A systematic review of the outcomes reported in multimodal pain therapy for chronic pain

Abstract

The current lack of standardization of outcome domains in MPT studies hinders to readily compare interventions from different trials and is a barrier towards evidence-based decision making. Based on these results, the development of a core outcome set of domains for MPT has been initiated.

Effects of a self‐guided, web‐based activity programme for patients with persistent musculoskeletal pain in primary healthcare: A randomized controlled trial

“…For persistent low back pain, Kamper et al (2014) found MMR to be superior compared to other conservative treatments for pain and disability. Despite the fact that work is an important part of a person's social context, work-related aspects are seldom evaluated in interventions for persistent pain (Eccleston et al, 2014;Deckert et al, 2015;Heapy et al, 2015). Despite the fact that work is an important part of a person's social context, work-related aspects are seldom evaluated in interventions for persistent pain (Eccleston et al, 2014;Deckert et al, 2015;Heapy et al, 2015).…”

“…At the time of the study, web-based interventions for pain management were rare, and no study involving web-based interventions added to MMR in clinical practice was published (MacEa et al, 2010;Rini et al, 2012;Eccleston et al, 2014). In addition, we chose to perform our study in primary healthcare, since most previous studies on this topic have evaluated MMR at specialized pain clinics (Kamper et al, 2014;Deckert et al, 2015). Considering this lack of information, we wanted to investigate the effects of a self-guided web-based intervention based on cognitive behavioural principles added to MMR.…”

“…Small to no effects were found when MMR was compared to usual care, while moderate positive effects were seen for MMR compared to physical rehabilitation (Kamper et al, 2014). Despite the fact that work is an important part of a person's social context, work-related aspects are seldom evaluated in interventions for persistent pain (Eccleston et al, 2014;Deckert et al, 2015;Heapy et al, 2015). This calls for development of treatment content and further studies evaluating treatment efficacy including work related aspects.…”

“…Considering this lack of information, we wanted to investigate the effects of a self-guided web-based intervention based on cognitive behavioural principles added to MMR. In addition, we chose to perform our study in primary healthcare, since most previous studies on this topic have evaluated MMR at specialized pain clinics (Kamper et al, 2014;Deckert et al, 2015). The aim of the study was to evaluate the effects of a self-guided web-based programme added to MMR treatment on work ability, pain, disability and health-related quality of life.…”

Response to Ruan et al., EJP 2016

“…We would like to thank Ruan et al (2016) for highlighting the increasingly important political issue related to the discussion on effectiveness and efficacy of multimodal pain therapy (MPT) on the basis of the systematic review on outcomes in MPT by Deckert et al (2016). We observe with concerns the current development of MPT programmes in the United States, as they were the cradle of this innovative therapeutic approach.…”