The Effectiveness of Individual Placement and Support in Chronic Pain Patients

Chronic Pain Clinical Trial

— IPSinPain  

Official title:

A Randomized Controlled Trial Assessing the Effectiveness of the Individual Placement and Support Model for Patients With Chronic Pain in an Outpatient Hospital Pain Clinic

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02697656
• Other study ID #: 2015/14224
• Status: Completed
• Phase: N/A
• Start date: November 2015
• Est. completion date: December 2020

Study information

• Verified date: June 2021
• Source: Oslo University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Individual Placement and support (IPS) is an evidence-based approach originally developed to help people with severe mental disorders to obtain and maintain employment. The effectiveness of IPS for patients with severe mental illness is well documented, but has never previously been tested for patients with chronic pain. In fact, employment support is rarely provided in pain clinics, despite an increasing focus on integrating work and health in all patient treatment (OECD, 2013). The aim of this study is to investigate the effectiveness of IPS as an integrated part of the interdisciplinary treatment for patients with chronic pain in a hospital outpatient clinic.

Description:

Individual Placement and support (IPS) is an evidence-based approach originally developed to help people with severe mental disorders to obtain and maintain employment. IPS represents a relatively new approach to vocational rehabilitation and incorporates following principles: (1) Every person that wants to work, can work given that the person is provided with the appropriate work and environment. (2)The goal is employment in regular, competitive employment. (3) IPS is integrated with treatment. (4) Job search is individualised; based on the participants' preferences and competence. (5) Work incentives planning is provided; which includes counselling about how work can influence social security and other public benefits. The intention of this benefits counselling is to enable the participant to make informed decisions about work (job starts and changes). (6) The job support is not time-limited. (7) Finally, IPS differs from more traditional employment services in that it does not involve pre-vocational training, often referred to as "train, then place". (8) In IPS job search starts as soon as the client expresses an interest in work. Therefore, IPS follows the principle "place, then train".

The effectiveness of IPS for patients with severe mental illness is well documented. International research shows that IPS is more effective than other types of employment programs for this group of clients. However, the effect of IPS on patients with chronic pain in an outpatient hospital clinic is largely unknown.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 65
• Est. completion date: December 2020
• Est. primary completion date: December 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Patients referred to the pain clinic and eligible for interdisciplinary treatment

• Not currently working (long-term sick leave, disability pension or unemployed)

• Expressed desire to work

Exclusion Criteria:

• Living too far away from the pain clinic (outside of Oslo)

Related Conditions & MeSH terms

• Chronic Pain

Intervention

Behavioral:
• IPS
Individualized job support provided by an employment specialist
• Self-help
Self-help resources on obtaining employment and coping with chronic pain
• Treatment as usual
Transdisciplinary treatment at the pain clinic. This includes medical, psychological and physiotherapy treatment.

Locations

Country	Name	City	State
Norway	Silje Endresen Reme	Oslo

Sponsors (3)

Lead Sponsor	Collaborator
Oslo University Hospital	Norwegian Directorate of Health, Norwegian Labour and Welfare Administration

Country where clinical trial is conducted

Norway, 

References & Publications (2)

Bond GR, Drake RE, Becker DR. An update on randomized controlled trials of evidence-based supported employment. Psychiatr Rehabil J. 2008 Spring;31(4):280-90. doi: 10.2975/31.4.2008.280.290. Review. — View Citation

Bond GR, Drake RE. Making the case for IPS supported employment. Adm Policy Ment Health. 2014 Jan;41(1):69-73. doi: 10.1007/s10488-012-0444-6. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Competitive employment	Hours/days/weeks worked in competitive employment the last 12 months	At 12-months follow-up
Secondary	Health-related quality of life	EQ5D termometer	6 and 12 months follow-up
Secondary	Pain-related disability	Oswestry, modified to chronic pain patients	6 and 12 months follow-up
Secondary	Pain intensity	Numeric Rating Scale	6 and 12 months follow-up

External Links

•   The Study Protocol