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Updated: Aug 23, 2025
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An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
21.5K
Predictors of attrition in an interdisciplinary pain management program
Jeanette L Chong1, Karen J Meltzer1, Richard C Robinson1
1Department of Psychiatry, Division of Psychology, University of Texas Southwestern Medical Center.
Rehabilitation Psychology
|November 3, 2022
Summary
Younger age and unemployment predict dropout from interdisciplinary pain management programs (IPPs). Patients on opioids at preintervention were more likely to complete the IPP and reduce their use.
Area of Science:
- Pain Management
- Clinical Psychology
- Health Services Research
Background:
- Interdisciplinary pain management programs (IPPs) aim to treat chronic pain through a biopsychosocial approach.
- Patient attrition from IPPs can limit treatment effectiveness and program outcomes.
Purpose of the Study:
- To identify demographic and clinical factors predicting patient dropout from an interdisciplinary pain management program (IPP).
- To inform targeted interventions for improving patient retention in pain management programs.
Main Methods:
- Logistic regression analyses were used to identify predictors of attrition in 178 outpatients (aged 18-75) undergoing an IPP.
- Predictors were assessed across demographics, diagnoses, opioid use, pain-related cognition/behavior, and well-being domains.
- A multivariable logistic regression model integrated significant predictors.
Main Results:
- Overall dropout rate was 34% within the 4-week IPP.
- Younger age and unemployment were significant predictors of higher attrition.
- Preintervention opioid use was associated with higher odds of IPP completion, with 65% of these patients reducing or eliminating opioid use.
Conclusions:
- Younger, unemployed patients and those not on opioids may be at higher risk for dropout from IPPs.
- Preintervention opioid use may indicate a patient group that can benefit significantly from IPPs, particularly in reducing opioid consumption.
- Findings suggest a need for replication and highlight potential for targeted engagement strategies to improve IPP completion rates.
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