Musculoskeletal Neck Pain Clinical Trial
Official title:
Activity and Life-role Targeted Pain Rehabilitation in Primary Health Care: a Randomized Controlled Trial
The primary goal of the Swedish national rehabilitation plan on pain is to reduce disability and facilitate return-to-work. However, there is a lack of treatment strategies that effectively target and affect return-to-work and reduce sickness absence, and that in addition are sufficiently easy and feasible to administer in primary care. A new activity and life-role targeting rehabilitation program (ALAR) has been developed to reduce psychosocial barriers to rehabilitation progress, promote re-integration into life-role activities and facilitate return-to-work. The program will be implemented and provided as one of the pain treatment modalities available through multi-professional teams in primary care in one Swedish county. This study aims to evaluate the effect of an activity and life-role targeting pain rehabilitation program on the outcome variables return-to-work and sickness absence.
The primary goal of the Swedish national rehabilitation plan on pain is to reduce disability
and facilitate return-to-work. However, there is a lack of treatment strategies that
effectively target and affect return-to-work and reduce sickness absence, and that in
addition are sufficiently easy and feasible to administer in primary care. A new activity
and life-role targeting rehabilitation program (ALAR) has been developed to reduce
psychosocial barriers to rehabilitation progress, promote re-integration into life-role
activities and facilitate return-to-work. The program will be implemented and provided as
one of the pain treatment modalities available through multi-professional teams in primary
care in one Swedish county. This study aims to evaluate the effect of an activity and
life-role targeting pain rehabilitation program on the outcome variables return-to-work and
sickness absence.
Patients seeking care due to disabling back, neck or shoulder pain at seven primary health
care units in the County of Dalarna, Sweden, was randomly allocated to ALAR or usual
multimodal rehabilitation. Between and within-group differences on return-to-work, sickness
absence and disability will be evaluated at 10 weeks, six months, one and two years
post-treatment.
The enrollment of patients was ended on preterm in june 2013. Due to changes in the
organization in primary health care it was no longer possible to ensure that treatment arms
could be delivered as intended. Data collection up to 1-year follow-up is completed. Data
from longterm follow-up at 2 years will be completed in june 2015. Data analyses and
reporting of results is presently undertaken. The number of enrolled participants is not
enough to reach statistical power. Thus, results will need to be interpreted with caution.
Still the results of this pragmatic study will be of importance for the planning of a full
scale study to accurately evaluate the effects of ALAR, to be conducted in primary care.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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