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

Calner, Tommy; Nordin, Catharina; Eriksson, Margareta; Nyberg, Lars; Gard, Gunvor; Michaelson, Peter

doi:10.1002/ejp.1012

Cited by 28 publications

(70 citation statements)

References 40 publications

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“…The improvement on the VAS score at six months of Hansson et al (2010) was significantly different between intervention and control groups (20%) [ 75 ]. In the other four studies (80%), HRQoL was not different between the groups at three, four, or twelve months, as measured with the RAND-36, Short Form-36, and EQ-5D questionnaires [ 70 , 72 , 73 , 76 ].…”

Section: Resultsmentioning

confidence: 98%

“…An overview of the included interventions is presented in Table 2 . Of the 34 included, 21 consisted of a collaboration of HCPs within primary care [ 25 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 ]. Examples of these were collaborations between therapists (TH) and nurse practitioners (NP) or more extensive collaborations between physicians/physiatrists (PH), psychologists (PSY), and various THs.…”

Section: Resultsmentioning

confidence: 99%

“…The most frequently presented outcome measure among randomized trial designs was pain intensity (five studies [ 70 , 71 , 72 , 73 , 74 ]). For Helminen et al, the maximum follow-up time was three months, resulting in a non-significant difference between intervention and control groups [ 73 ].…”

Section: Resultsmentioning

confidence: 99%

“…For Helminen et al, the maximum follow-up time was three months, resulting in a non-significant difference between intervention and control groups [ 73 ]. Four studies reported outcomes at one-year follow-up: two reported a significant improvement (50%) [ 71 , 72 ], while two reported no significant improvement (50%) [ 70 , 74 ]. Pain intensity scores were measured with the 100-mm Visual Analogue Scale (VAS), the Chronic Pain Grade Severity subscale, or the 0–10 numerical pain rating scale (NPRS).…”

Section: Resultsmentioning

confidence: 99%

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Interdisciplinary Care Networks in Rehabilitation Care for Patients with Chronic Musculoskeletal Pain: A Systematic Review

Lamper

Beckers

Kroese

et al. 2021

JCM

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This systematic review aims to identify what rehabilitation care networks, within primary care or between primary and other health care settings, have been described for patients with chronic musculoskeletal pain, and what their impact is on the Quadruple Aim outcomes (health; health care costs; quality of care experienced by patients; work satisfaction for health care professionals). Studies published between 1 January 1994 and 11 April 2019 were identified in PubMed, CINAHL, Web of Science, and PsycInfo. Forty-nine articles represented 34 interventions: 21 within primary care; 6 between primary and secondary/tertiary care; 1 in primary care and between primary and secondary/tertiary care; 2 between primary and social care; 2 between primary, secondary/tertiary, and social care; and 2 between primary and community care. Results on impact were presented in 19 randomized trials, 12 non-randomized studies, and seven qualitative studies. In conclusion, there is a wide variety of content, collaboration, and evaluation methods of interventions. It seems that patient-centered interdisciplinary interventions are more effective than usual care. Further initiatives should be performed for interdisciplinary interventions within and across health care settings and evaluated with mixed methods on all Quadruple Aim outcomes.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Interdisciplinary Care Networks in Rehabilitation Care for Patients with Chronic Musculoskeletal Pain: A Systematic Review

Lamper

Beckers

Kroese

et al. 2021

JCM

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“…With improved knowledge, patients can, in their turn, provide improved information to their employers, co-workers and relatives, who may also need stroke-related information (10,21). Brochures and e-health tools (28) can be developed to inform employers, relatives and other stakeholders about the consequences of stroke. Relevant information can be given to employers at re-activation meetings, and relatives can be informed at structured follow-ups.…”

Section: Journal Of Rehabilitation Medicinementioning

confidence: 99%

Need for structured healthcare organization and support for return to work after stroke in Sweden: Experiences of stroke survivors

Gard¹,

Pessah‐Rasmussen²,

Brogårdh³

et al. 2019

J Rehabil Med

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To be able to return to work after stroke is important for health and well-being and participation in society. In this qualitative study, 20 stroke survivors were interviewed in focus groups about their experiences of healthcare-related facilitators and barriers. Perceived facilitating factors were a tailored rehabilitation content and a structured stepwise return-to-work process. A lack of sufficient early healthcare information, rehabilitation planning and coordination were perceived as barriers. An early rehabilitation plan, a contact person, and improved communication between rehabilitation actors were requested, as well as help with work transport, home care, children and psychosocial support for families. These aspects should be considered in order to improve the return-to-work process after stroke. Objective: To explore stroke survivors' experiences of healthcare-related facilitators and barriers concerning return to work after stroke. Design: A qualitative study. Setting: Outpatient stroke rehabilitation unit at a University Hospital in southern Sweden. Participants: A convenience sample of 20 persons admitted to Skåne University Hospital for acute stroke care (median age 52 years), in employment of at least 10 h per week at stroke onset and been referred to stroke rehabilitation within 180 days. Methods: The interviews were performed by focus groups, and the data were analysed by content analysis. Results: Facilitating factors were a tailored rehabilitation content with relevant treatments, adequate timing and a structured stepwise return-to-work process. A lack of sufficient early healthcare information, rehabilitation planning and coordination were perceived as barriers. An early rehabilitation plan, a contact person, and improved communication between rehabilitation actors were requested, as well as help with work transport, home care, children and psychosocial support for families. Conclusion: Tailored rehabilitation content and a structured stepwise return-to-work process facilitated return to work. Insufficient structure within the healthcare system and lack of support in daily life were perceived barriers to return to work, and need to be improved. These aspects should be considered in the return-to-work process after stroke.

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Multidisciplinary management of persistent pain in primary care—A systematic review

Huttunen,

Paananen,

Miettunen

et al. 2024

European Journal of Pain

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Background and ObjectiveA multidisciplinary approach is the gold standard in the management of persistent pain and is current practice in tertiary pain clinics. However, such approaches seem to be a rarity in primary care, although pain is the most common reason for visiting a primary care physician. A comprehensive systematic review was conducted to explore whether studies on multidisciplinary management programs for persistent pain exist in primary care.Databases and Data TreatmentPubMed, Ovid MEDLINE, Scopus, CINAHL, and PsychINFO were searched from inception to October 2022, and supplementary research was conducted in June 2023. Screening, data extraction, and quality assessment were independently carried out by two researchers. The inclusion criteria were (1) adult patients (age >18 years); (2) non‐cancer pain, persisting over 3 months; (3) multidisciplinary intervention (treatment included ≥3 heathcare professionals); (4) intervention conducted in a primary care setting; and (5) reports published in English.ResultsOf the 1250 initially identified studies, 17 were selected for final analysis. Only studies reporting empirical data were included (cohort, case–control, randomized controlled trial, and observational). The study settings and intervention characteristics showed great heterogeneity. The primary care practices also varied across different countries and cultures. Overall, the quality of the studies was rather low and sample sizes were relatively small.ConclusionsThe review revealed that studies about such treatment interventions for persistent pain patients are scarce. The existing studies were heterogeneous in terms of intervention characteristics, population, outcome variables, and study methodology. Future studies are urgently needed.SignificancePersistent pain is a growing challenge to the health care system, and most patients are treated in primary care. The biopsychosocial concept is the basis for the multidisciplinary management of pain. The review revealed that studies about treatment interventions for persistent pain patients are scarce. Existing studies were heterogeneous in terms of intervention characteristics, population, outcome variables, and study methodology. There is an urgent need for further studies on systematic multidisciplinary treatment protocols for managing persistent pain in primary care.

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

Cited by 28 publications

References 40 publications

Interdisciplinary Care Networks in Rehabilitation Care for Patients with Chronic Musculoskeletal Pain: A Systematic Review

Interdisciplinary Care Networks in Rehabilitation Care for Patients with Chronic Musculoskeletal Pain: A Systematic Review

Need for structured healthcare organization and support for return to work after stroke in Sweden: Experiences of stroke survivors

Multidisciplinary management of persistent pain in primary care—A systematic review

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