Redesign of Everyday Activities and Lifestyle With Occupational Therapy for Chronic Pain Patients

Summary

About 20-30% of the Danish population suffers from chronic non-malignant pain. Current evidence suggests that a bio-psychosocial treatment delivered by multidisciplinary teams is the most effective treatment of chronic non-malignant pain. However, the evidence is still missing on the optimal multimodal treatment combination as well as the additional effect of specific treatment modalities.

A lifestyle-focused intervention is considered to be a relevant supplement to the multidisciplinary treatment of chronic non-malignant pain. Occupational therapy (OT) has previously demonstrated effectiveness in changing the lifestyle of adults through a holistic, systems-based approach. To our knowledge, the method has not previously been approved as a part of the multidisciplinary treatment of adults with chronic non-malignant pain.

The aim of this study is to evaluate the feasibility of the lifestyle-oriented OT intervention added to the current treatment for adults with chronic non-malignant pain, to inform the design and conduct of the future RCT.

Conditions

• Chronic Pain

Interventions

BEHAVIORAL

Lifestyle-oriented Occupational Therapy added to current treatment of chronic non-malignant pain

The participants are recruited from the outpatient cohort admitted at The Multidisciplinary Pain Center (MPC) at Naestved Hospital (Zealand Region, Denmark). The participants receive both, the current treatment based on Cognitive Behavioural Therapy (CBT) and delivered by physicians, nurses, physical therapists and a social worker as usual care, and a lifestyle-oriented Occupational Therapy intervention. The Occupational Therapy intervention targets meaningful daily occupations, physical activity, and eating habits and routines. The intervention is delivered by graduated occupational therapists once á week during the 15 weeks after the initial 5-weeks compulsory psychoeducation course at the MPC. The intervention contains in-person contacts with OTs every other week (e.g. two 1-hour individual sessions at the hospital and/ or at-home and five 2-hours group sessions) and seven phone consultations in the opposite weeks.

Sponsors & Collaborators

• University of Southern Denmark

  collaborator OTHER

• Danish Association of Occupational Therapist

  collaborator OTHER

• Region Zealand

  collaborator OTHER

• Odense University Hospital

  collaborator OTHER

• Slagelse Hospital

  lead OTHER

Principal Investigators

• Jeanette R. Christensen, OT, PhD · Department of Public Health, University of Southern Denmark

• Soeren T. Skou, PT, PhD · Slagelse Hosp.; Dept. of Sports Science & Clin. Biomechanics, Univ. of South. DK

Study Design

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Max Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-04-15

Primary Completion

2021-08-01

Completion

2021-09-15

Countries

• Denmark

Study Locations