The Good Pain Consultation in Endometriosis.

Condition(s) studied

Investigational drug(s) / intervention(s)

pain consultation, biopsychosocial pain education + usual care: Participants will receive a link to a digital pain education program. The program will include standard information about endometriosis, but will also introduce a biopsychosocial understanding of pain including influence of psychological factors such as excessive worry, stress, sleep disturbance and emotional distress. Self-management strategies including physical activity, relaxation and breathing techniques, cognitive techniques, psychosocial support and appropriate use of pain medication and supplemental treatment (e.g. physical therapy, TENS, heat), will be introduced. Participants will then attend a single "good pain consultation", a patient-centered consultation with a clinician associated with the project, in which content from the educational package will be reinforced. The consultation will provide the opportunity to address the biopsychosocial factors including anxiety, previous trauma, emotional distress etc. Shared decision-making regarding preferred self-management strat

Usual Care: Usual follow up at the department of gynecology

Study summary

This PhD project investigates the effect of "the good pain consultation" and early integration of biopsychosocial pain education with current standard management of endometriosis. Our goal is to facilitate self-management of pain and improve health-related quality of life (HRQOL) using limited resources.

Our research question is: Does a good pain consultation improve pain self-efficacy and HRQOL, compared to usual care at 3 months and 1 year.?

Researchers will compare a good pain consultation to a control group that will receive usual care.

Participants will:

Attend a consultation and biopsychososial pain education plus usual care or usual care alone.

They will answer questions in an internet-based questionnaires three times point during the study.

Eligibility

Primary outcome measure(s)

• The Pain Self-Efficacy Questionaire — The participants will report the outcome measures at baseline, after 3 and after 12 months.
  The Pain Self-Efficacy Questionnaire (PSEQ) is a 10 item self-report questionnaire which assesses confidence people with ongoing pain have in performing activities despite pain. Self-efficacy regarding household chores, socializing, work and coping without medication are assessed. Each item is scored on a 6-point scale, for a total raw score of 0-10 where high scores indicate greater levels of confidence in dealing with pain. The PSEQ is translated to Norwegian and used in previous Norwegian studies.

Trial sites (1)

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