Chronic Pain
Conditions
Keywords
Pain Management, Chronic Pain, Health Services, Occupational Health
Brief summary
This cluster randomized waiting-list controlled study will evaluate the effectiveness of pain management group activity organized by the OH on pain intensity and associated disability, and co-occurrence of mental or sleep problem in patients with chronic pain.
Detailed description
Pain is very prevalent among the working population causing a considerable amount of work disability days. Pain management group therapy has shown to have a significant effect on chronic pain. However, little is known of the effect of such therapy on work disability. There are especially very few studies prescribing the effectiveness of pain management groups provided by the occupational health service.
Interventions
BEHAVIORALPain management group
Chronic pain patients participate in a peer group. They are provided information about chronic pain self-management based on biopsychosocial framework.
Sponsors
Finnish Work Environment Fund
Työterveys Helsinki (Helsinki city occupational health service)
Finnish Institute of Occupational Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
\- chronic pain + increased risk of work disability (based on a screening survey)
Exclusion criteria
* a malignant disease such as cancer, or severe mental illness such as depression causing significant functional disability. * participating in another pain group elsewhere. * in the middle of a major life crises such as divorce.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Work ability | Change in work ability from before intervention to immediately after intervention and at 6 months | self-reported questionnaire, 1-item question, response scale 0-10, n=60 |
| Depressive symptoms | Change in depressive symptoms from before intervention to immediately after intervention and at 6 months | self-reported questionnaire, 1-item question, response scale 0-10, n=60 |
| Sleep problems | Change in sleep problems from before intervention to immediately after intervention and at 6 months | self-reported questionnaire, 1-item question, response scale 0-10, n=60 |
| Pain intensity | Change in pain intensity from before intervention to immediately after intervention and at 6 months | self-reported questionnaire, 1-item question, scale 0-10, n=60 |
| Pain self-efficacy | Change in pain self-efficacy from before intervention to immediately after intervention and at 6 months | self-reported questionnaire, set of 10 questions, item response scale 0 - 6, n=60 |
| Chronic pain acceptance | Change in chronic pain acceptance from before intervention to immediately after intervention and at 6 months | self-reported questionnaire, set of 8 questions, item response scale 0 - 6, n=60 |
| Fear-avoidance beliefs | Change in fear-avoidance beliefs from before intervention to immediately after intervention and at 6 months | self-reported questionnaire, set of 3 questions, item response scale 0 - 6, n=18 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| health care contacts | 6 months before and 6 months after intervention | register based, number of contacts to OHS |
| sickness absence | 6 months before and 6 months after intervention | register based, number of sick leave days |
Outcome results
None listed