Chronic Pain
Conditions
Keywords
Chronic Pain, Adolescent, Graded Exposure
Brief summary
The purpose of this study is to evaluate whether a multimodal rehabilitation program effectively reduces functional disability in adolescents with chronic musculoskeletal pain, compared to care as usual.
Interventions
BEHAVIORALMultimodal Rehabilitation Program
The Multimodal Rehabilitation Program is a Graded exposure based treatment. It consists of a Graded Exposure Module (GE), a Combination Module (HMGE) and a Parent Module (PM).
BEHAVIORALCare as Usual
Care as usual is the care currently provided to adolescents with musculoskeletal chronic pain and is based on the principles of Graded Activity.
Sponsors
Fonds NutsOhra
Stichting Vooruit
Adelante, Centre of Expertise in Rehabilitation and Audiology
Maastricht University Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
12 Years to 21 Years
Healthy volunteers
No
Inclusion criteria
* Age 12-21 years at the start of the study * Complaints of chronic non-specific musculoskeletal pain of a duration \> 3 months * Considerable activity limitations * Fear of movement * Indication for outpatient multidisciplinary rehabilitation treatment * Adequate Dutch literacy to complete the assessments (which mainly comprise questionnaires)
Exclusion criteria
* Any suspicion of a medical (orthopaedic, rheumatic or neurological) disease, that can explain the current pain complaints * Any suspicion of an (underlying) psychiatric disease, for which psychiatric treatment is better suited, according to the expert opinion of the consultant in rehabilitation medicine. * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Functional Disability | Baseline, 8 weeks, 16 weeks, 10 months, 12 months | Adolescent self-reported functional disability |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Treatment expectations | Baseline | Adolescent self-report |
| Treatment satisfaction/ patient centeredness | 16 weeks | — |
| Treatment satisfaction/ family centeredness | 16 weeks | — |
| Change in General Health Related Quality of Life | Baseline, 8 weeks, 16 weeks, 10 months, 12 months | — |
| Change in Functional Disability | Baseline, 8 weeks, 16 weeks, 10 months, 12 months | Parent-perceived functional disability of their child |
| Change in Quality of life | Baseline, 8 weeks, 16 weeks, 10 months, 12 months | Adolescent self-reported pain-specific quality of life |
| Change in parental responses to childrens pain | Baseline, 8 weeks, 16 weeks, 10 months, 12 months | — |
| Change in Pain Catastrophizing | Baseline, 8 weeks, 16 weeks, 10 months, 12 months | Adolescent self-reported pain catastrophizing |
| Change in Depressive symptoms | Baseline, 8 weeks, 16 weeks, 10 months, 12 months | Adolescent self-reported depressive symptoms |
| Change in Perceived Harmfulness | Baseline, 8 weeks, 16 weeks, 10 months, 12 months | Adolescent self-reported perceived harmfulness of daily activities |
| Change in Pain Intensity | Baseline, 8 weeks, 16 weeks, 10 months, 12 months | Adolescent self-reported pain intensity |
| Cost-diary per month | Baseline, 8 weeks, 16 weeks, 10 months, 12 months | Adolescent self-report of total health care utilization and other costs |
| Change in Fear of Pain | Baseline, 8 weeks, 16 weeks, 10 months, 12 months | Adolescent self-reported fear of pain |
Countries
Netherlands
Outcome results
None listed