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https://hdl.handle.net/2440/103523
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Type: | Journal article |
Title: | Does a brief educational session produce positive change for individuals waiting for tertiary chronic pain services? |
Author: | Burke, A. Denson, L. Mathias, J. |
Citation: | Pain Medicine, 2016; 17(12):2203-2217 |
Publisher: | Oxford University Press (OUP) |
Issue Date: | 2016 |
ISSN: | 1526-2375 1526-4637 |
Statement of Responsibility: | Anne L. J. Burke, Linley A. Denson, and Jane L. Mathias |
Abstract: | Objectives. To examine: 1) whether a single brief pre-clinic educational session improved the well-being and quality of life of individuals entering the wait-list for a tertiary chronic pain (CP) service; and 2) the impact of waiting for services on these outcomes. Methods. Participants were 346 adults, with basic English skills and non-urgent triage codes, who were recruited on referral to a tertiary Australian metropolitan CP unit. Participants were randomized across two conditions: "treatment as usual" (normal wait-list) and "experimental" (normal wait-list plus a 3-hour CP educational session). The educational session encouraged self-management and life engagement despite pain. Multiple outcomes (pain acceptance, pain-related interference, psychological distress, health care utilization [frequency, types], quality of life, health knowledge/beliefs), as well as pain severity and symptom exaggeration, were assessed at intake and again at 2 weeks and 6 months post-educational session (or equivalent for the wait-list group). Results. Satisfaction with the educational session was moderate-to-high, but attendance was not associated with improved outcomes. At 2 weeks, all study participants reported significant improvements in pain acceptance (willingness, overall acceptance), health care utilization (frequency) and quality of life (physical), which were maintained/enhanced at 6 months. Use of psychological and physical therapies increased significantly by 6 months. There was no functional deterioration while wait-listed. Conclusions. Attending a brief pre-clinic education session did not improve function. There was no deterioration in wait-listed participants who agreed to be involved in research and who completed study measures at 2 and 6 months, but referral was associated with short-term functional improvements. This is the first study to link positive change with referral to, rather than treatment by, a tertiary CP service. |
Keywords: | Chronic Pain Pre-Clinic Education Waiting-List Pain Acceptance |
Description: | Published: 08 June 2016 |
Rights: | © 2016 American Academy of Pain Medicine. All rights reserved. |
DOI: | 10.1093/pm/pnw125 |
Published version: | http://dx.doi.org/10.1093/pm/pnw125 |
Appears in Collections: | Aurora harvest 7 Psychology publications |
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