Individually Tailored Web-based Multimodal Pain Rehabilitation in Primary Health Care

Study Overview
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Brief Summary
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The aim is to evaluate effects of early individually tailored web-based multimodal rehabilitation for persons with musculoskeletal neck/shoulder and back disorders in primary health care. The aim is also to study if this early web-based pain rehabilitation program is more cost-effective than only multimodal rehabilitation. Randomization will be done at each primary health care centre after screening to 1) Multimodal pain rehabilitation with web-based education and coaching support or 2) multimodal pain rehabilitation. The investigators suggest a clear rehabilitation chain where a web-based program is developed,evaluated and ready to implement if it shows positive effects on work-ability and/or is cost-effective. The research and implementation will be performed in a close cooperation with Luleå University of Technology.

Official Title
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Individually Tailored Web-based Multimodal Pain Rehabilitation in Primary Health Care

Conditions
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Musculoskeletal Pain

Intervention / Treatment
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* Behavioral: Web-based multimodal rehabilitation based on cognitive based principles


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: With persistent neuromusculoskeletal pain from the neck/shoulder/back-area and/or fibromyalgia and a screening > 90 on Lintons´ questionnaire, The Örebro Musculoskeletal Pain Questionnaire (Linton & Halldén., 1998; Hockings et.al., 2008) Fluent in Swedish language Working, or in disposition to at least 25% Exclusion Criteria are persons with: Dementia Restricted cognitive functioning Comorbidity which might prevent treatment participation Identified abuse, retirement pension Ongoing causal treatment Pregnancy Patients lacking internet attached computers in their home

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 63 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Multimodal rehabilitation<br>The arm intervention is just multimodal rehabilitation. | Behavioral: Web-based multimodal rehabilitation based on cognitive based principles<br>* The patient will be randomized to either the interventions group (multimodal pain rehabilitation with an added web-based multimodal rehabilitation with CBT-influences) or a control group (multimodal pain rehabilitation).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Work ability |  | 4 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain rating | Pain-rating is measured on a visual analog-scale | 12 month | 
| Self-efficacy in relation to workability | Self-efficacy in relation to work-ability is measured by a questionnarie | 12 month | 
| General health | General health is measured with SF-36 and EQ-5D. | 12 month | 
| Functional status | Functional status is measured with Pain disability index. | 12 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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persistent neuromusculoskeletal pain, neck, shoulder, back-area, risk, longlasting, pain syndrome