scholarly journals Pilot Trial of the Reboot Online Program: An Internet-Delivered, Multidisciplinary Pain Management Program for Chronic Pain

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Regina Schultz ◽  
Jessica Smith ◽  
Jill M. Newby ◽  
Tania Gardner ◽  
Christine T. Shiner ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Psychological Distress ◽  
Pain Management ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Treatment Options ◽  
Pilot Trial ◽  
Management Program ◽  
Online Program ◽  
Pain Management Program

Objectives. Chronic pain causes significant disability and psychological distress, but barriers often prevent people with pain from engaging in traditional face-to-face pain management programs. Accessible, feasible, and effective alternative treatment options are needed. Methods. A prospective, feasibility pilot study was conducted to trial a novel, multidisciplinary online pain management program: the “Reboot Online” program. Twenty participants experiencing pain of at least three months duration were recruited. All participants were enrolled in the “Reboot Online” program, consisting of eight online lessons completed over 16 weeks. Lessons incorporated multidisciplinary input from medical pain specialists, physiotherapists, and psychologists. Participants were assessed at pretreatment, posttreatment, and follow-up using a suite of outcome measures examining pain, disability, catastrophising, self-efficacy, mood, and psychological distress. Results. 13 participants completed the program (65% adherence). Following treatment, the participants had significantly improved scores on measures of pain-related disability, self-efficacy, catastrophising thoughts, acceptance of pain, symptoms of depression, and general psychological distress. These findings were retained at three months posttreatment. Participants also reported high levels of acceptability and satisfaction with the program. Discussion. This study provides pilot evidence for the feasibility, acceptability, and effectiveness of an online, multidisciplinary pain program: “Reboot Online.” Future investigations will focus on conducting a randomised controlled trial of this innovative and promising treatment for chronic pain. This trial is registered with ACTRN12615000660583.

Access to Pain Management Programs: A Multifactorial Analysis of the Pathways of Care for Chronic Pain Patients in the University Clinic Erlangen

2019 ◽  
Vol 82 (08/09) ◽  
pp. e94-e107
Author(s):  
Lisa Dorscht ◽  
Christoph Schön ◽  
Christa Geiss ◽  
Elmar Gräßel ◽  
Carolin Donath
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Research Question ◽  
Treatment Options ◽  
Management Program ◽  
Interdisciplinary Treatment ◽  
Chronic Pain Management ◽  
Pain Management Program ◽  
The University ◽  
Pathways Of Care

Abstract Background Different treatment options are offered for patients suffering from chronic pain, which differ in intensity and costs: 1) monodisciplinary treatment, mostly in outpatient care and 2) interdisciplinary treatment with the option of participating in pain management programs as outpatients or inpatients. The present work investigates how patients at the University Clinic Erlangen receiving monodisciplinary treatment differ from those receiving interdisciplinary treatment (research question I) as well as how patients participating in a pain management program differ from those who do not (research question II). The aim is to generate insights into whether the differences between the patient groups under various treatment modalities reflect the officially defined criteria for the indication of chronic pain management programs. Methods Routine data of 1,833 patients treated from January 2008 to March 2013 at the University Clinic Erlangen were analyzed. After univariate preanalyses and checks for multicollinearity, the remaining variables were used for the final multivariate model (multiple binary logistic regression) for research question I and II. Results Research question I: Patients getting interdisciplinary treatment were more often employed, had higher affective experience of pain, more often regarded their pain as treatable, had more often participated in at least one pain-associated rehabilitation treatment in the past, were younger and rarely had application for retirement in consideration. Research question II: Patients who participated in a pain management program were more often female, more often employed, described their pain as mainly located at the upper part of the body, had more concomitant symptoms, were more often diagnosed with musculoskeletal pain and rarely had a retirement request pending. Conclusions It could be shown that patients in the analyzed pathways of care mainly differed in demographic variables, and regarding pain management programs, also in the type of pain. Differences between patients in different treatment paths reflecting the officially defined indication criteria for chronic pain management programs were detectable only to a minor extent. Clearer and operational practical guidance should help support the clinical decision to assign patients to different treatment options and close the gap between theory and practice.

scholarly journals Effectiveness of a Peer-Led Pain Management Program in Relieving Chronic Pain and Enhancing Pain Self-Efficacy Among Older Adults: A Clustered Randomized Controlled Trial

2021 ◽  
Vol 8 ◽  
Author(s):  
Mimi M. Y. Tse ◽  
Shamay S. M. Ng ◽  
Paul H. Lee ◽  
Xue Bai ◽  
Raymond Lo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Pain Management ◽  
Self Efficacy ◽  
Nursing Home Residents ◽  
Management Program ◽  
Control Group ◽  
Pain Management Program ◽  
Experimental Group

Chronic pain is common in nursing home residents, who may have difficulty seeking out pain management strategies. Peer support model show promise as a strategy for managing chronic conditions. This was a clustered randomized controlled trial. A peer-led pain management program was provided for the experimental group. Pain situation, depression, quality of life, non-drug strategies used, and pain knowledge were measured. A total of 262 participants joined the study (146 were allocated as experimental group and 116 as control group). Before our intervention, the mean pain score reported was as high as 6.36 on a 10-point Likert Scale. The high intensity of their pain very much interfered with the daily activities of the participants. Pain interference was high and the participants had poor coping as indicated by the low pain self-efficacy. Depression and a low quality of life score was found. Upon completion of our PAP, there was a significant increase in pain self-efficacy, pain interference as well as quality of life for the participants in the experimental group and not in the control group, and this improvement sustained in 3-month follow up. The present study used a peer support models and proven to be effective in managing pain and pain related situations for nursing home residents with chronic pain. The peer volunteers involved in the pain management program taught relevant pain knowledge and pain management strategies to help our participants.Clinical Trial Registration:https://clinicaltrials.gov/ct2/show/NCT03823495, NCT03823495.

scholarly journals Reboot Online: A Randomized Controlled Trial Comparing an Online Multidisciplinary Pain Management Program with Usual Care for Chronic Pain

Pain Medicine ◽  
2019 ◽  
Vol 20 (12) ◽  
pp. 2385-2396 ◽  
Author(s):  
Jessica Smith ◽  
Steven G Faux ◽  
Tania Gardner ◽  
Megan J Hobbs ◽  
Mathew A James ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Controlled Trial ◽  
Management Program ◽  
Post Treatment ◽  
Face To Face ◽  
Randomized Controlled ◽  
Pain Management Program ◽  
Multidisciplinary Pain Management

Abstract Objective Chronic pain is a prevalent and burdensome condition. Reboot Online was developed to address treatment barriers traditionally associated with accessing face-to-face chronic pain management programs. It is a comprehensive multidisciplinary online treatment program, based on an existing and effective face-to-face multidisciplinary pain program (the Reboot program). Design & Participants A CONSORT-compliant randomized controlled trial was conducted, enrolling adults who had experienced pain for three months or longer. Methods Participants were randomly allocated to either an eight-lesson multidisciplinary pain management program, Reboot Online (N = 41), or to a usual care (UC) control group (N = 39). Clinical oversight was provided by a multidisciplinary team remotely, including physiotherapists and clinical psychologists. Participants were measured at baseline, post-treatment (week 16), and three-month follow-up (week 28). Results Intention-to-treat analyses revealed that Reboot Online was significantly more effective than UC at increasing pain self-efficacy (g = 0.69) at post-treatment, and these gains were maintained at follow-up. Similarly, Reboot Online was significantly more effective than UC on several secondary measures at post-treatment and follow-up, including movement-based fear avoidance and pain-related disability, but it did not significantly reduce pain interference or depression compared with UC. Clinician input was minimal, and adherence to Reboot Online was moderate, with 61% of participants (N = 25) completing all eight lessons. Conclusions Reboot Online presents a novel approach to multidisciplinary pain management and offers an accessible, efficacious alternative and viable treatment option for chronic pain management.

Telephone support improves early engagement with a web-based pain program – a randomized controlled trial investigating the effect of adjunct telephone support on adherence and outcomes of the “Reboot Online” pain management program (Preprint)

2021 ◽  
Author(s):  
Tania Gardner ◽  
Hila Haskelberg ◽  
Regina Schultz ◽  
Jill Newby ◽  
Jane Wheatley ◽  
...  
Keyword(s):  
Pain Management ◽  
Controlled Trial ◽  
Intervention Group ◽  
Management Program ◽  
Control Group ◽  
Telephone Support ◽  
Online Program ◽  
Randomized Controlled ◽  
Pain Management Program ◽  
Program Adherence

BACKGROUND Internet-based treatment programs present a solution for providing access to pain management for those unable to access clinic-based multidisciplinary pain programs. Attrition from internet interventions is a common issue. Clinician supported guidance can be an important feature in online interventions however the optimal level of therapist guidance and expertise required to improve adherence remains unclear. OBJECTIVE To evaluate whether augmenting the existing Reboot Online program with additional telephone support by a clinician, improves program adherence and effectiveness, relative to the online program alone METHODS A two-armed, CONSORT-compliant registered randomized controlled trial (RCT), with one-to-one group allocation was conducted. It compared an online multidisciplinary pain management program Reboot Online combined with telephone support (n=44), with Reboot Online alone (n=45) as the control group. Participants were recruited via online social media and existing THISWAYUP networks. The primary outcome for this study was adherence to the Reboot Online program. Adherence was quantified via three metrics; (i) completion of the program (ii) the number of participants who enrolled into the program, (iii) the number of participants who commenced the program. Data on adherence were collected automatically via the THIS WAY UP platform. Secondary measures of clinical effectiveness were also collected. RESULTS Reboot Online combined with telephone support had a positive effect on enrolment and commencement of the program compared to Reboot Online without telephone support. Significantly more participants from the Reboot Online plus telephone support group enrolled (93.2%) into the course compared to the control group (77.8%) (χ2 = 4.23, p = 0.04), Further, more participants from the intervention group commenced the course compared to the control group (90.9% versus 60.0% respectively, χ2 = 11.42, p = 0.001). Of those participants enrolled in the intervention group, 43.2% completed the course (19/44) and of those in the control group 31.1% completed the course (14/45). When considering the subgroup of those who commenced the program, there was no significant difference between the proportions of people who completed all 8 lessons in the intervention (47.5%) versus control groups (51.8%) (χ2 = 1.39, p = 0.24). CONCLUSIONS Telephone support improves participants’ registration, program commencement and engagement in early phase of the internet intervention; however, it did not appear to impact on overall course completion or efficacy. CLINICALTRIAL The trial was prospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12619001076167), and the protocol was followed as per the registry. The study was approved by the Human Research Ethics Committee (2019/ETH08682) of St Vincent’s Hospital Sydney, Australia.

scholarly journals An Exploration of the Effectiveness of a Peer-Led Pain Management Program (PAP) for Nursing Home Residents with Chronic Pain and an Evaluation of Their Experiences: A Pilot Randomized Controlled Trial

2020 ◽  
Vol 17 (11) ◽  
pp. 4090
Author(s):  
Mimi Tse ◽  
Yajie Li ◽  
Shuk Kwan Tang ◽  
Shamay S. M. Ng ◽  
Xue Bai ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Randomized Controlled Trial ◽  
Nursing Home ◽  
Pain Management ◽  
Controlled Trial ◽  
Nursing Home Residents ◽  
Management Program ◽  
Randomized Controlled ◽  
Pain Management Program ◽  
Experimental Group

Background: 80% of nursing home residents have reported chronic pain, which is often accepted by older adults as part of aging. Peer support models are being used to help individuals manage their chronic conditions and overcome the challenges of limited healthcare resources. The aims of this study were: (i) to examine the effectiveness of a 12 week peer-led pain management program (PAP) for nursing home residents and (ii) to evaluate their experiences. Methods: A cluster randomized controlled trial (RCT) was used. The 12 week pain management program was provided for the experimental group. Outcomes were measured at three time points. The participants’ satisfaction and acceptance were evaluated by a semi-structured interview after the program was completed. Results: Pain self-efficacy, pain intensity, pain interference, pain knowledge, and depression levels improved after the completion of the 12 week peer-led PAP. The pain-intensity level reported at week 12 was significantly lower in the experimental group than in the control group. Semi-structured interviews showed that the nursing home residents were satisfied with the pain education that they received. Conclusions: The 12 week peer-led PAP appeared to improve the pain-related and psychological outcome measures in nursing home residents, and the feedback on the peer-led PAP from the nursing home residents was positive.

scholarly journals The Effectiveness of a Dyadic Pain Management Program for Community-Dwelling Older Adults with Chronic Pain: A Pilot Randomized Controlled Trial

2020 ◽  
Vol 17 (14) ◽  
pp. 4966
Author(s):  
Ziyan Li ◽  
Mimi Tse ◽  
Angel Tang
Keyword(s):  
Older Adults ◽  
Chronic Pain ◽  
Controlled Trial ◽  
The Elderly ◽  
Management Program ◽  
Community Dwelling ◽  
Control Group ◽  
Pain Management Program ◽  
Community Dwelling Older Adults ◽  
Experimental Group

Background: Chronic pain is a major health problem among older adults and their informal caregivers, which has negative effects on their physical and psychological status. The dyadic pain management program (DPMP) is provided to community-dwelling older adults and informal caregivers to help the dyads reduce pain symptoms, improve the quality of life, develop good exercise habits, as well as cope and break the vicious circle of pain. Methods: A pilot randomized controlled trial was designed and all the dyads were randomly divided into two groups: the DPMP group and control group. Dyads in the DPMP group participated in an 8-week DPMP (4-week face-to-face program and 4-week home-based program), whereas dyads in the control group received one page of simple pain-related information. Results: In total, 64 dyads participated in this study. For baseline comparisons, no significant differences were found between the two groups. After the interventions, the pain score was significantly reduced from 4.25 to 2.57 in the experimental group, respectively. In the repeated measures ANOVA, the differences in pain score (F = 107.787, p < 0.001, d = 0.777) was statistically significant for the group-by-time interaction. After the interventions, the experimental group participants demonstrated significantly higher pain self-efficacy compared with the control group (F = 80.535, p < 0.001, d = 0.722). Furthermore, the elderly increased exercise time significantly (F = 111.212, p < 0.001, d = 0.782) and reported developing good exercise habits. Conclusions: These results provide preliminary support for the effectiveness of a DPMP for relieving the symptoms of chronic pain among the elderly.

Sign in / Sign up

Export Citation Format

Share Document