Chronic Pain, Interprofessional Team Collaboration, Neuropathic Pain, Pain Management, Spinal Cord Injuries
Conditions
Keywords
participatory design, feasibility study
Brief summary
Pain rehabilitation programs are essential for optimal treatment of chronic pain and are usually based on the biopsychosocial model. This is, however, not standard care for people with chronic pain after a spinal cord injury (SCI) due to a biomedical focused perspective of SCI and lack of adapted programs. The aims of this feasibility study: 1. Develop a new digital pain rehabilitation program, adapted for the needs of people living with an SCI. 2. To investigate the feasibility and acceptability of a new digital pain rehabilitation program.
Detailed description
This study follows the guidelines of Medical Research Council for complex interventions and the proposed iterative feasibility process to improve and prepare the intervention for future testing in an RCT study. The research group will, toghether with a reference groups, develop a digital intervention porposal. The program will be a team-based, goal-oriented program for patients with spinal cord injury (SCI) and chronic pain. In this study, eligible participants are included in an 8 week pain rehabilitation program. The program is developed through user-involvement i.e. together with clinicians (experienced in pain rehabilitation and/or SCI rehabilitation), stakeholders, researchers and individuals with SCI. The program will include video material for education, home exercises and group discussions led by clinicians with long experience in pain rehabilitation and SCI. The participants will fill in self-assessed questionaries at baseline and after the finish of the program about their pain, sleep, mood and quality of life. After the program some of the participants will be asked to participate in semi-structured interviews about how they navigate and engage with different components of the program. The patients will be recruited during a rutine follow up at an SCI clinic. Seven factors will be studied to assess the feasibility and acceptability of the program, based on set goals according to the Traffic Light method.
Interventions
8- week pain rehabilitation program. The first meeting of the program is located at a hospital facility and thereafter they will meet at a digital platform.The program include education, home exercises and group meetings. The program consists of 4 modules. 1. Physical exercise and ergonomics. 2. Structure and recovery. 3. Employment/occupation and social support. 4. ACT and coping. Each module lasts for two weeks. The program will include video material for education, home exercises and group discussions led by clinicians with long experience in pain rehabilitation and SCI.
Sponsors
Umeå University
Region Västerbotten
Riksförbundet för Trafik, Olycksfall och Polioskadade (RTP), Sundbyberg, Sweden
Norrbacka-Eugenia Foundation
Promobilia Foundation
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* two years since injury * Stable pain medication?
Exclusion criteria
* severe cognitive impairment * Alcohol or drug abuse * does not understand Swedish
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recruitment rate, number recruited per quarter | At enrollment | Continue=6 Solve=4 Stop=3 |
| Number of participant with treatment-related advere events as assessed by... | From enrollment to the end of tretment at 8 weeks | — |
| Participant retention- Completion rates | The end of the 8- week program | \>75% continue, 50-75% Solve, \<50% stop |
| Program Adherence | The end of the 8-week program | Continue \>75%, solve 50-75%, stop \<50% |
| Patients' self-perceived relevance, timing and mode of delivery | >70% Continue, Solve 50-70%, Stop <50% | Patient evaluation, satisfied patients |
| Assessment procedure acceptance- Patient evaluations, proportions of completed questionnaires | At the end of the 8-week program | \>80% continue, 50-80% solve, \<50% stop |
| Fidelity of delivery - Process evaluations | End of the 8-week program | — |
Countries
Sweden
Contacts
CONTACTGunilla Stenberg, Docent
CONTACTSofia Björkbacka, MSc
Outcome results
None listed