Health-related quality of life improvements among women with chronic pain: comparison of two multidisciplinary interventions

Björnsdóttir, Sigrún Vala; Arnljótsdóttir, Margrét; Tómasson, Gunnar; Triebel, Jan; Valdimarsdóttir, Unnur

doi:10.3109/09638288.2015.1061609

Cited by 20 publications

(10 citation statements)

References 53 publications

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“…The “Living Healthy” program, adapted from the Pakistani CBT‐based intervention delivered by Lady Health Workers and designed to prevent postpartum depression, is one of the first interventions that combined peer support and CBT for managing chronic pain in adults with diabetes. Both peer support 43 and CBT 16 have been previously shown to be effective in the treatment of chronic pain 44,45 or diabetes 22,23,46 separately, but not concurrently. For example, Moore et al conducted a CBT‐based psychologist‐led intervention for primary care patients with chronic back pain 20 .…”

Section: Discussionmentioning

confidence: 99%

Peer Support Intervention Improves Pain‐Related Outcomes Among Rural Adults With Diabetes and Chronic Pain at 12‐Month Follow‐Up

Khodneva

Richman

Andreae

et al. 2020

The Journal of Rural Health

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Purpose Adults with diabetes mellitus (DM) suffer often from chronic pain, yet evidence‐based interventions for comorbid pain and DM are scarce. We tested the effect of a peer‐led cognitive behavioral training (CBT) intervention on pain self‐efficacy (PSE), pain intensity, and pain‐related functional limitations (PRFL) in adults with DM, 1 year after trial initiation. Methods The yearlong “Living Healthy” cluster‐randomized trial included 230 residents of rural Alabama with DM, who reported pain in the past month; communities were treated as clusters. Intervention participants received a peer‐delivered 8‐session structured CBT intervention in the context of diabetes self‐management; attention control arm participants received a peer‐delivered 8‐session general health education program. Outcomes included PSE (Arthritis Self‐Efficacy Scale, range 10‐100); pain intensity (McGill Pain Questionnaire, range 0‐45); and PRFL (Western Ontario and McMaster Universities Osteoarthritis Index scale, range 0‐100). We examined control‐intervention differences in changes in outcome scores from baseline to 3‐month and 12‐month follow‐up, adjusted for clustering. Findings The 195 participants with follow‐up data were aged 59 ± 10.4 years, 96% were African American, 79% were women, and 80% reported pain on the day of baseline data collection. At 3‐month follow‐up, PSE increased more for intervention (21‐point increase) than control (5‐point increase) participants (P for control‐intervention (C‐I) difference in change < .001); pain intensity decreased for both groups; and PRFL decreased only for intervention participants (–11 score; P for C‐I difference in change < .001). Results were sustained at 12 months, and pain intensity significantly improved in only the intervention arm (P for C‐I difference in change = .01). Conclusions This peer‐delivered CBT intervention improved pain self‐efficacy, pain‐related functional limitations, and pain intensity over 12 months among rural participants with DM and chronic pain.

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Section: Discussionmentioning

confidence: 99%

Peer Support Intervention Improves Pain‐Related Outcomes Among Rural Adults With Diabetes and Chronic Pain at 12‐Month Follow‐Up

Khodneva

Richman

Andreae

et al. 2020

The Journal of Rural Health

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“…One study reported that anxiety, depression, and severe impairment were prevalent within this population [14], and it has been shown that patients with pain of high intensity as well as persistent pain have lower HRQoL [15,16]. Additionally, several studies evaluated the impact of an intervention on HRQoL in those with pain [17,18,19,20]. …”

Section: Introductionmentioning

confidence: 99%

Reliability and Validity of the Medical Outcomes Study Short Form-12 Version 2 (SF-12v2) in Adults with Non-Cancer Pain

et al. 2017

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Limited evidence exists on how non-cancer pain (NCP) affects an individual’s health-related quality of life (HRQoL). This study aimed to validate the Medical Outcomes Study Short Form-12 Version 2 (SF-12v2), a generic measure of HRQoL, in a NCP cohort using the Medical Expenditure Panel Survey Longitudinal Files. The SF Mental Component Summary (MCS12) and SF Physical Component Summary (PCS12) were tested for reliability (internal consistency and test-retest reliability) and validity (construct: convergent and discriminant; criterion: concurrent and predictive). A total of 15,716 patients with NCP were included in the final analysis. The MCS12 and PCS12 demonstrated high internal consistency (Cronbach’s alpha and Mosier’s alpha > 0.8), and moderate and high test-retest reliability, respectively (MCS12 intraclass correlation coefficient (ICC): 0.64; PCS12 ICC: 0.73). Both scales were significantly associated with a number of chronic conditions (p < 0.05). The PCS12 was strongly correlated with perceived health (r = 0.52) but weakly correlated with perceived mental health (r = 0.25). The MCS12 was moderately correlated with perceived mental health (r = 0.42) and perceived health (r = 0.33). Increasing PCS12 and MCS12 scores were significantly associated with lower odds of reporting future physical and cognitive limitations (PCS12: OR = 0.90 95%CI: 0.89–0.90, MCS12: OR = 0.94 95%CI: 0.93–0.94). In summary, the SF-12v2 is a reliable and valid measure of HRQoL for patients with NCP.

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“…Women with chronic pain who participated in a rehabilitation program that offered either traditional multidisciplinary pain management or neuroscience education and mindfulness-based cognitive therapy were studied. The results indicate that both programs improved quality of life and reduced pain intensity [ 20 ] and that the improvements lasted six months after the program’s completion [ 21 ]. No Icelandic study focusing specifically on the long-term effects of these programs on chronic pain, sleep, and HRQOL was found.…”

Section: Introductionmentioning

confidence: 99%

Pain, Sleep, and Health-Related Quality of Life after Multidisciplinary Intervention for Chronic Pain

Skúladóttir

Sveinsdóttir

Holden

et al. 2021

IJERPH

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Multidisciplinary pain-management programs have the potential to decrease pain intensity, improve health-related quality of life (HRQOL), and increase sleep quality. In this longitudinal prospective cohort study, the aim was to investigate the long-term effects of multidisciplinary pain rehabilitation interventions in Iceland. More precisely, we (a) explored and described how individuals with chronic pain evaluated their pain severity, sleep, and HRQOL at pre-treatment and at one-year follow-up and (b) examined what predicted the participants’ one-year follow-up HRQOL. Seventy-nine patients aged 20–68 years, most of whom were women (85%), responded. The participants scored their pain lower at one-year follow-up (p < 0.001). According to their response, most of them had disrupted sleep, mainly because of pain. One year after the treatment, more participants slept through the night (p = 0.004), and their HRQOL increased. Higher pre-treatment mental component summary (MCS) scores and having pursued higher education predicted higher MCS scores at one-year follow-up, and higher pre-treatment physical component summary (PCS) scores predicted higher PCS scores at one-year follow-up. Sleep problems, being a woman, and having children younger than 18 years of age predicted lower MCS scores at one-year follow-up. These findings are suggestive that patients should be examined with respect to their mental status, and it could be beneficial if they received some professional support after completing the intervention.

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Health-related quality of life improvements among women with chronic pain: comparison of two multidisciplinary interventions

Cited by 20 publications

References 53 publications

Peer Support Intervention Improves Pain‐Related Outcomes Among Rural Adults With Diabetes and Chronic Pain at 12‐Month Follow‐Up

Peer Support Intervention Improves Pain‐Related Outcomes Among Rural Adults With Diabetes and Chronic Pain at 12‐Month Follow‐Up

Reliability and Validity of the Medical Outcomes Study Short Form-12 Version 2 (SF-12v2) in Adults with Non-Cancer Pain

Pain, Sleep, and Health-Related Quality of Life after Multidisciplinary Intervention for Chronic Pain

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