chronic pain
Conditions
Interventions
protocolized evidence-based musculoskeletal pain rehabilitation treatment plans, Pain Rehabilitation Coach, assessment tools, integrated in the current care, no comparison group.
Sponsors
Adelante Zorggroep
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria healthcare specialists Healthcare specialists who participate in Network Pain Rehabilitation must meet all of the following criteria: • Having a practice in the pilot area of Pain Network Rehabilitation Limburg • Willingness to attend the education days • Willingness to treat patients with CMP via the stepped care musculoskeletal pain rehabilitation protocols • Willingness to make use of the provided assessment tool when a patient suspected of CMP visits the specialist • Physiotherapists without a participating GP can only treat patients referred from a RP. As they cannot refer a patient back to a GP when the patient is too complex for them they will not have an inclusion option for study participants. • GPs can only participate when a linked physiotherapist, remedial therapist or a practice nurse mental health participates as well. This to make effective referrals to specialists who work with the protocols of Network Pain Rehabilitation Limburg possible. Inclusion criteria patients with CMP In order to be eligible to participate in this study, a patient must meet all of the following criteria: • Age 18-70 years at the start of the study • Patient living in the pilot area (physiotherapist, GP or RP) of Pain Network Rehabilitation Limburg • Having musculoskeletal pain with is (suspected to be) chronic. The patient has visited the physiotherapist, GP, or RP several times with the same complaints or is known with musculoskeletal pain in the history. • Willingness to improve functioning despite pain • Adequate Dutch literacy to complete the assessments (which mainly comprise questionnaires)
Exclusion criteria
Exclusion criteria: Exclusion criteria healthcare specialists Healthcare specialists who meet any of the following criteria will be excluded from participation in Network Pain Rehabilitation Limburg: • A GP who has visited less than 2 out of 3 education days or a remedial therapists who has visited less than 3 out of 4 education days. • Are not able to implement the protocols or assessment tool of the network. Exclusion criteria patients with CMP A potential patient with CMP who meets any of the following criteria will be excluded from participation in this study: • Any suspicion of a medical (orthopaedic, rheumatic or neurological) disease, which can explain the current pain (eg. Rheumatism and hernia) complaints and which can be threatened by a sufficient therapy • Any suspicion of an (underlying) psychiatric disease, for which psychiatric treatment is better suited, according to the expert opinion of the GP and RP • Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To explore the feasibility of Network Pain Rehabilitation Limburg first a pilot study will be performed. This pilot study will focus on the barriers and facilitators of the implementation strategy and network structure, perceived quality of care, and the effect of the Network Pain Rehabilitation Limburg at daily functioning and participation in chronic musculoskeletal pain (CMP) patients. | — |
Secondary
| Measure | Time frame |
|---|---|
| The barriers and facilitators regarding the implementation strategy, assessment tools, treatment protocols, and Pain Rehabilitation Coach will be determined with the use of focus groups. Also the quality of care regarding the implementation strategy, assessment tools, treatment protocols, and Pain Rehabilitation Coachaspects, will be determined during these focus groups. The effect of the Network at the rehabilitation healthcare will be measured as two components: 1) as the effect at the referral pattern of patients with CMP in terms of efficiency and number of incorrect referrals, 2) and the effect on patient’s CMP and health outcomes. | — |
Contacts
Public ContactCynthia Lamper
Universiteit Maastricht, Vakgroep Revalidatiegeneeskunde
Outcome results
None listed