Chronic Non-cancer Pain, Patient Education as Topic
Conditions
Keywords
Chronic non-cancer pain, Pain school, Value-based healthcare
Brief summary
BACKGROUND: Chronic non-cancer pain (CNCP) is a disabling condition with radical consequences. Magic fix-it solutions do not exist. CNCP is a condition for life, calling for healthcare services supporting its management. Value-based healthcare is a method to work with healthcare that, in the Capital Region of Denmark, serves as a framework for clinicians, administrators, and politicians to deliver healthcare services that create value for patients within available resources. An investigation conducted in collaboration between the Danish Health Association and Danish Regions, involving patients, medical experts, municipality representatives, and general practitioners found that the following preferences should be addressed to achieve value-based healthcare in multidisciplinary treatment of CNCP: Quality of life; acceptance; maintenance, and labor market; communication; social life; sleep; physical status and energy administration; pain management and -relief; emotional status and mood. In response to the requirement to provide value in healthcare, the Multidisciplinary Pain Centre at Rigshospitalet designed a pain school intervention based on identified preferences. Previous studies have documented the benefits of educational programs in the multidisciplinary treatment of CNCP, but also ethnic/racial and socioeconomic disparities in treatment responses. The present study AIMED to evaluate patients' experience of participating in a pain school, designed to create value in healthcare in the multidisciplinary treatment of CNCP.
Detailed description
DESIGN: The pain school intervention was evaluated using a questionnaire completed by the participants immediately after each of the seven pain school sessions. The questionnaire had two questions: 1: The topic of the pain school session was relevant for me. 2: The teachers communicated the topic of the pain school session appropriately. After the seventh and last pain school session, the participants were also asked to provide an overall evaluation of the pain school using a questionnaire with 9 questions across 4 categories. The pain school was additionally evaluated using a qualitative design, with focus group interviews with pain school participants and individual interviews with patients who had three or more no-shows or cancellations.
Interventions
OTHERPain school intervention
The pain school intervention consists of seven sessions of two hours duration, varying between teaching, joint reflections, and exercises, carried out once a week for up to 15 patients. The pain school intervention is framed by a biopsychosocial approach, delivered by a team of by multidisciplinary pain specialists. A temporary version of the pain scholl intervention was presented for patient representatives and refined according to their comments. The topics of the final pain school sessions include: 1\) Welcome and introduction, 2) Effect and side effects of medication, 3) Balancing demands and resources, 4) Social relationships, 5) Sleep, sofa, and sex, 6) Everyday life, 7) Completion and networking.
Sponsors
Rigshospitalet, Denmark
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
The pain school participants were referred to the pain school by the multidisciplinary healthcare provides from the study setting in cohesion with the following criteria: Inclusion criteria * Patient motivation * Ability to join a group and attend a classroom for 2 hours * Logistical feasibility * Sufficient energy Exclusion cireteria * Inability to understand and speak Danish * Anxiety * Depression * Current resource-demanding opioid-tapering * Unstable attendance to appointments.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The topic of the pain school session was relevant for me? | Day 1. | The Question had five response categories ranging from zero (not at all) to four (to a very great extent). |
| The teachers communicated the topic of the pain school session appropriately. | Day 1. | The Question had five response categories ranging from zero (not at all) to four (to a very great extent). |
Countries
Denmark
Outcome results
None listed