Brief-Illness Perception Questionnaire (Brief-IPQ) Used as Prediction of Outcome in Patients With Chronic Non-malignant Pain After Six Months of Treatment in a Multidicsiplinary Pain Clinic.
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 主要终点
- Changes in Brief-IPQ before and after six months of treatment in a multidisciplinary pain clinic
研究概览
简要总结
We wish to clarify whether we can demonstrate a correlation between scores in Brief-IPQ and the effect of treatment in patients referred to our department, Interdisciplinary Pain Center Zealand University Hospital Koege, Denmark. The purpose is to outline whether we can use Brief-IPQ with Chronic Pain disorders and thereby detect those of our referred patients who are at risk for poor treatment response in an early state. In these cases, we can offer psychological intervention at the beginning of the course of treatment, in order to optimize the conditions for patients and achieve an optimal treatment effect.
详细描述
Chronic pain conditions are frequent in the danish population. More than 1.2 million Danes over the age of 16 are living with chronic pain. Chronic pain affects the health-related quality of life and functioning and is associated with reduced work ability, lost earnings and disability. At the Interdisciplinary Pain Center Zealand University Hospital Koege, Denmark, patients with chronic pain are received and treated based on the Bio-Psycho-Social Pain Model. The treatment of patients with complex chronic non-malignant pain can be complicated by psychological and / or social factors. The need for a screening of psychological factors in connection with the examination and planning of the pain management in the Interdisciplinary Pain Center is obvious as the patient's perception of illness and expectation of treatment have been shown to play a role in the treatment response. The Brief Illness Perception Questionnaire (Brief-IPQ) provides a quick assessment of the patient's disease perception and expectation of treatment and has proved useful in clinical practice. In this study, a Danish version of Brief-IPQ is used, which initially was taken from https://www.uib.no. Items as stated in research by L. van Oort et al (2011) have been adapted to the Danish version. A copy of the latest version can be obtained from Interdisciplinary Pain Center Zealand University Hospital Koege, Denmark.
The Study:
The study is designed as a prospective observational study of the correlation between Brief-IPQ and pain-related and demographic data in patients referred to Interdisciplinary Pain Center Zealand University Hospital Køge, Denmark. Brief IPQ and PainData (which is a database which records the well-being of Danish pain patients and operated by "Danske Regioner" and Odense University Hospital) is measured at the start of treatment and after 6 months. They will consists of items such as; Married or cohabitant, Vocational training, Educational length, Occupational status. There will furthermore be an assessment of pain type such as; nociceptive / neurogenic / generalized / visceral / other as well as the duration of symptoms and treatment with opioids: +/-, equipotent daily doses. Additionally we focus on Pain intensity (NRS) from Paindata, Psychological profile (from Paindata): anxiety, depression, stress, fear-avoidance, self-efficacy and the following changes before and after six months of treatment:
Inclusion:
All patients referred to Interdisciplinary Pain Center Zealand University Hospital Koege, Denmark and start the treatment from the start date of the study can be included in the study provided:
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 120 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age 18 years old or older
- •speak and understand written danish sufficiently to participate in the study.
排除标准
- •Patients who have insufficient cognitive abilities to answer the questions in Brief-IPQ and PainDATA. Patients who dont want to participate in the study. Patients who answer the questions in Brief-IPQ and PainDATA incompletly.
结局指标
主要结局
Changes in Brief-IPQ before and after six months of treatment in a multidisciplinary pain clinic
时间窗: six months
The changes will be correlated to the following variables: pain intensity, use of opioids and self reported symptoms related to anxiety, depression, stress, fear-avoidence and self-efficacy.
次要结局
- Influence of demographic factors on Brief-IPQ score(During the enrollment. Will be blinded to the investigators untill after the collection of data)