Prospective study to assess the effectiveness of an integrative primary care approach versus standard primary care management of chronic musculoskeletal pain.

Prospective study to assess the effectiveness of an integrative primary care approach versus standard primary care management of chronic musculoskeletal pain. - Test garden Integrative Medicine

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON36897

Enrollment

268

Registered

2012-09-24

Start date

2013-05-02

Completion date

Unknown

Last updated

2024-06-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

lage rugpijn en nekklachten musculoskeletal pain

Interventions

All patients will have the standard care for their specific complaints. In addition to standard care, the intervention group can be referred by their GP to a CAM practitioner (Homeopath, Acupuncture

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: •Patients visiting a GP •With chronic musculoskeletal pain for a duration of >= 3 months due to: (Osteo)arthritis, rheumatoid arthritis, fibromyalgia, low back pain, neck pain, tennis elbow or golfers arm, non-specific joint complaints, •Written informed consent •>18 years •Ability to understand and speak the Dutch language •Accessible by phone and internet

Exclusion criteria

Exclusion criteria: •Patients with malignant diseases •Patients with vertebral fractures •Patients with severe of progressive neurological symptoms •Patients with psychiatric complaints

Design outcomes

Primary

Measure	Time frame
Quality of life: will be measured using a 36-item health survey (SF-36)	—

Secondary

Measure	Time frame
•Patient-rated pain: Patients are asked to rate their typical musculoskeletal pain on an ordinal 11-box scale rating (PRP) from no pain (0) to worst pain possible (10). •Fatigue: Mean fatigue symptoms will be measured using the 20-item Multidimensional Fatigue Inventory (MFI), including questions on physical and mental fatigue. •Self efficacy is measured by the Pain Self-Efficacy Questionnaire (PSEQ), a 10-item scale used to assess the level of self-confidence in performing functional and social activities despite the presence of pain. •Self-reported changes in main concern and well being by the Measure Yourself Concerns and Well-being (MYCaW). •Changes in use of (pain) medication for musculoskeletal pain. •Sense of Coherence: will be measured using the 29-item Dutch Sense of Coherence questionnaire (SOC). •Patients* satisfaction with treatment and health care provider using the Participants* Satisfaction questionnaire (PS). •Patients* expectations about the treatment they will receive will be documented by short questionnaires (PE). •GPs* opinion on SPC and IPC of chronic musculoskeletal pain, using a GP questionnaire (GPQ). •Disease related costs: Data with respect to direct healthcare costs, direct non-healthcare costs and indirect costs will be collected in a questionnaire (DRC), including questions on medication use, numbers of days absent from work and hospital visits.	—

Measure

Time frame

•Patient-rated pain: Patients are asked to rate their typical musculoskeletal pain on an ordinal 11-box scale rating (PRP) from no pain (0) to worst pain possible (10). •Fatigue: Mean fatigue symptoms will be measured using the 20-item Multidimensional Fatigue Inventory (MFI), including questions on physical and mental fatigue. •Self efficacy is measured by the Pain Self-Efficacy Questionnaire (PSEQ), a 10-item scale used to assess the level of self-confidence in performing functional and social activities despite the presence of pain. •Self-reported changes in main concern and well being by the Measure Yourself Concerns and Well-being (MYCaW). •Changes in use of (pain) medication for musculoskeletal pain. •Sense of Coherence: will be measured using the 29-item Dutch Sense of Coherence questionnaire (SOC). •Patients* satisfaction with treatment and health care provider using the Participants* Satisfaction questionnaire (PS). •Patients* expectations about the treatment they will receive will be documented by short questionnaires (PE). •GPs* opinion on SPC and IPC of chronic musculoskeletal pain, using a GP questionnaire (GPQ). •Disease related costs: Data with respect to direct healthcare costs, direct non-healthcare costs and indirect costs will be collected in a questionnaire (DRC), including questions on medication use, numbers of days absent from work and hospital visits.

—

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)