Outcome evaluation of a multidisciplinary pain management programme comparing group with individual change measures

Han, Xiuwen; Geffen, Saul; Browning, Miles; Kenardy, Justin; Geffen, Gina

doi:10.1111/j.1742-9552.2011.00032.x

Cited by 7 publications

(18 citation statements)

References 22 publications

(26 reference statements)

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“…To compare results to previous studies (e.g., Han et al [39] and Vowles & McCracken [40]), a reliable change analysis based on a 90 % confidence interval was conducted. In keeping with previous research (i.e., Vowles & McCracken [40]), approximately three-quarters of patients showed reliable improvement on at least one outcome measure, indicating a statistically significant change that can be distinguished from measurement error [38].…”

Section: Discussionmentioning

confidence: 99%

“…To assess the effectiveness of the intervention at the individual level, a reliable change index for each measure (i.e., CSQ, CPAQ-8, HADS, SF-36, PASS-20) was calculated in accordance with the formula of Jacobson and Truax [38]. To compare with previous studies (e.g., Han et al [39]; Vowles & McCracken [40]), reliable change indices were calculated at both 90 % and 95 % confidence.…”

Section: Data Analytic Strategymentioning

confidence: 99%

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Changes in Acceptance in a Low-Intensity, Group-Based Acceptance and Commitment Therapy (ACT) Chronic Pain Intervention

et al. 2015

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BackgroundAcceptance and commitment therapy has shown to be effective in chronic pain rehabilitation, and acceptance has been shown to be a key process of change. The influence of treatment dose on acceptance is not clear, and in particular, the effectiveness of a non-intensive treatment (<20 h) in a tertiary pain clinic is required. PurposeThe purpose of the study was to assess the effectiveness of a low-intensity, acceptance and commitment therapy (ACT) group program for chronic pain. The study sought to compare, at both groups and individual patient levels, changes in acceptance with changes observed in previous ACT studies. Methods Seventy-one individuals with chronic pain commenced a 9-week ACT-based group program at an outpatient chronic pain service. In addition to acceptance, outcomes included the following: pain catastrophizing, depression, anxiety, quality of life, and pain-related anxiety. To compare the current findings with previous research, effect sizes from seven studies were aggregated using the random-effects model to calculate benchmarks. Reliable change indices (RCIs) were applied to assess change on an individual patient-level. ResultsThe ACT intervention achieved a statistically significant increase in acceptance and medium effect size (d=0.54) at a group level. Change in acceptance was of a similar magnitude to that found in previous ACT studies that examined interventions with similar treatment hours (<20 h). Results across other outcome measures demonstrated small to medium effect sizes (d=0.01 to 0.48, mean=0.26). Reliable improvement in acceptance occurred in approximately one-third (37.2, 90 % CI) of patients. Approximately three-quarters (74.3, 90 % CI) demonstrated reliable change in at least one of the outcome measures. ConclusionsThe low-intensity, group-based ACT intervention was effective at a group level and showed a similar magnitude of change in acceptance to previous ACT studies employing low-intensity interventions. Three-quarters of patients reported reliable change on at least one outcome measure.

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Section: Discussionmentioning

confidence: 99%

Section: Data Analytic Strategymentioning

confidence: 99%

Changes in Acceptance in a Low-Intensity, Group-Based Acceptance and Commitment Therapy (ACT) Chronic Pain Intervention

et al. 2015

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“…We used the Reliable Change Index (RCI, Jacobson et al, 1984 ) to define statistically meaningful deterioration (e.g. Bablas, Yap, Cunnington, Swieca, & Greenwood, 2016 ; Han, Geffen, Browning, Kenardy, & Geffen, 2011 ; Kraus, Castonguay, Boswell, Nordberg, & Hayes, 2011 ). To calculate the RCI, an internal consistency of α = .79 ( Moritz et al, 2002 ) was used as the reliability of the Y-BOCS.…”

Section: Methodsmentioning

confidence: 99%

Long-term stability of benefits of cognitive behavioral therapy for obsessive compulsive disorder depends on symptom remission during treatment

Elsner

Wolfsberger

Srp

et al. 2020

Clin. Psychol. Eur.

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Background Cognitive behavioral therapy (CBT) is an effective treatment for obsessive-compulsive disorder (OCD) and may afford stable long-term improvements. It is not clear, however, how stability or symptom recurrence can be predicted at the time of termination of CBT. Method In a 1-year follow-up intention-to-treat study with 120 OCD patients receiving individual CBT at a university outpatient unit, we investigated the predictive value of international consensus criteria for response only (Y-BOCS score reduction by at least 35%) and remission status (Y-BOCS score ≤ 12). Secondly, we applied receiver-operating characteristic (ROC) curves in order to find an optimal cut-off score to classify for deterioration and for sustained gains. Results Response only at post-treatment increased the likelihood of deterioration at follow-up compared to remission at an odds ratio of 8.8. Moreover, ROC curves indicated that a post-treatment score of ≥ 13 differentiated optimally between patients with and without symptom deterioration at follow-up assessment. The optimal cut-off score to classify for any sustained gains (response, remission, or both) at follow-up relative to baseline was 12. Importantly, previous findings of generally high long-term symptom stability after treatment in OCD could be replicated. Conclusion The findings highlight the clinical importance of reaching remission during CBT, and suggest that a recently published expert consensus for defining remission has high utility.

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“…The 66 articles selected for this scoping review included 61 quantitative studies [33][34][35][36][37][38][40][41][42][43][44][45][46][47][48][49][50][51][52][53][55][56][57][58][59][60][61][62][63][64][65][66][68][69][70][71][72][73][75][76][77][78][79][80][82][83][84][85][86][87][88][89]…”

Section: Study Characteristicsmentioning

confidence: 99%

Outcomes and Characteristics of Interdisciplinary Self-Management Interventions for Older Adults Living with Chronic Pain: Insights from a Scoping Review

Turcotte,

Lapointe,

Shea

et al. 2024

JAL

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Introduction: Up to 50% of community-dwelling older adults report living with some chronic pain that interferes with their daily functioning and leads to disabilities. Hence, it is crucial to provide these individuals with strategies to effectively manage pain. An interdisciplinary approach is warranted considering the numerous factors contributing to pain among older adults. Although several studies have been conducted on various interdisciplinary pain self-management programs, little effort has been made to synthesize knowledge about such programs for older adults. Objective: The objective of this review was to synthesize the characteristics and effects of interdisciplinary chronic pain self-management interventions targeting community-dwelling older adults. Methods: A scoping review was conducted following the steps recommended by Arksey and O’Malley (2005) and Levac et al. (2010). Keyword searches were performed in MEDLINE, CINAHL, EMBASE, and the Cochrane Library. Results: Sixty-six articles were included. Most interventions were based on a cognitive-behavioral group approach and used a combination of modalities, including education and training on the use of self-management strategies. The professionals most frequently involved in group interventions were psychologists, physiotherapists, and occupational therapists. Several benefits of these programs have been reported concerning pain intensity, independence in daily functioning, mental health, and quality of life. Conclusions: Interdisciplinary chronic pain self-management programs appear promising in guiding clinical and rehabilitation interventions for older adults living with chronic pain.

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Outcome evaluation of a multidisciplinary pain management programme comparing group with individual change measures

Cited by 7 publications

References 22 publications

Changes in Acceptance in a Low-Intensity, Group-Based Acceptance and Commitment Therapy (ACT) Chronic Pain Intervention

Changes in Acceptance in a Low-Intensity, Group-Based Acceptance and Commitment Therapy (ACT) Chronic Pain Intervention

Long-term stability of benefits of cognitive behavioral therapy for obsessive compulsive disorder depends on symptom remission during treatment

Outcomes and Characteristics of Interdisciplinary Self-Management Interventions for Older Adults Living with Chronic Pain: Insights from a Scoping Review

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