Development and implementation of an inpatient multidisciplinary pain management program for patients with intractable chronic musculoskeletal pain in Japan: preliminary report

Takahashi, Naoto; Kasahara, Satoshi; Yabuki, Shoji

doi:10.2147/jpr.s154171

Cited by 14 publications

(11 citation statements)

References 48 publications

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“…[39][40][41] The efficacy of such a coordinated, integrated approach has been documented to reduce pain severity, improve mood and overall QOL, and increase function. 40,[42][43][44][45][46][47] • RECOMMENDATION 1A: Encourage coordinated and collaborative care that allows for best practices and improved patient outcomes, when clinically indicated.…”

Section: Approaches To Pain Managementmentioning

confidence: 99%

Self-Administered Skills-Based Virtual Reality Intervention for Chronic Pain: Randomized Controlled Pilot Study

Darnall¹,

Krishnamurthy²,

Tsuei³

et al. 2020

JMIR Form Res

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Background Patients with chronic pain often have limited access to comprehensive care that includes behavioral pain management strategies. Virtual reality (VR) is an immersive technology and emerging digital behavioral pain therapy with analgesic efficacy for acute pain. We found no scientific literature on skills-based VR behavioral programs for chronic pain populations. Objective The primary aim of this study is to evaluate the feasibility of a self-administered VR program that included content and skills informed by evidence-based behavioral treatment for chronic pain. The secondary aim is to determine the preliminary efficacy of the VR program in terms of average pain intensity and pain-related interference with activity, stress, mood, and sleep, and its impact on pain-related cognition and self-efficacy. The tertiary aim was to conduct a randomized controlled trial (RCT) and compare the VR treatment with an audio-only treatment. This comparison isolated the immersive effects of the VR program, thereby informing potential mechanisms of effect. Methods We conducted an RCT involving a web-based convenience sample of adults (N=97) aged 18-75 years with self-reported chronic nonmalignant low back pain or fibromyalgia, with an average pain intensity >4 over the past month and chronic pain duration >6 months. Enrolled participants were randomly assigned to 1 of 2 unblinded treatments: (1) VR: a 21-day, skills-based VR program for chronic pain; and (2) audio: an audio-only version of the 21-day VR program. The analytic data set included participants who completed at least 1 of 8 surveys administered during the intervention period: VR (n=39) and audio (n=35). Results The VR and audio groups launched a total of 1067 and 1048 sessions, respectively. The majority of VR participants (n=19/25, 76%) reported no nausea or motion sickness. High satisfaction ratings were reported for VR (n=24/29, 83%) and audio (n=26/33, 72%). For VR efficacy, symptom improvement over time was found for each pain variable (all P<.001), with results strengthening after 2 weeks. Importantly, significant time×group effects were found in favor of the VR group for average pain intensity (P=.04), pain-related inference with activity (P=.005), sleep (P<.001), mood (P<.001), and stress (P=.003). For pain catastrophizing and pain self-efficacy, we found a significant declining trend for both treatment groups. Conclusions High engagement and satisfaction combined with low levels of adverse effects support the feasibility and acceptability of at-home skills-based VR for chronic pain. A significant reduction in pain outcomes over the course of the 21-day treatment both within the VR group and compared with an audio-only version suggests that VR has the potential to provide enhanced treatment and greater improvement across a range of pain outcomes. These findings provide a foundation for future research on VR behavioral interventions for chronic pain.

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Section: Approaches To Pain Managementmentioning

confidence: 99%

Self-Administered Skills-Based Virtual Reality Intervention for Chronic Pain: Randomized Controlled Pilot Study

Darnall¹,

Krishnamurthy²,

Tsuei³

et al. 2020

JMIR Form Res

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show abstract

“…If these microscopic changes develop, anatomic pathologic changes will occur in men aged 60 years, and the incidence rate is around 50%, for those aged> 60 years. [11]. Age is very closely related to the aging process, increasing age will increase the balance of estrogen and estrogen that can occur at the age of 50 years and over.…”

Section: Discussionmentioning

confidence: 99%

Provision of Warm Compress with Warm Water Zack (WWZ) to Reduce Pain in Post Op Benigna Hyperplasia Prostate (BPH) Patients

Sukesih¹,

Warji²

2021

Proceedings of the 1st Paris Van Java International Seminar on Health, Economics, Social Science and Humanities (PVJ-ISHESSH 20

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Postoperative pain in postoperative patients Benigna Prostate Hyperplasia (BPH) is a problem for patients and is the most disturbing thing, so nursing intervention is needed to reduce pain. Warm compresses with Warm Water Zack (WWZ) is one of the interventions done nonpharmacologically to reduce pain in BPH postoperative patients. The implementation of warm compress management with WWZ in the field has not been fully carried out in overcoming pain, and more often uses pharmacological therapy in reducing postoperative pain. Objective: This study aims to determine the effect of giving warm compresses with WWZ to the reduction of pain in BPH post op patients on day 1 in the inpatient room at Sultan Hadlirin Hospital in Jepara. Method: This type of research is Quasy-experiment with a pretest-post-test with control group approach. The sample in this study were 30 respondents using a total sampling technique. The statistical tests used are dependen t ttests and independent t tests. Results: The results of the study using statistical tests with dependent and independent t tests obtained p value of 0,000 so that it can be concluded that there was a significant effect (p value 0,000 <0.05) giving warm compresses with hot bladder to postoperative pain on BPH day to 1 in the inpatient room at Sultan Hadlirin Jepara Hospital. Conclusion: The conclusion of this study is the effect of giving warm compresses with warm water zack on pain in post op patients on day 1 in the ward of Sultan Hadlirin Hospital Jepara.

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“…A characteristic of our program is that family members or significant others also participated in some education and psychotherapy sessions 7. Our previous report2 detailed preliminary results for our 3-week inpatient multidisciplinary pain management program.…”

Section: Methodsmentioning

confidence: 99%

“…However, few facilities in Japan are able to provide multidisciplinary pain treatment, particularly in an inpatient setting. We implemented an inpatient multidisciplinary pain management program in our hospital2 based on the biopsychosocial model recommended by the International Association for the Study of Pain (IASP) 3–7. We previously reported our inpatient multidisciplinary pain management program was being expanded to improve support for patients with chronic musculoskeletal pain 2.…”

Section: Introductionmentioning

confidence: 99%

<p>Multidisciplinary pain management program for patients with chronic musculoskeletal pain in Japan: a cohort study</p>

Takahashi¹,

Takatsuki²,

Kasahara³

et al. 2019

JPR

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IntroductionMultidisciplinary pain management is a useful method for treating chronic musculoskeletal pain. Currently, few facilities in Japan offer multidisciplinary pain treatment, especially in the inpatient setting. We implemented a multidisciplinary pain management program based on International Association for the Study of Pain recommendations. This study described our initial efforts in implementing the program, and reported 3- and 6-month follow-up results.Materials and methodsOur pain management team included orthopedic surgeons, psychiatrists, nurses, physical therapists, clinical psychologists, pharmacists, and nutritionists. The 3-week inpatient pain management program comprised exercise therapy, psychotherapy, and patient education. We evaluated patients using the Brief Pain Inventory (BPI), Pain Catastrophizing Scale (PCS), Pain Disability-Assessment Scale (PDAS), Hospital Anxiety and Depression Scale (HADS), Pain Self-Efficacy Questionnaire (PSEQ), EuroQol Five Dimensions (EQ-5D), and physical examinations (flexibility, muscle endurance, walking ability, and physical fitness). Statistical analyses were performed using paired t-tests and Wilcoxon matched-pairs signed-rank sum tests with Bonferroni correction after the Friedman test.ResultsData for 23 patients were analyzed before and immediately after the program. Statistically significant improvements were seen in BPI, PCS, PDAS, HADS, PSEQ, EQ-5D, flexibility, muscle endurance, walking ability, and physical fitness. Eight patients were also assessed 3 and 6 months after the program. PCS (rumination and helplessness) scores and flexibility showed significant improvement at 3 and 6 months. Significant improvement was seen in PDAS and HADS (anxiety) scores and muscle endurance at 6 months, and in PSEQ scores immediately and at 3 and 6 months.ConclusionOur inpatient pain management program can improve patients’ physical function and ability to cope with chronic musculoskeletal pain, which supports improved quality of life. Our program is currently being expanded to better assist patients with chronic musculoskeletal pain.

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Development and implementation of an inpatient multidisciplinary pain management program for patients with intractable chronic musculoskeletal pain in Japan: preliminary report

Cited by 14 publications

References 48 publications

Self-Administered Skills-Based Virtual Reality Intervention for Chronic Pain: Randomized Controlled Pilot Study

Self-Administered Skills-Based Virtual Reality Intervention for Chronic Pain: Randomized Controlled Pilot Study

Provision of Warm Compress with Warm Water Zack (WWZ) to Reduce Pain in Post Op Benigna Hyperplasia Prostate (BPH) Patients

<p>Multidisciplinary pain management program for patients with chronic musculoskeletal pain in Japan: a cohort study</p>

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