Pain Management Groups in Occupational Health Settings

Study Overview
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Brief Summary
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This cluster randomized waiting-list controlled study will evaluate the effectiveness of pain management group activity organized by the OH on pain intensity and associated disability, and co-occurrence of mental or sleep problem in patients with chronic pain.

Detailed Description
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Pain is very prevalent among the working population causing a considerable amount of work disability days. Pain management group therapy has shown to have a significant effect on chronic pain. However, little is known of the effect of such therapy on work disability. There are especially very few studies prescribing the effectiveness of pain management groups provided by the occupational health service.

Official Title
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Study on Pain Management Groups in Occupational Health Settings

Conditions
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Chronic Pain

Intervention / Treatment
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* Behavioral: Pain management group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - chronic pain + increased risk of work disability (based on a screening survey) Exclusion Criteria: a malignant disease such as cancer, or severe mental illness such as depression causing significant functional disability. participating in another pain group elsewhere. in the middle of a major life crises such as divorce.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Pain management group<br>6 + 1 meetings 2 hours each | Behavioral: Pain management group<br>* Chronic pain patients participate in a peer group. They are provided information about chronic pain self-management based on biopsychosocial framework.<br>|
| No Intervention: Treatment as usual<br>Waiting list - will receive treatment as usual | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain intensity | self-reported questionnaire, 1-item question, scale 0-10, n=60 | Change in pain intensity from before intervention to immediately after intervention and at 6 months | 
| Pain self-efficacy | self-reported questionnaire, set of 10 questions, item response scale 0 - 6, n=60 | Change in pain self-efficacy from before intervention to immediately after intervention and at 6 months | 
| Chronic pain acceptance | self-reported questionnaire, set of 8 questions, item response scale 0 - 6, n=60 | Change in chronic pain acceptance from before intervention to immediately after intervention and at 6 months | 
| Fear-avoidance beliefs | self-reported questionnaire, set of 3 questions, item response scale 0 - 6, n=18 | Change in fear-avoidance beliefs from before intervention to immediately after intervention and at 6 months | 
| Depressive symptoms | self-reported questionnaire, 1-item question, response scale 0-10, n=60 | Change in depressive symptoms from before intervention to immediately after intervention and at 6 months | 
| Sleep problems | self-reported questionnaire, 1-item question, response scale 0-10, n=60 | Change in sleep problems from before intervention to immediately after intervention and at 6 months | 
| Work ability | self-reported questionnaire, 1-item question, response scale 0-10, n=60 | Change in work ability from before intervention to immediately after intervention and at 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| sickness absence | register based, number of sick leave days | 6 months before and 6 months after intervention | 
| health care contacts | register based, number of contacts to OHS | 6 months before and 6 months after intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pain Management, Chronic Pain, Health Services, Occupational Health