Does a brief educational session produce positive change for individuals waiting for tertiary chronic pain services?

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dc.contributor.authorBurke, A.
dc.contributor.authorDenson, L.
dc.contributor.authorMathias, J.
dc.date.issued2016
dc.descriptionPublished: 08 June 2016
dc.description.abstractObjectives. To examine: 1) whether a single brief pre-clinic educational session improved the well-being and quality of life of individuals entering the wait-list for a tertiary chronic pain (CP) service; and 2) the impact of waiting for services on these outcomes. Methods. Participants were 346 adults, with basic English skills and non-urgent triage codes, who were recruited on referral to a tertiary Australian metropolitan CP unit. Participants were randomized across two conditions: "treatment as usual" (normal wait-list) and "experimental" (normal wait-list plus a 3-hour CP educational session). The educational session encouraged self-management and life engagement despite pain. Multiple outcomes (pain acceptance, pain-related interference, psychological distress, health care utilization [frequency, types], quality of life, health knowledge/beliefs), as well as pain severity and symptom exaggeration, were assessed at intake and again at 2 weeks and 6 months post-educational session (or equivalent for the wait-list group). Results. Satisfaction with the educational session was moderate-to-high, but attendance was not associated with improved outcomes. At 2 weeks, all study participants reported significant improvements in pain acceptance (willingness, overall acceptance), health care utilization (frequency) and quality of life (physical), which were maintained/enhanced at 6 months. Use of psychological and physical therapies increased significantly by 6 months. There was no functional deterioration while wait-listed. Conclusions. Attending a brief pre-clinic education session did not improve function. There was no deterioration in wait-listed participants who agreed to be involved in research and who completed study measures at 2 and 6 months, but referral was associated with short-term functional improvements. This is the first study to link positive change with referral to, rather than treatment by, a tertiary CP service.
dc.description.statementofresponsibilityAnne L. J. Burke, Linley A. Denson, and Jane L. Mathias
dc.identifier.citationPain Medicine, 2016; 17(12):2203-2217
dc.identifier.doi10.1093/pm/pnw125
dc.identifier.issn1526-2375
dc.identifier.issn1526-4637
dc.identifier.orcidBurke, A. [0000-0002-0109-2950]
dc.identifier.orcidDenson, L. [0000-0002-9669-8970]
dc.identifier.orcidMathias, J. [0000-0001-8957-8594]
dc.identifier.urihttp://hdl.handle.net/2440/103523
dc.language.isoen
dc.publisherOxford University Press (OUP)
dc.rights© 2016 American Academy of Pain Medicine. All rights reserved.
dc.source.urihttps://doi.org/10.1093/pm/pnw125
dc.subjectChronic Pain
dc.subjectPre-Clinic Education
dc.subjectWaiting-List
dc.subjectPain Acceptance
dc.titleDoes a brief educational session produce positive change for individuals waiting for tertiary chronic pain services?
dc.typeJournal article
pubs.publication-statusPublished

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