Musculoskeletal Pain
Conditions
Keywords
persistent neuromusculoskeletal pain, neck, shoulder, back-area, risk, longlasting, pain syndrome
Brief summary
The aim is to evaluate effects of early individually tailored web-based multimodal rehabilitation for persons with musculoskeletal neck/shoulder and back disorders in primary health care. The aim is also to study if this early web-based pain rehabilitation program is more cost-effective than only multimodal rehabilitation. Randomization will be done at each primary health care centre after screening to 1) Multimodal pain rehabilitation with web-based education and coaching support or 2) multimodal pain rehabilitation. The investigators suggest a clear rehabilitation chain where a web-based program is developed,evaluated and ready to implement if it shows positive effects on work-ability and/or is cost-effective. The research and implementation will be performed in a close cooperation with Luleå University of Technology.
Interventions
BEHAVIORALWeb-based multimodal rehabilitation based on cognitive based principles
The patient will be randomized to either the interventions group (multimodal pain rehabilitation with an added web-based multimodal rehabilitation with CBT-influences) or a control group (multimodal pain rehabilitation).
Sponsors
Norrbottens County Council
Luleå Tekniska Universitet
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 63 Years
Healthy volunteers
No
Inclusion criteria
* With persistent neuromusculoskeletal pain from the neck/shoulder/back-area and/or fibromyalgia and a screening * \> 90 on Lintons´ questionnaire, The Örebro Musculoskeletal Pain Questionnaire (Linton & Halldén., 1998; Hockings et.al., 2008) * Fluent in Swedish language * Working, or in disposition to at least 25%
Exclusion criteria
are persons with: * Dementia * Restricted cognitive functioning * Comorbidity which might prevent treatment participation * Identified abuse, retirement pension * Ongoing causal treatment * Pregnancy * Patients lacking internet attached computers in their home
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Work ability | 4 month |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain rating | 12 month | Pain-rating is measured on a visual analog-scale |
| Self-efficacy in relation to workability | 12 month | Self-efficacy in relation to work-ability is measured by a questionnarie |
| General health | 12 month | General health is measured with SF-36 and EQ-5D. |
| Functional status | 12 month | Functional status is measured with Pain disability index. |
Countries
Sweden
Outcome results
None listed