Comprehensive Pain Program outcomes evaluation: a preliminary study in Hawai'i

Area of Science:

• Pain Management
• Psychosocial Interventions
• Public Health

Background:

• Chronic pain negatively impacts quality of life, function, and resource utilization.
• Biopsychosocial interventions aim to address multifaceted aspects of chronic pain.
• Social isolation and depression are significant contributors to poor chronic pain outcomes.

Purpose of the Study:

• To conduct a preliminary outcome evaluation of the Comprehensive Pain Program (CPP).
• To assess the effectiveness of a biopsychosocial intervention for chronic pain patients in Hawai'i.

Main Methods:

• The CPP includes pre-treatment screening and a 12-week Intensive Outpatient Program (IOP).
• The IOP integrates group psychotherapy, acupuncture, mind/body training, and therapeutic movement.
• Thirty-five participants across five cohorts completed the 12-week IOP (3 sessions/week, 3 hours/session).

Main Results:

• Statistically significant decreases in somatization, depression, and anxiety were observed post-treatment.
• Significant improvements in quality of life and functional capacity were reported by patients.
• Substantial reductions in healthcare resource utilization were demonstrated.

Conclusions:

• The preliminary evaluation indicates the CPP is successful in improving patient outcomes.
• Further research with larger sample sizes and control groups is recommended.
• Additional studies should investigate critical treatment components, clinical outcomes, and cost-effectiveness.