Clinical trial NCT01475591: Individually Tailored Web-based Multimodal Pain Rehabilitation in Primary Health Care
Official title: Individually Tailored Web-based Multimodal Pain Rehabilitation in Primary Health Care
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Musculoskeletal Pain
Keywords: persistent neuromusculoskeletal pain
neck
shoulder
back-area
risk
longlasting
pain syndrome
Lead sponsor: Luleå Tekniska Universitet
Sponsor class: OTHER
Collaborators: name: Norrbottens County Council
First posted: 2011-11-21
Enrollment: 109
Sex: ALL
Minimum age (years): 18
Maximum age (years): 63
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: Work ability
timeFrame: 4 month
Secondary outcomes:
measure: Pain rating
timeFrame: 12 month
measure: Self-efficacy in relation to workability
timeFrame: 12 month
measure: General health
timeFrame: 12 month
measure: Functional status
timeFrame: 12 month
Other outcomes:
Locations:
city: Luleå
country: Sweden
facility: Primary health care centers in Norrbotten county council
state: Norrbotten
Study officials:
affiliation: Luleå University of Technology
name: Gunvor Gard, Professor
role: PRINCIPAL_INVESTIGATOR
References:
citation: Calner T, Nordin C, Eriksson MK, Nyberg L, Gard G, Michaelson P. Effects of a self-guided, web-based activity programme for patients with persistent musculoskeletal pain in primary healthcare: A randomized controlled trial. Eur J Pain. 2017 Jul;21(6):1110-1120. doi: 10.1002/ejp.1012. Epub 2017 May 2.
citation: Nordin CA, Michaelson P, Gard G, Eriksson MK. Effects of the Web Behavior Change Program for Activity and Multimodal Pain Rehabilitation: Randomized Controlled Trial. J Med Internet Res. 2016 Oct 5;18(10):e265. doi: 10.2196/jmir.5634.