The Effectiveness of Individual Placement and Support in Chronic Pain Patients

Not Applicable

Completed

• Conditions: Chronic Pain
• Interventions: Behavioral: Self-help; Behavioral: IPS; Behavioral: Treatment as usual

• Registration Number: NCT02697656
• Lead Sponsor: Oslo University Hospital

Brief Summary

Individual Placement and support (IPS) is an evidence-based approach originally developed to help people with severe mental disorders to obtain and maintain employment. The effectiveness of IPS for patients with severe mental illness is well documented, but has never previously been tested for patients with chronic pain. In fact, employment support is rarely provided in pain clinics, despite an increasing focus on integrating work and health in all patient treatment (OECD, 2013). The aim of this study is to investigate the effectiveness of IPS as an integrated part of the interdisciplinary treatment for patients with chronic pain in a hospital outpatient clinic.

Detailed Description

Individual Placement and support (IPS) is an evidence-based approach originally developed to help people with severe mental disorders to obtain and maintain employment. IPS represents a relatively new approach to vocational rehabilitation and incorporates following principles: (1) Every person that wants to work, can work given that the person is provided with the appropriate work and environment. (2)The goal is employment in regular, competitive employment. (3) IPS is integrated with treatment. (4) Job search is individualised; based on the participants' preferences and competence. (5) Work incentives planning is provided; which includes counselling about how work can influence social security and other public benefits. The intention of this benefits counselling is to enable the participant to make informed decisions about work (job starts and changes). (6) The job support is not time-limited. (7) Finally, IPS differs from more traditional employment services in that it does not involve pre-vocational training, often referred to as "train, then place". (8) In IPS job search starts as soon as the client expresses an interest in work. Therefore, IPS follows the principle "place, then train".

The effectiveness of IPS for patients with severe mental illness is well documented. International research shows that IPS is more effective than other types of employment programs for this group of clients. However, the effect of IPS on patients with chronic pain in an outpatient hospital clinic is largely unknown.

Study Timeline

• Study Start: 2015-11
• Study First Submitted: 2016-01-18
• Study First Submitted QC: 2016-02-26
• Study First Posted: 2016-03-03
• Primary Completion: 2020-12
• Study Completion: 2020-12
• Status Verified: 2021-06
• Last Update Submitted: 2021-06-08
• Last Update Posted: 2021-06-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 65

Inclusion Criteria

• Patients referred to the pain clinic and eligible for interdisciplinary treatment
• Not currently working (long-term sick leave, disability pension or unemployed)
• Expressed desire to work

Exclusion Criteria

• Living too far away from the pain clinic (outside of Oslo)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Treatment as usual + self-help	Self-help	Interdisciplinary treatment as usual at the outpatient pain clinic + an additional self-help binder with resources about pain management and employment advice.
Treatment as usual + self-help	Treatment as usual	Interdisciplinary treatment as usual at the outpatient pain clinic + an additional self-help binder with resources about pain management and employment advice.
Treatment as usual + IPS	Treatment as usual	Individual job support (IPS) as an integrated part of the interdisciplinary treatment at the outpatient pain clinic.
Treatment as usual + IPS	IPS	Individual job support (IPS) as an integrated part of the interdisciplinary treatment at the outpatient pain clinic.

Primary Outcome Measures

Name	Time	Method
Competitive employment	At 12-months follow-up	Hours/days/weeks worked in competitive employment the last 12 months

Secondary Outcome Measures

Name	Time	Method
Pain intensity	6 and 12 months follow-up	Numeric Rating Scale
Health-related quality of life	6 and 12 months follow-up	EQ5D termometer
Pain-related disability	6 and 12 months follow-up	Oswestry, modified to chronic pain patients

Trial Locations

Locations (1)

Silje Endresen Reme; 🇳🇴 Oslo, Norway