Development of a Pain Rehabilitation Program for Chronic Pain After SCI

Condition(s) studied

Investigational drug(s) / intervention(s)

multi-modality pain management: 8- week pain rehabilitation program. The first meeting of the program is located at a hospital facility and thereafter they will meet at a digital platform.The program include education, home exercises and group meetings. The program consists of 4 modules. 1. Physical exercise and ergonomics. 2. Structure and recovery. 3. Employment/occupation and social support. 4. ACT and coping. Each module lasts for two weeks. The program will include video material for education, home exercises and group discussions led by clinicians with long experience in pain rehabilitation and SCI.

Study summary

Pain rehabilitation programs are essential for optimal treatment of chronic pain and are usually based on the biopsychosocial model. This is, however, not standard care for people with chronic pain after a spinal cord injury (SCI) due to a biomedical focused perspective of SCI and lack of adapted programs.

The aims of this feasibility study:

1. Develop a new digital pain rehabilitation program, adapted for the needs of people living with an SCI.
2. To investigate the feasibility and acceptability of a new digital pain rehabilitation program.

Eligibility

Primary outcome measure(s)

• Recruitment rate, number recruited per quarter — At enrollment
  Continue=6 Solve=4 Stop=3
• Number of participant with treatment-related advere events as assessed by... — From enrollment to the end of tretment at 8 weeks
• Participant retention- Completion rates — The end of the 8- week program
  \>75% continue, 50-75% Solve, \<50% stop
• Program Adherence — The end of the 8-week program
  Continue \>75%, solve 50-75%, stop \<50%
• Patients' self-perceived relevance, timing and mode of delivery — >70% Continue, Solve 50-70%, Stop <50%
  Patient evaluation, satisfied patients
• Assessment procedure acceptance- Patient evaluations, proportions of completed questionnaires — At the end of the 8-week program
  \>80% continue, 50-80% solve, \<50% stop
• Fidelity of delivery - Process evaluations — End of the 8-week program

Trial sites (1)

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