A multicomponent intervention for the management of chronic pain in older adults: study protocol for a randomized controlled trial View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-11-09

AUTHORS

Sheung-Tak Cheng, Ka Long Chan, Rosanna W. L. Lam, Monique H. T. Mok, Phoon Ping Chen, Yu Fat Chow, Joanne W. Y. Chung, Alexander C. B. Law, Jenny S. W. Lee, Edward M. F. Leung, Cindy W. C. Tam

ABSTRACT

BACKGROUND: Studies have shown that physical interventions and psychological methods based on the cognitive behavioral approach are efficacious in alleviating pain and that combining both tends to yield more benefits than either intervention alone. In view of the aging population with chronic pain and the lack of evidence-based pain management programs locally, we developed a multicomponent intervention incorporating physical exercise and cognitive behavioral techniques and examined its long-term effects against treatment as usual (i.e., pain education) in older adults with chronic musculoskeletal pain in Hong Kong. METHODS/DESIGN: We are conducting a double-blind, cluster-randomized controlled trial. A sample of 160 participants aged ≥ 60 years will be recruited from social centers or outpatient clinics and will be randomized on the basis of center/clinic to either the multicomponent intervention or the pain education program. Both interventions consist of ten weekly sessions of 90 minutes each. The primary outcome is pain intensity, and the secondary outcomes include pain interference, pain persistence, pain self-efficacy, pain coping, pain catastrophizing cognitions, health-related quality of life, depressive symptoms, and hip and knee muscle strength. All outcome measures will be collected at baseline, postintervention, and at 3 and 6 months follow-up. Intention-to-treat analysis will be performed using mixed-effects regression to see whether the multicomponent intervention alleviates pain intensity and associated outcomes over and above the effects of pain education (i.e., a treatment × time intervention effect). DISCUSSION: Because the activities included in the multicomponent intervention were carefully selected for ready implementation by allied health professionals in general, the results of this study, if positive, will make available an efficacious, nonpharmacological pain management program that can be widely adopted in clinical and social service settings and will hence improve older people's access to pain management services. TRIAL REGISTRATION: Chinese Clinical Trial Registry, ChiCTR-IIR-16008387. Registered on 28 April 2016. More... »

PAGES

528

Journal

TITLE

Trials

ISSUE

1

VOLUME

18

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s13063-017-2270-3

DOI

http://dx.doi.org/10.1186/s13063-017-2270-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1092617732

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29121961


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29 schema:description BACKGROUND: Studies have shown that physical interventions and psychological methods based on the cognitive behavioral approach are efficacious in alleviating pain and that combining both tends to yield more benefits than either intervention alone. In view of the aging population with chronic pain and the lack of evidence-based pain management programs locally, we developed a multicomponent intervention incorporating physical exercise and cognitive behavioral techniques and examined its long-term effects against treatment as usual (i.e., pain education) in older adults with chronic musculoskeletal pain in Hong Kong. METHODS/DESIGN: We are conducting a double-blind, cluster-randomized controlled trial. A sample of 160 participants aged ≥ 60 years will be recruited from social centers or outpatient clinics and will be randomized on the basis of center/clinic to either the multicomponent intervention or the pain education program. Both interventions consist of ten weekly sessions of 90 minutes each. The primary outcome is pain intensity, and the secondary outcomes include pain interference, pain persistence, pain self-efficacy, pain coping, pain catastrophizing cognitions, health-related quality of life, depressive symptoms, and hip and knee muscle strength. All outcome measures will be collected at baseline, postintervention, and at 3 and 6 months follow-up. Intention-to-treat analysis will be performed using mixed-effects regression to see whether the multicomponent intervention alleviates pain intensity and associated outcomes over and above the effects of pain education (i.e., a treatment × time intervention effect). DISCUSSION: Because the activities included in the multicomponent intervention were carefully selected for ready implementation by allied health professionals in general, the results of this study, if positive, will make available an efficacious, nonpharmacological pain management program that can be widely adopted in clinical and social service settings and will hence improve older people's access to pain management services. TRIAL REGISTRATION: Chinese Clinical Trial Registry, ChiCTR-IIR-16008387. Registered on 28 April 2016.
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37 Chinese Clinical Trial Registry
38 Clinical Trials Registry
39 Hong Kong
40 Kong
41 Secondary outcomes
42 Trials Registry
43 access
44 activity
45 adults
46 allied health professionals
47 analysis
48 approach
49 baseline
50 basis
51 behavioral approach
52 behavioral techniques
53 benefits
54 center
55 centers/clinics
56 chronic musculoskeletal pain
57 chronic pain
58 clinic
59 cognition
60 cognitive-behavioral approach
61 cognitive-behavioral techniques
62 coping
63 depressive symptoms
64 education
65 education programs
66 effect
67 evidence-based pain management programs
68 exercise
69 health professionals
70 health-related quality
71 hip
72 implementation
73 intensity
74 intention
75 interference
76 intervention
77 lack
78 life
79 long-term effects
80 management
81 management program
82 management services
83 measures
84 method
85 minutes
86 mixed-effects regression
87 months
88 more benefits
89 multicomponent intervention
90 muscle strength
91 musculoskeletal pain
92 nonpharmacological pain management program
93 older adults
94 older people's access
95 outcome measures
96 outcomes
97 outpatient clinic
98 pain
99 pain coping
100 pain education
101 pain education program
102 pain intensity
103 pain interference
104 pain management program
105 pain management services
106 pain persistence
107 participants
108 people's access
109 persistence
110 physical exercise
111 physical interventions
112 population
113 postintervention
114 primary outcome
115 professionals
116 program
117 protocol
118 psychological methods
119 quality
120 ready implementation
121 registry
122 regression
123 results
124 samples
125 service settings
126 services
127 sessions
128 setting
129 social centers
130 social service settings
131 strength
132 study
133 symptoms
134 technique
135 treat analysis
136 treatment
137 trials
138 view
139 weekly sessions
140 years
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