Scool of Pain (SchooP): A Way to Create Value in Healthcare?

Rigshospitalet

Status: Completed

Conditions: Chronic Non-cancer Pain; Patient Education as Topic

Treatments: Other: Pain school intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT07363746

F-23056260

Details and patient eligibility

About

BACKGROUND: Chronic non-cancer pain (CNCP) is a disabling condition with radical consequences. Magic fix-it solutions do not exist. CNCP is a condition for life, calling for healthcare services supporting its management. Value-based healthcare is a method to work with healthcare that, in the Capital Region of Denmark, serves as a framework for clinicians, administrators, and politicians to deliver healthcare services that create value for patients within available resources. An investigation conducted in collaboration between the Danish Health Association and Danish Regions, involving patients, medical experts, municipality representatives, and general practitioners found that the following preferences should be addressed to achieve value-based healthcare in multidisciplinary treatment of CNCP: Quality of life; acceptance; maintenance, and labor market; communication; social life; sleep; physical status and energy administration; pain management and -relief; emotional status and mood.

In response to the requirement to provide value in healthcare, the Multidisciplinary Pain Centre at Rigshospitalet designed a pain school intervention based on identified preferences. Previous studies have documented the benefits of educational programs in the multidisciplinary treatment of CNCP, but also ethnic/racial and socioeconomic disparities in treatment responses. The present study AIMED to evaluate patients' experience of participating in a pain school, designed to create value in healthcare in the multidisciplinary treatment of CNCP.

Full description

DESIGN: The pain school intervention was evaluated using a questionnaire completed by the participants immediately after each of the seven pain school sessions. The questionnaire had two questions: 1: The topic of the pain school session was relevant for me. 2: The teachers communicated the topic of the pain school session appropriately. After the seventh and last pain school session, the participants were also asked to provide an overall evaluation of the pain school using a questionnaire with 9 questions across 4 categories.

The pain school was additionally evaluated using a qualitative design, with focus group interviews with pain school participants and individual interviews with patients who had three or more no-shows or cancellations.

Enrollment: 82 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

The pain school participants were referred to the pain school by the multidisciplinary healthcare provides from the study setting in cohesion with the following criteria:

Inclusion criteria

• Patient motivation
• Ability to join a group and attend a classroom for 2 hours
• Logistical feasibility
• Sufficient energy

Exclusion cireteria

• Inability to understand and speak Danish
• Anxiety
• Depression
• Current resource-demanding opioid-tapering
• Unstable attendance to appointments.

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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82 participants in 1 patient group

Pain school participants

Experimental group

Treatment:

Other: Pain school intervention