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A home-based pain management and rehabilitation programme: an evaluation
David T Corey1, David Etlin, Philip C Miller
1Behavioural Health Clinic, Toronto M4R IA7 Canada.
Pain
|May 1, 1987
Summary
This study shows that intensive, home-based cognitive-behavioural treatment significantly improves quality of life for chronic pain patients. Most patients returned to work and maintained reduced pain levels long-term.
Area of Science:
- Psychology
- Rehabilitation Medicine
- Pain Management
Background:
- Chronic pain significantly impacts quality of life and vocational capacity.
- Many patients with chronic pain have not responded to traditional treatments.
- Vocationally disabled individuals often require intensive interventions for pain management.
Purpose of the Study:
- To evaluate the effectiveness of a comprehensive, home-based cognitive-behavioural treatment (CBT) program for chronic pain.
- To assess long-term outcomes of this intensive CBT intervention.
Main Methods:
- A cohort of 72 vocationally disabled patients with chronic pain participated.
- Treatment involved intensive, home-based cognitive-behavioural therapy delivered by behavioural therapists.
- Outcomes measured included return to work, pain reduction, and improved coping abilities.
Main Results:
- After an average of 5.2 months, 70.9% of patients achieved significant lifestyle changes, such as returning to work.
- Patients reported significant reductions in pain levels and enhanced coping skills.
- At an average 18.6-month follow-up, 69.4% of patients maintained these positive outcomes.
Conclusions:
- Intensive, home-based cognitive-behavioural treatment is a promising approach for chronic pain management.
- This treatment model demonstrates sustained improvements in vocational status, pain levels, and coping abilities.
- Controlled studies are warranted to further validate these findings.