Introduction of a Multimodal Pain Rehabilitation Intervention in Primary Care: A Pilot Study
Objective: To evaluate patient-reported outcome measures in patients with chronic musculoskeletal pain 1 year after participation in a case manager-led multimodal rehabilitation intervention in a Finnish primary care centre. Changes in healthcare utilization (HCU) were also explored. Methods: A pro...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Medical Journals Sweden
2023-02-01
|
| Series: | Journal of Rehabilitation Medicine - Clinical Communications |
| Subjects: | |
| Online Access: | https://medicaljournalssweden.se/jrm-cc/article/view/3712 |
| _version_ | 1797894101880799232 |
|---|---|
| author | Katarina Eklund Britt-Marie Stålnacke Annica Sundberg Fredrik Eklund Mikael Eklund |
| author_facet | Katarina Eklund Britt-Marie Stålnacke Annica Sundberg Fredrik Eklund Mikael Eklund |
| author_sort | Katarina Eklund |
| collection | DOAJ |
| description |
Objective: To evaluate patient-reported outcome measures in patients with chronic musculoskeletal pain 1 year after participation in a case manager-led multimodal rehabilitation intervention in a Finnish primary care centre. Changes in healthcare utilization (HCU) were also explored.
Methods: A prospective pilot study with 36 participants. The intervention consisted of screening, multidisciplinary team assessment, a rehabilitation plan and case manager follow-up. Data were collected through questionnaires filled in after the team assessment and 1 year later. HCU data 1 year before and 1 year after team assessment were compared.
Results: At follow-up, satisfaction with vocational situation, self-reported work ability and health-related quality of life (HRQoL) had improved and pain intensity had diminished significantly for all participants. The participants who reduced their HCU improved their activity level and HRQoL. Early intervention by a psychologist and mental health nurse was distinctive for the participants who reduced HCU at follow-up.
Conclusion: The findings demonstrate the importance of early biopsychosocial management of patients with chronic pain in primary care. Identification of psychological risk factors at an early stage may lead to better psychosocial wellbeing, improve coping strategy and reduce HCU. A case manager may free up other resources and thereby contribute to cost savings.
LAY ABSTRACT
The majority of patients with chronic pain seek and receive care in primary care, yet their identification and management are often fragmented and inadequate. Many patients end up in a vicious circle of healthcare utilization (HCU), undergoing unnecessary diagnostic and medical procedures. Identifying those at risk of developing chronic pain and avoiding exclusion from work, family and social life may generate cost savings and reduce individual suffering. Multimodal rehabilitation (MMR) is an evidence-based treatment for patients with chronic pain, recurrently provided in specialized care but underutilized in primary care. This pilot study evaluated a case manager-led MMR intervention for patients with musculoskeletal chronic pain in a Finnish primary care centre. HCU was also studied. The results showed that addressing physiological, psychological and social factors in the patient’s life simultaneously and at an early stage may lead to reduced pain perception, increased psychosocial wellbeing and cost savings for society.
|
| first_indexed | 2024-04-10T07:04:33Z |
| format | Article |
| id | doaj.art-0e05541e6d1f4734bee6622d0b93a05b |
| institution | Directory Open Access Journal |
| issn | 2003-0711 |
| language | English |
| last_indexed | 2024-04-10T07:04:33Z |
| publishDate | 2023-02-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine - Clinical Communications |
| spelling | doaj.art-0e05541e6d1f4734bee6622d0b93a05b2023-02-27T09:13:49ZengMedical Journals SwedenJournal of Rehabilitation Medicine - Clinical Communications2003-07112023-02-01610.2340/jrmcc.v6.3712Introduction of a Multimodal Pain Rehabilitation Intervention in Primary Care: A Pilot StudyKatarina Eklund0Britt-Marie Stålnacke1Annica Sundberg2Fredrik Eklund3Mikael Eklund4Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, Umeå, SwedenDepartment of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, Umeå, SwedenDepartment of Social Services and Health Care in Jakobstad, The Rehabilitation Unit, Jakobstad, FinlandInrikta Analys AB, Stockholm, SwedenDepartment of Social Services and Health Care in Jakobstad, The Rehabilitation Unit, Jakobstad, Finland Objective: To evaluate patient-reported outcome measures in patients with chronic musculoskeletal pain 1 year after participation in a case manager-led multimodal rehabilitation intervention in a Finnish primary care centre. Changes in healthcare utilization (HCU) were also explored. Methods: A prospective pilot study with 36 participants. The intervention consisted of screening, multidisciplinary team assessment, a rehabilitation plan and case manager follow-up. Data were collected through questionnaires filled in after the team assessment and 1 year later. HCU data 1 year before and 1 year after team assessment were compared. Results: At follow-up, satisfaction with vocational situation, self-reported work ability and health-related quality of life (HRQoL) had improved and pain intensity had diminished significantly for all participants. The participants who reduced their HCU improved their activity level and HRQoL. Early intervention by a psychologist and mental health nurse was distinctive for the participants who reduced HCU at follow-up. Conclusion: The findings demonstrate the importance of early biopsychosocial management of patients with chronic pain in primary care. Identification of psychological risk factors at an early stage may lead to better psychosocial wellbeing, improve coping strategy and reduce HCU. A case manager may free up other resources and thereby contribute to cost savings. LAY ABSTRACT The majority of patients with chronic pain seek and receive care in primary care, yet their identification and management are often fragmented and inadequate. Many patients end up in a vicious circle of healthcare utilization (HCU), undergoing unnecessary diagnostic and medical procedures. Identifying those at risk of developing chronic pain and avoiding exclusion from work, family and social life may generate cost savings and reduce individual suffering. Multimodal rehabilitation (MMR) is an evidence-based treatment for patients with chronic pain, recurrently provided in specialized care but underutilized in primary care. This pilot study evaluated a case manager-led MMR intervention for patients with musculoskeletal chronic pain in a Finnish primary care centre. HCU was also studied. The results showed that addressing physiological, psychological and social factors in the patient’s life simultaneously and at an early stage may lead to reduced pain perception, increased psychosocial wellbeing and cost savings for society. https://medicaljournalssweden.se/jrm-cc/article/view/3712Chronic painearly identificationmultimodal rehabilitationcase managerhealthcare utilizationprimary care |
| spellingShingle | Katarina Eklund Britt-Marie Stålnacke Annica Sundberg Fredrik Eklund Mikael Eklund Introduction of a Multimodal Pain Rehabilitation Intervention in Primary Care: A Pilot Study Journal of Rehabilitation Medicine - Clinical Communications Chronic pain early identification multimodal rehabilitation case manager healthcare utilization primary care |
| title | Introduction of a Multimodal Pain Rehabilitation Intervention in Primary Care: A Pilot Study |
| title_full | Introduction of a Multimodal Pain Rehabilitation Intervention in Primary Care: A Pilot Study |
| title_fullStr | Introduction of a Multimodal Pain Rehabilitation Intervention in Primary Care: A Pilot Study |
| title_full_unstemmed | Introduction of a Multimodal Pain Rehabilitation Intervention in Primary Care: A Pilot Study |
| title_short | Introduction of a Multimodal Pain Rehabilitation Intervention in Primary Care: A Pilot Study |
| title_sort | introduction of a multimodal pain rehabilitation intervention in primary care a pilot study |
| topic | Chronic pain early identification multimodal rehabilitation case manager healthcare utilization primary care |
| url | https://medicaljournalssweden.se/jrm-cc/article/view/3712 |
| work_keys_str_mv | AT katarinaeklund introductionofamultimodalpainrehabilitationinterventioninprimarycareapilotstudy AT brittmariestalnacke introductionofamultimodalpainrehabilitationinterventioninprimarycareapilotstudy AT annicasundberg introductionofamultimodalpainrehabilitationinterventioninprimarycareapilotstudy AT fredrikeklund introductionofamultimodalpainrehabilitationinterventioninprimarycareapilotstudy AT mikaeleklund introductionofamultimodalpainrehabilitationinterventioninprimarycareapilotstudy |