Individually Tailored Web-based Multimodal Pain Rehabilitation in Primary Health Care
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Musculoskeletal Pain |
Behavioral: Web-based multimodal rehabilitation based on cognitive based principles |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Individually Tailored Web-based Multimodal Pain Rehabilitation in Primary Health Care |
- Work ability [ Time Frame: 4 month ] [ Designated as safety issue: No ]
- Pain rating [ Time Frame: 12 month ] [ Designated as safety issue: No ]Pain-rating is measured on a visual analog-scale
- Self-efficacy in relation to workability [ Time Frame: 12 month ] [ Designated as safety issue: No ]Self-efficacy in relation to work-ability is measured by a questionnarie
- General health [ Time Frame: 12 month ] [ Designated as safety issue: No ]General health is measured with SF-36 and EQ-5D.
- Functional status [ Time Frame: 12 month ] [ Designated as safety issue: No ]Functional status is measured with Pain disability index.
| Estimated Enrollment: | 200 |
| Study Start Date: | October 2011 |
| Estimated Study Completion Date: | June 2013 |
| Estimated Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: Multimodal rehabilitation
The arm intervention is just multimodal rehabilitation.
|
Behavioral: Web-based multimodal rehabilitation based on cognitive based principles
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).
|
Eligibility| Ages Eligible for Study: | 18 Years to 63 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
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
Contacts and Locations| Contact: Peter Michaelson, PhD | +46-727294981 | peter.michaelson@ltu.se |
| Sweden | |
| Primary health care centers in Norrbotten county council | Recruiting |
| Luleå, Norrbotten, Sweden | |
| Contact: Margareta Eriksson, PhD margareta.eriksson@nll.se | |
| Principal Investigator: | Gunvor Gard, Professor | Luleå University of Technology |
More Information
No publications provided
| Responsible Party: | Peter Michaelson, Senior lecturer, Luleå Tekniska Universitet |
| ClinicalTrials.gov Identifier: | NCT01475591 History of Changes |
| Other Study ID Numbers: | REHSAM_NLL_LTU |
| Study First Received: | November 1, 2011 |
| Last Updated: | March 4, 2013 |
| Health Authority: | Sweden: Regional Ethical Review Board |
Keywords provided by Luleå Tekniska Universitet:
|
persistent neuromusculoskeletal pain neck shoulder back-area |
risk longlasting pain syndrome |
ClinicalTrials.gov processed this record on May 19, 2013