Improving stress reduction and wellness in interdisciplinary chronic pain management: Is transdisciplinary care a better option?

McGeary, Donald D.; McGeary, Cindy A.; Nabity, Paul S; Villarreal, Robert; Kivisalu, Trisha M.; Gatchel, Robert J.

doi:10.1111/jabr.12083

Cited by 8 publications

(3 citation statements)

References 36 publications

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“…Similarities and differences between these approaches are described in detail elsewhere [7]. Although both rely on the BPS model, they differ regarding whether the goals of the professionals are integrated, whether professionals work collaboratively in teams, and whether their treatments are provided simultaneously or sequentially [9,15]. The interdisciplinary treatment, which is based on the BPS approach [1], is the standard treatment used in IPRPs.…”

Section: Basic Contents Of Iprpmentioning

confidence: 99%

“…Both circumstances indicate a need for the development of IPRP so that IPRP better matches the clinical picture. For example, individual treatments, short interventions, small group activities with different content to be selected for individual patients, individual treatments with the team as a backup, and closer communication with primary care to ensure that recommendations can improve the lives of patients without going through extensive IPRPs, which might be more appropriate for the less severe subgroups [15]. In the long run, this could mean that different IPRPs are available in clinical settings.…”

Section: Shortcomings and Possible Improvements Of Iprpmentioning

confidence: 99%

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Perspective Chapter: Interdisciplinary Pain Rehabilitation Programs – Evidence and Clinical Real-World Results

Gerdle¹,

Fischer²,

Ringqvist³

2024

Pharmaceutical Science

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Chronic pain conditions are influenced by and interact with physical, psychological, social, and contextual factors. These conditions are associated with psychological distress, poor health, sick leave, and high socio-economic costs. Therefore, modern clinical practice applies a biopsychosocial (BPS) framework. Interdisciplinary pain rehabilitation programs (IPRPs) for chronic pain distinguish themselves as well-coordinated complex interventions. This chapter describes the contents of such programs. We will briefly review the evidence for IPRPs and discuss problems when evaluating these complex interventions. Furthermore, we will report practice-based results from a large Swedish pain registry—the Swedish Quality Registry for Pain Rehabilitation (SQRP). The SQRP collects data from a relevant special clinical department in Sweden—i.e., real-life outcomes will be depicted. Characteristics of patients that benefit the most from IPRPs will be described and discussed. The indications for IPRPs will also be presented. Finally, we will discuss how to improve rehabilitation for chronic pain patients.

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Section: Basic Contents Of Iprpmentioning

confidence: 99%

Section: Shortcomings and Possible Improvements Of Iprpmentioning

confidence: 99%

Perspective Chapter: Interdisciplinary Pain Rehabilitation Programs – Evidence and Clinical Real-World Results

Gerdle¹,

Fischer²,

Ringqvist³

2024

Pharmaceutical Science

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“…Although IPRP is an established treatment, it has recently been suggested that a more diverse range of rehabilitation approaches may be required to meet the growing needs of different pain populations (Gerdle et al, 2022). One such area of development is closer collaboration with primary care (McGeary et al, 2016). Another possible complement can be early interventions to prevent chronicity (Nicholas et al, 2020).…”

Section: Interdisciplinary Pain Rehabilitation Programsmentioning

confidence: 99%

Internet-Delivered Acceptance and Commitment Therapy for Chronic Pain : Feasibility, patients’ experiences and implementation process

Bendelin

2023

Linköping University Medical Dissertations

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Chronic pain represents a major burden for individuals and society. Internet-delivered psychological interventions are evidence-based treatments that enable patients to access qualified care at a time and place convenient for them. Internet-delivered Acceptance and commitment therapy (IACT) has shown promising treatment effects for chronic pain patients on pain-related outcomes such as disability, pain intensity, and interference, and on psychological outcomes such as catastrophizing, fear-avoidance and acceptance. Interdisciplinary pain rehabilitation programs (IPRP) are multimodal interventions given by synchronized teams of health care professionals from different disciplines. With moderate treatment effects on many outcomes, IPRP is the best evidence treatment for chronic pain to date.• A focus on quality of life, physical and psychological functioning, and/or return-to-work (Kamper et al., 2015). • The content consists of multiple modalities given synchronized by a team of several professionals (Nordin et al., 2016). • The team collaborates extensively during assessment and treatment planning and continuously evaluates treatment processes throughout the rehabilitation phase. • The group-based psychology sessions incorporate components from cognitive behavioural therapy (CBT) (Eccleston et al., 2009) or Acceptance and commitment therapy (ACT) (Eccleston et al., 2013, Hann and and target catastrophizing, coping, experiential avoidance, goals, values, motivation, and sometimes sleep interventions. tions have nevertheless given promise to its feasibility on their own or as a part of stepped care in regular health services (Andersson et al., 2019). Delivery in specialist pain care EffectivenessWith regards to specialist level pain care, a non-randomized trial of IACT (n = 99) with individualized coaching given as a stand-alone treatment showed PapersThe papers associated with this thesis have been removed for copyright reasons. For more details about these see:

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Interdisciplinary Pain Management Programs in the Treatment of Pain Conditions

Brecht

Stephens

Gatchel

2020

Pain Management for Clinicians

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Improving stress reduction and wellness in interdisciplinary chronic pain management: Is transdisciplinary care a better option?

Cited by 8 publications

References 36 publications

Perspective Chapter: Interdisciplinary Pain Rehabilitation Programs – Evidence and Clinical Real-World Results

Perspective Chapter: Interdisciplinary Pain Rehabilitation Programs – Evidence and Clinical Real-World Results

Internet-Delivered Acceptance and Commitment Therapy for Chronic Pain : Feasibility, patients’ experiences and implementation process

Interdisciplinary Pain Management Programs in the Treatment of Pain Conditions

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