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Related Experiment Videos

A randomised control trial evaluating in- and outpatient pain management programmes.

Janet L Peters1, Robert G Large

  • 1Department of Psychiatry and Behavioural Science, University of Auckland, and Pain Clinic, Auckland Hospital, Auckland, New Zealand.

Pain
|June 1, 1990
PubMed
Summary

Multidisciplinary pain management programmes, both inpatient and outpatient, significantly improved patient outcomes compared to a control group. These programmes effectively reduced psychological distress, pain behaviors, disability, and pain intensity.

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Area of Science:

  • Pain Medicine
  • Clinical Psychology
  • Rehabilitation

Background:

  • Chronic pain affects millions globally, necessitating effective management strategies.
  • Multidisciplinary pain management programmes (MPMPs) are recognized for their comprehensive approach.
  • Comparing inpatient versus outpatient MPMPs is crucial for optimizing treatment delivery.

Purpose of the Study:

  • To evaluate the clinical efficacy of inpatient and outpatient multidisciplinary pain management programmes.
  • To compare the outcomes of these programmes against a control group receiving standard care.
  • To identify differences in treatment effectiveness between inpatient and outpatient settings.

Main Methods:

  • Randomized controlled trial design involving three groups: inpatient MPMP, outpatient MPMP, and a control group.

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  • Standardized physical examinations and psychosocial assessments were conducted.
  • Pre- and post-treatment measurements included self-report, behavioral, and physiological assessments.

    • Main Results:

    • Both inpatient and outpatient MPMPs demonstrated significant improvements compared to the control group.
    • Key improvements were observed in psychological distress, pain behaviors, health-related disability, and pain intensity post-physical exertion.
    • Minimal differences were noted in other measured outcomes between the treatment groups and the control.

    Conclusions:

    • Multidisciplinary pain management programmes, whether inpatient or outpatient, offer significant clinical benefits for patients with pain.
    • These programmes effectively address multiple dimensions of pain, including psychological and functional aspects.
    • Further research should consider the practical challenges of conducting clinical trials in pain management populations.