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. Lau, 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

BackgroundStudies 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/designWe 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).DiscussionBecause 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 registrationChinese 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 BackgroundStudies 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/designWe 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).DiscussionBecause 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 registrationChinese Clinical Trial Registry, ChiCTR-IIR-16008387. Registered on 28 April 2016.
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37 ChiCTR-IIR-16008387
38 Clinical Trials Registry
39 DesignWe
40 Hong Kong
41 Kong
42 Methods/designWe
43 Secondary outcomes
44 Trial registrationChinese Clinical Trial Registry
45 Trials Registry
46 access
47 activity
48 adults
49 allied health professionals
50 analysis
51 approach
52 baseline
53 basis
54 behavioral approach
55 behavioral techniques
56 benefits
57 center
58 centers/clinics
59 chronic musculoskeletal pain
60 chronic pain
61 clinic
62 cognition
63 cognitive-behavioral approach
64 cognitive-behavioral techniques
65 coping
66 depressive symptoms
67 education
68 education programs
69 effect
70 evidence-based pain management programs
71 exercise
72 health professionals
73 health-related quality
74 hip
75 implementation
76 intensity
77 intention
78 interference
79 intervention
80 lack
81 life
82 long-term effects
83 management
84 management program
85 management services
86 measures
87 method
88 minutes
89 mixed-effects regression
90 months
91 more benefits
92 multicomponent intervention
93 muscle strength
94 musculoskeletal pain
95 nonpharmacological pain management program
96 older adults
97 older people's access
98 outcome measures
99 outcomes
100 outpatient clinic
101 pain
102 pain coping
103 pain education
104 pain education program
105 pain intensity
106 pain interference
107 pain management program
108 pain management services
109 pain persistence
110 participants
111 people's access
112 persistence
113 physical exercise
114 physical interventions
115 population
116 postintervention
117 primary outcome
118 professionals
119 program
120 protocol
121 psychological methods
122 quality
123 ready implementation
124 registrationChinese Clinical Trial Registry
125 registry
126 regression
127 results
128 samples
129 service settings
130 services
131 sessions
132 setting
133 social centers
134 social service settings
135 strength
136 study
137 symptoms
138 technique
139 treat analysis
140 treatment
141 trials
142 view
143 weekly sessions
144 years
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