catastrophising Scale 2. Fear of movement measured using the Tampa Scale for kinesiophobia 3. Percieved Disability (Percieved Disability Scale) 4. Depression (Beck Depression Inventory) 5. Pain (McGill Pain Questionnaire) all 6. Healthcare costs will be measured using the Client Services Reciept Inventory, measuring healthcare utilisation for the 10 weeks prior to baseline, during the 10 week intervention and again after 12 months Patients in both groups will be assessed pre-treatment, post-treatment (or after 10 weeks for the controls) and there will be a 1-year follow-up for both groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| Readiness to return to work - with high unemployment, return to work may not be a feasible outcome measure. However we will examine changes in level of disability post intervention and readiness to return to work as a proxy for return to work. | — |
Countries
Ireland
Outcome results
None listed