Dropout Factors in Chronic Pain Management
Study Details
Study Description
Brief Summary
Chronic pain concernes one in four adults in Belgium. Because of the psychological and social repercussions, a biopsychosocial approach is necessary in order to improve the quality of life chronic pain patients. Non-pharmacological techniques such as hypnosis, self-care learning, music-therapy and psycho-education are gaining more and more interest in the scientific field. However, a major problem in clinical research is patient dropout. To our knowledge, no study has investigated dropout rates in hypnosis clinical research. The aim of this study is, therefore, to better understand the predictors of dropout in several non-pharmacological treatments in chronic pain management.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Self-hypnosis/self-care group It is a 7-months 2 hours-session (1 session per month) of self-hypnosis/self-care learning. Participants are given strategies to learn self-care (knowing their needs, self-respect, communication etc.), each strategy is discussed for participant to understand them and thus apply them correctly in daily life. An hypnosis exercice is conducted at the end of each session. A CD with the audiotaped hypnosis exercice is given to each patient so that they can practice also every day. |
Behavioral: Self-hypnosis/self-care group
Self-hypnosis/self-care
|
Music/self-care It is a 7-months 2 hours-session (1 session per month) of music/self-care learning. Participants are given strategies to learn self-care (knowing their needs, self-respect, communication etc.), each strategy is discussed for participant to understand them and thus apply them correctly in daily life. At the end of each session, patients are invited to listen to a relaxing melody of 15 minutes. This melody was composed by a professional musico-therapist. A CD with the audiotaped melody is given to each patient so that they can practice also every day. |
Behavioral: Music/self-care
Music-therapy/self-care
|
Self-care It is a 7-months 2 hours-session (1 session per month) of music/self-care learning. Participants are given strategies to learn self-care (knowing their needs, self-respect, communication etc.), each strategy is discussed for participant to understand them and thus apply them correctly in daily life. |
Behavioral: Self-care
Self-care
|
Psycho-education It is a 7-months 2 hours-session (1 session per month) of psycho-education training. Psycho-education aims to empower and encourage the patient to become an actor in his therapeutic management, while offering a comprehensive model of the mechanisms of pain, the benefits of pharmacological treatments at a physical and psychological level as well as ways to change the way one lives every day. |
Behavioral: Psycho-education
Psycho-education
|
Self-hypnosis/self-care motivation It is a 7-months 2 hours-session (1 session per month) of self-hypnosis/self-care learning. Participants are given strategies to learn self-care (knowing their needs, self-respect, communication etc.), each strategy is discussed for participant to understand them and thus apply them correctly in daily life. An hypnosis exercice is conducted at the end of each session. A CD with the audiotaped hypnosis exercice is given to each patient so that they can practice also every day. |
Behavioral: Self-hypnosis/self-care motivation
Motivation to learn self-hypnosis/self-care
|
Outcome Measures
Primary Outcome Measures
- Amount of drop-out [T1 (before treatment)]
The amount of drop-out between treatments group will be assessed by means of our database.
- Amount of dropout between treatment groups [T1 (before treatment)]
The amount of drop-out between treatments group will be assessed by means of our database.
- Influence of therapist's expertise in hypnosis [T1 (before treatment)]
The influence of the therapist's expertise in hypnosis upon drop-out will be assessed by means of our database.
- Link between state-financial help and drop-out [T1 (before treatment)]
In Belgium, in certain cases, state will financially help patients to benefit from pain non-pharmacological treatments. We would like to understand if the benefit of state financial help influences the amount of drop-out.
- Influence of motivation [T1 (before treatment)]
To understand of motivation influenced the amount of drop-out, we analysed the amount of drop-out in the "self-hypnosis/self-care motivation" group.
- Influence of pain description [T1 (before treatment)]
The influence of pain description upon dropout rates will be assessed by means of a Visual Analogue Scale (VAS). Scale ranging from 0 (no pain) to 10 (worst pain).
- Influence of sleep difficulties [T1 (before treatment)]
The influence of sleep difficulties upon dropout rates will be assessed by means of a Visual Analogue Scale (VAS). Scale ranging from 0 (no sleep difficulties) to 10 (worst sleep difficulties).
- Influence of insomnia [T1 (before treatment)]
The influence of the severity of insomnia upon dropout will be assessed by means of the "Insomnia Severity Index" (Morin et al., 2001). Scale ranging from 0 (none) to 4 (very severe).
- Influence of anxiety [T1 (before treatment)]
The influence of anxiety upon dropout will be assessed by means of the subtest "anxiety" of the Hospital Anxiety and Depression Scale (HADS, Zigmond & Snaith, 1983). Scale ranging from 0 (never) to 4 (always).
- Influence of depression [T1 (before treatment)]
The influence of depression upon dropout will be assessed by means of the subtest "anxiety" of the Hospital Anxiety and Depression Scale (HADS, Zigmond & Snaith, 1983). Scale ranging from 0 (never) to 4 (always).
- Influence of pain disability [T1 (before treatment)]
The influence of pain disability upon will be assessed by means of the "Pain Disability Index" (PDI, Tait et al., 1990). Scale ranging from 0 (no difficulties) to 10 (a lot of difficulties).
- Influence of the impact of pain [T1 (before treatment)]
The influence of the impact of pain in individual's life, quality of social support and general activity, upon dropout will be assessed my means of the "Multidimensional Pain Index" (MPI, Kerns et al., 1985). Scale ranging from 0 (none) to 6 (a lot).
- Influence of attitudes and beliefs about pain [T1 (before treatment)]
The influence of the attitudes and beliefs about pain upon dropout will be assessed my means of the "Survey of Pain Attitudes" (SOPA, Jensen & Karoly, 1987). Scale ranging from 0 (totally wrong) to 10 (totally right).
- Influence of quality of life [T1 (before treatment)]
The influence of quality of life upon dropout will be assessed by means of the "SF-36"(Ware et al., 1988). Each item is balanced to obtain a score between 0 (worst quality) to 100 (maximum quality).
- Influence of locus of control [T1 (before treatment)]
The influence of the locus of control upon dropoout will be assessd my means og the "Multidimensional Health Locus of Control" (MHLC, Wallston et al., 1978). Scale ranging from 1 (no agreement) to 4 (agreement).
Eligibility Criteria
Criteria
Inclusion Criteria:
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Major
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Fluency in French
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Chronic pain diagnosis
Exclusion Criteria:
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Neurologic disorder
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Psychiatric disorder
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Drug addiction
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Alcoholism
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hospital University of Liège | Liège | Belgium | 4000 |
Sponsors and Collaborators
- University of Liege
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2015/85-C