A Clinical Trial of a Psycho-educational Intervention to Improve Pain Management After Day Surgery

Not Applicable

Completed

• Conditions: Chronic Pain; Postoperative Pain
• Interventions: Behavioral: psychoeducational

• Registration Number: NCT01595035
• Lead Sponsor: Oslo Metropolitan University

Brief Summary

Evidence indicates that postoperative pain after day surgery is inadequately controlled. Patients have different experiences and knowledge about how to deal with pain, and the need for information and clarification may vary. The aim of this study is to enhance pain management by academic detailing (patients' current knowledge and motivations are the basis for information) and nurse coaching (frequent and individualized support). The study consists of 4 phases; (1) a pilot study about patients experience with pain after surgery by a structured telephone interview; (2) development of an intervention to improve pain management; (3) implement and evaluate the intervention; (4) evaluate the incidence of chronic pain after day surgery. Even if patients are prescribed sufficient doses of analgesics, pain relief is dependent on patients' adherence with the analgesic regimen. Psychological factors, such as catastrophizing may also contribute to patients' experience of postoperative pain. Strategies that may be more effective than general information concerning surgery and pain management is academic detailing and nurse coaching, and will be used as frame for the intervention.

Hypothesis:

Over the seven days after surgery patients in the intervention group report;

* higher adherence with the analgesic regimen,

* have less pain intensity and pain interference with function and

* lower severity of side effects compared to the control group.

Detailed Description

Not available

Study Timeline

• Study Start: 2012-05
• Study First Submitted: 2012-05-07
• Study First Submitted QC: 2012-05-08
• Study First Posted: 2012-05-09
• Primary Completion: 2020-02
• Status Verified: 2021-02
• Study Completion: 2021-02
• Last Update Submitted: 2021-03-01
• Last Update Posted: 2021-03-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

• > 18 years of age;
• able, to read, write, and understand Norwegian;
• are scheduled for orthopedic (shoulder, bunnies), or breast reconstruction surgery and
• have a telephone line.

Exclusion Criteria

• Staying overnight in hospital

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
counselling	psychoeducational	Patients who receive the Pain booklet and support by telephone

Primary Outcome Measures

Name	Time	Method
Average pain intensity	1 week	Brief Pain Inventory

Secondary Outcome Measures

Name	Time	Method
The relationships between pain sensitivity, catastrophizing, perceived barriers to pain management and adherence to analgesics and pain intensity.	1,2,3,7 day after surgery
Pain occurence	3 and 6 month after surgery	Brief Pain Inventory

Trial Locations

Locations (1)

Oslo and Akershus University College of Apllied Sciences; 🇳🇴 Oslo, Norway