Chronic Pain
Conditions
Keywords
Chronic pain, Primary care, Multidisciplinary group therapy, Embedded mixed-methods study
Brief summary
The investigators will evaluate the effectiveness of Living Everyday Above-and-beyond Pain (LEAP) program in the primary care setting. LEAP is a multidisciplinary chronic pain group therapy developed for the two clinic sites of McMaster Family Health Team: McMaster Family Practice and Stonechurch Family Health Centre. LEAP aims to improve patients'quality of life, interaction with the health care system and their health care utilization. This is a pilot study to evaluate mainly feasibility. The investigators will make use of both experimental and qualitative methods gather evidence of the programs success, strengths and weaknesses.
Interventions
BEHAVIORALLiving Everyday Above-and-beyond Pain (LEAP)
8-week multidisciplinary group therapy aiming consisting of education about the nature of chronic pain, pacing and goal setting, mindfulness medication techniques, cognitive reflections on beliefs, impulses and obsessions, physical activation, and medication management.
OTHERWait-listed
Patients are wait-listed while awaiting participation to the LEAP program.
Sponsors
McMaster University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years and older * diagnosed with chronic pain
Exclusion criteria
* chronic pain related to cancer, pelvic pain or headache * inability to speak or write in English * patient is unable to attend and participate in group treatment sessions on their own * substance use or mental health problems of a severity making group treatment participation impossible * currently participating in another cognitive-behavioral pain management program * patient is receiving palliative care or has been diagnosed with an illness expecting to cause death within one year
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life | 8 months | This will utilize the SF-36 QOL questionnaire. |
| Health care utilization | 8 months | This will be based on a chart review to assess the number of consultations with their family physician and other clinicians (Nurse practitioners, registered nurse, dietitian, social worker). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Qualitative process evaluation (Perceptions of participants regarding the intervention) | 16 months | This outcome assesses the views of the participants regarding the strengths and weaknesses of the intervention. It will assess ways to improve the recruitment process and retention of participants in the group, satisfaction of the participants regarding the processes (group dynamics, time, format, contents, etc), perceptions of participants regarding the effectiveness of the program, and suggestion of participants regarding ways to improve the program. |
| Pain medication use | 8 months | This will be based on a standardized questionnaire developed by the researchers and a chart review regarding request for early refill and increased dose of medications due to worsening of chronic pain. |
Countries
Canada
Outcome results
None listed