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Effect of an Interdisciplinary Outpatient Pain Management Program (IOPP) for chronic pain patients with and without migration background: a prospective, observational clinical study


Scascighini, L; Litschi, M; Walti, M; Sprott, H (2011). Effect of an Interdisciplinary Outpatient Pain Management Program (IOPP) for chronic pain patients with and without migration background: a prospective, observational clinical study. Pain Medicine, 12(5):706-716.

Abstract

Objectives. Short and long-term effects of an interdisciplinary outpatient pain program (IOPP) in terms of quality of life, coping strategies, experiencing of pain and pain intensity as well as the influence of age, gender or migration background.

Design. Single, prospective cohort with assessments at baseline, post-treatment and 3, 6, 12 months follow-ups.
Patients. 175 patients with chronic, non-malignant pain syndromes (32.1% male and 67.9% female; age 43 years±9.6).
Intervention. Multi-professional, bio-psychosocial-oriented pain program for the duration of eight weeks.

Outcomes. 1) Pain intensity, 2) Pain Disability Index (PDI-G), 3) cognitive and behavioral coping strategies (FESV), 4) Marburger questionnaire about habitual subjective well-being and 5) processing of chronic pain (VEV). The migration background was considered to determine whether this variable influences the clinical outcomes.

Results. All mentioned variables, except pain intensity, improved significantly after the program (p<0.05); whereas, after the one-year follow-up, most of the parameters returned to the baseline values. Solely the subscale “pain related psychological strain” remained significantly better compared to baseline (p<0.05). The variable “migration background” influenced the outcomes PDI-G, habitual well-being, and FESV (p<0.001; variance of 16.7% (95% CI [7.8-25.5])). After 12 months, 49.4% showed an improvement in regard to the VEV outcome measurement, 22.6% showed no changes, and 28% showed worsening of the symptoms. Gender and age do not influence the results at 12 months (p=0.408; p=0.964).

Conclusion. This study provides evidence for the short-term effect of the IOPP in chronic pain patients as well as the long-term effect for the variable “pain-related psychological strain”.

Objectives. Short and long-term effects of an interdisciplinary outpatient pain program (IOPP) in terms of quality of life, coping strategies, experiencing of pain and pain intensity as well as the influence of age, gender or migration background.

Design. Single, prospective cohort with assessments at baseline, post-treatment and 3, 6, 12 months follow-ups.
Patients. 175 patients with chronic, non-malignant pain syndromes (32.1% male and 67.9% female; age 43 years±9.6).
Intervention. Multi-professional, bio-psychosocial-oriented pain program for the duration of eight weeks.

Outcomes. 1) Pain intensity, 2) Pain Disability Index (PDI-G), 3) cognitive and behavioral coping strategies (FESV), 4) Marburger questionnaire about habitual subjective well-being and 5) processing of chronic pain (VEV). The migration background was considered to determine whether this variable influences the clinical outcomes.

Results. All mentioned variables, except pain intensity, improved significantly after the program (p<0.05); whereas, after the one-year follow-up, most of the parameters returned to the baseline values. Solely the subscale “pain related psychological strain” remained significantly better compared to baseline (p<0.05). The variable “migration background” influenced the outcomes PDI-G, habitual well-being, and FESV (p<0.001; variance of 16.7% (95% CI [7.8-25.5])). After 12 months, 49.4% showed an improvement in regard to the VEV outcome measurement, 22.6% showed no changes, and 28% showed worsening of the symptoms. Gender and age do not influence the results at 12 months (p=0.408; p=0.964).

Conclusion. This study provides evidence for the short-term effect of the IOPP in chronic pain patients as well as the long-term effect for the variable “pain-related psychological strain”.

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8 citations in Web of Science®
10 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Rheumatology Clinic and Institute of Physical Medicine
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2011
Deposited On:13 Apr 2011 12:26
Last Modified:05 Apr 2016 14:54
Publisher:Wiley-Blackwell
ISSN:1526-2375
Publisher DOI:10.1111/j.1526-4637.2011.01085.x
PubMed ID:21463468
Permanent URL: http://doi.org/10.5167/uzh-47889

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