Chronic Pain Clinical Trial
Official title:
The Use of Guided Self-determination in the Treatment of Chronic Pain Patients Will Increase Life Skills and Thereby Life Quality of the Chronic Pain Patient
The purpose of this randomized study is to find out whether using the Danish-developed
nursing intervention guided self-determination (GSD) can improve life skills of the chronic
pain patient.
The hypothesis is "using guided self-determination in the treatment of chronic pain patients
will increase the life skills of the patients and thus their life quality in spite of pain".
Twenty percent of the Danish population suffer from chronic pain, which leads to the second
highest financial expense following psychiatric diseases. In treating chronic pain, the main
focus is often on diagnosis and treatment rather than life quality and everyday life. Several
studies point to the fact that the interaction between the health professional and the
patient can be improved by the individual patient being educated in taking responsibility for
his/her own illness, and by involving the patient in decision making through training
communication.
GSD is an educational method, comprising 32 semi-structured reflection sheets inviting the
patients in groups of 4 through 8 sessions of 150 minutes' duration to reflect on the
patient's own situation and to be active in co-operation with the nurses.
A total of 192 patients will be included and randomized in either an intervention or in a
control group. The difference between the two groups is measured by means of three
questionnaires, SF-36, PAM and SOC, which are answered before and after the intervention as
well as 6 months later.
The hypothesis is "using guided self-determination in the treatment of chronic pain patients
will increase the life skills of the patients and thus their life quality in spite of pain".
An alliance is established between The Multidisciplinary Pain Clinic at Herlev Hospital and
The Pain Clinic at Naestved Hospital as well as The Regional Pain Clinic at Koege Hospital to
conduct this intervention and thus make the best possible use of interrelated knowledge
within the issue.
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