A pilot study of the individual placement and support model for patients with chronic pain

Abstract Background Individual Placement and Support (IPS) is an evidence-based work rehabilitation model with well-documented effects for people with mental illness. The model has, however, never been tested out for people with chronic pain. This pilot study aimed to investigate chronic pain patien...

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Main Authors: L. Rødevand, T. M. Ljosaa, L. P. Granan, T. Knutzen, H. B. Jacobsen, S. E. Reme
Format: Article
Language:English
Published: BMC 2017-12-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12891-017-1908-3
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author L. Rødevand
T. M. Ljosaa
L. P. Granan
T. Knutzen
H. B. Jacobsen
S. E. Reme
author_facet L. Rødevand
T. M. Ljosaa
L. P. Granan
T. Knutzen
H. B. Jacobsen
S. E. Reme
author_sort L. Rødevand
collection DOAJ
description Abstract Background Individual Placement and Support (IPS) is an evidence-based work rehabilitation model with well-documented effects for people with mental illness. The model has, however, never been tested out for people with chronic pain. This pilot study aimed to investigate chronic pain patients’ experiences with the IPS job support model. Methods We recruited eight consecutive patients referred for various chronic pain conditions at a hospital outpatient pain clinic. They were offered IPS job support as an integrated part of their interdisciplinary pain rehabilitation. The patients’ experiences were investigated through semi-structured interviews 3 months after inclusion in the study. Results The participants reported mostly positive experiences with IPS. One participant dropped out of the study after deterioration of symptoms, while the remaining participants were satisfied with the intervention. Particular helpful aspects of the IPS intervention were the follow-up from the employment specialist, focus on competitive employment, focus on work despite pain complaints, reframing work into something positive, administrative support, and practice in writing applications. No participants reported adverse experiences from the IPS intervention. Within a 12-months time frame, 3 of the 8 participants gained competitive employment. Conclusions This is the first report of the IPS model of supported employment applied in an outpatient setting for chronic pain patients. The results suggest that IPS can be successfully integrated with interdisciplinary pain rehabilitation, and warrants large-scale testing in a randomized controlled trial.
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spelling doaj.art-3a78fb25177d46a78f3821468aaea58f2022-12-22T01:26:14ZengBMCBMC Musculoskeletal Disorders1471-24742017-12-0118111010.1186/s12891-017-1908-3A pilot study of the individual placement and support model for patients with chronic painL. Rødevand0T. M. Ljosaa1L. P. Granan2T. Knutzen3H. B. Jacobsen4S. E. Reme5Department of Pain Management and Research, Oslo University HospitalDepartment of Pain Management and Research, Oslo University HospitalDepartment of Pain Management and Research, Oslo University HospitalDepartment of Pain Management and Research, Oslo University HospitalDepartment of Pain Management and Research, Oslo University HospitalDepartment of Pain Management and Research, Oslo University HospitalAbstract Background Individual Placement and Support (IPS) is an evidence-based work rehabilitation model with well-documented effects for people with mental illness. The model has, however, never been tested out for people with chronic pain. This pilot study aimed to investigate chronic pain patients’ experiences with the IPS job support model. Methods We recruited eight consecutive patients referred for various chronic pain conditions at a hospital outpatient pain clinic. They were offered IPS job support as an integrated part of their interdisciplinary pain rehabilitation. The patients’ experiences were investigated through semi-structured interviews 3 months after inclusion in the study. Results The participants reported mostly positive experiences with IPS. One participant dropped out of the study after deterioration of symptoms, while the remaining participants were satisfied with the intervention. Particular helpful aspects of the IPS intervention were the follow-up from the employment specialist, focus on competitive employment, focus on work despite pain complaints, reframing work into something positive, administrative support, and practice in writing applications. No participants reported adverse experiences from the IPS intervention. Within a 12-months time frame, 3 of the 8 participants gained competitive employment. Conclusions This is the first report of the IPS model of supported employment applied in an outpatient setting for chronic pain patients. The results suggest that IPS can be successfully integrated with interdisciplinary pain rehabilitation, and warrants large-scale testing in a randomized controlled trial.http://link.springer.com/article/10.1186/s12891-017-1908-3Individual placement and supportIPS, supported employmentChronic painPain managementRehabilitation medicineWork disability
spellingShingle L. Rødevand
T. M. Ljosaa
L. P. Granan
T. Knutzen
H. B. Jacobsen
S. E. Reme
A pilot study of the individual placement and support model for patients with chronic pain
BMC Musculoskeletal Disorders
Individual placement and support
IPS, supported employment
Chronic pain
Pain management
Rehabilitation medicine
Work disability
title A pilot study of the individual placement and support model for patients with chronic pain
title_full A pilot study of the individual placement and support model for patients with chronic pain
title_fullStr A pilot study of the individual placement and support model for patients with chronic pain
title_full_unstemmed A pilot study of the individual placement and support model for patients with chronic pain
title_short A pilot study of the individual placement and support model for patients with chronic pain
title_sort pilot study of the individual placement and support model for patients with chronic pain
topic Individual placement and support
IPS, supported employment
Chronic pain
Pain management
Rehabilitation medicine
Work disability
url http://link.springer.com/article/10.1186/s12891-017-1908-3
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