Sammendrag
Abstract
Objectives To investigate the effects on persons with
chronic pain after 3 months of a group-based chronic pain
self-management course compared with a drop-in, lowimpact
outdoor physical group activity on patient activation
and a range of secondary outcomes.
Design An open, pragmatic, parallel group randomised
controlled trial. Analyses were performed using a two-level
linear mixed model.
Setting An easily accessible healthcare service provided
by Norwegian public primary healthcare.
Participants A total of 121 participants with self-reported
chronic pain for 3 months or more were randomised with
60 participants placed in the intervention group and 61
placed in the control group (mean age 53 years, 88%
women, 63% pain for 10 years or more).
Interventions The intervention group was offered a
group-based chronic pain self-management course with
2.5-hour weekly sessions for a period of 6 weeks. The
sessions consisted of education, movement exercises
and emphasised group discussions. The control group
was offered a low-impact outdoor group physical activity
in 1-hour weekly sessions that consisted of walking and
simple strength exercises for a period of 6 weeks.
Main outcomes The primary outcome was patient
activation assessed using the Patient Activation Measure.
Secondary outcomes measured included assessments of
pain, anxiety and depression, pain self-efficacy, sense of
coherence, health-related quality of life, well-being and the
30 s chair to stand test.
Results There was no effect after 3 months of the groupbased
chronic pain self-management course compared
with the control group for the primary outcome, patient
activation (estimated mean difference: −0.5, 95% CI –4.8
to 3.7, p=0.802).
Conclusions There was no support for the selfmanagement
course having a better effect after 3 months
than a low-impact outdoor physical activity offered the
control group.
Trial registration number NCT02531282; Results.
Vis fullstendig beskrivelse
