Chronic Pain
Conditions
Keywords
Chronic pain, Stanford chronic pain self-management programme, Patient education
Brief summary
The effect of the Stanford Chronic Pain Self-Management Programme (CPSMP) is tested in a randomized controlled trial with enrollment of Danish chronic pain patients. A total of 500 chronic pain patients is randomized into either an CPSMP intervention group or a control group. The CPSMP is brief patient education program consisting of 6 weekly sessions. Two trained instructors teach a group of 8-16 chronic pain patients about managing pain. The instructors are not health professionals but chronic pain patient themselves. The program is highly structured and manualized. Previous studies have shown beneficial effects of the CPSMP on pain, self-efficacy and well-being. Hence we expect the CPSMP to have an effect on various domains. 1. Symptom reduction - lower self-reported pain in the CPSMP group compared to controls 2. Illness perception - the cpsmp group will differ from controls in illness perception and have higher disease related self-efficacy 3. Sickness behavior - the cpsmp group will have fewer sick days and lower health care utilization (estimated by registerbased data)than controls 4. Quality of life - the cpsmp group will report higher life satisfaction and less social isolation than controls
Interventions
BEHAVIORALThe Stanford Chronic Pain Self-Management Programme
The Stanford CPSMP is a patient education program consisting of six 2½ hour weekly sessions. Two trained instructors teach a group of 8-16 persons about managing pain.
Sponsors
TRYG Foundation
Danish Committee for Health Education
University of Aarhus
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Pain in more than 3 months * Self-reported pain \> 4.99 on 10 point Likert scale * Age \> 18 years old * Able to understand, speak, and read Danish
Exclusion criteria
* Pain related to conditions that the patient are likely to consider more important than pain itself, e.g. pregnancy, cancer in acute phases * Drug abuse, psychiatric or physical disease that would prevent participation in weekly sessions * Drug abuse, psychiatric or physical disease that would disturb completion of group sessions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decrease in score on the Roland-Morris Disability Questionnaire (Roland & Morris, 1983) | 10 weeks follow-up |
Secondary
| Measure | Time frame |
|---|---|
| Increase in score on pain related self-efficacy questionnaire (Lorig et al., 1989) | 10 weeks follow-up |
| Register-based data on visits to GP after intervention (Danish National Register of Health Care utilization) | 6-months follow-up |
| Register-based data on use of prescribed drugs after intervention (Danish National Register of Health Care utilization) | 6 months follow-up |
Countries
Denmark
Outcome results
None listed