Get access

Effect of an Interdisciplinary Outpatient Pain Management Program (IOPP) for Chronic Pain Patients with and without Migration Background: A Prospective, Observational Clinical Study

Authors

  • Luca Scascighini MPtSc, BSc PT,

    Corresponding author
    1. Department of Health Sciences, University of Applied Sciences and Arts of Southern Switzerland, Manno
    2. Department of Rheumatology and Institute of Physical Medicine, University Hospital Zurich, Zurich, Switzerland
    Search for more papers by this author
  • Martin Litschi PT,

    1. Department of Rheumatology and Institute of Physical Medicine, University Hospital Zurich, Zurich, Switzerland
    Search for more papers by this author
  • Martina Walti PT,

    1. Department of Rheumatology and Institute of Physical Medicine, University Hospital Zurich, Zurich, Switzerland
    Search for more papers by this author
  • Haiko Sprott MD

    1. Department of Rheumatology and Institute of Physical Medicine, University Hospital Zurich, Zurich, Switzerland
    Search for more papers by this author

  • Financial support: None.

  • Disclosures: None of the authors have any financial relationship or conflicts of interest with regard to this manuscript.

Luca Scascighini, MPtSc, BSc PT, Department of Health Sciences, University of Applied Sciences and Arts of Southern Switzerland (SUPSI), Galleria 2, CH-6928 Manno, Switzerland. Tel: +41-(0)58-666-64-96; Fax: +41-(0)58-666-64-01; E-mail: luca.scascighini@supsi.ch.

Abstract

Objectives.  Short- and long-term effects of an interdisciplinary outpatient pain program (IOPP) in terms of quality of life, coping strategies, experiencing of pain and pain intensity as well as the influence of age, gender, or migration background.

Design.  Single, prospective cohort with assessments at baseline, posttreatment, and at 3, 6, 12 months follow-up.

Patients.  A total of 175 patients with chronic, nonmalignant pain syndromes (32.1% male and 67.9% female; age 43 ± 9.6 years).

Intervention.  Multi-professional, biopsychosocial-oriented pain program for the duration of 8 weeks.

Outcomes.  Pain intensity, Pain Disability Index (German Version of Pain Disability Index, PDI-G), cognitive and behavioral coping strategies (Verarbeitung chronischer Schmerzen FESV), Marburger questionnaire about habitual subjective well-being, and processing of chronic pain (Veränderungsfragebogen des Erlebens und Verhaltens, VEV). The migration background was considered to determine whether this variable influences the clinical outcomes.

Results.  All the mentioned variables except pain intensity improved significantly after the program (P < 0.05); whereas, after the 1-year follow-up, most of the parameters returned to the baseline values. Solely the subscale “pain-related psychological strain” remained significantly better compared with baseline (P < 0.05). The variable “migration background” influenced the outcomes PDI-G, habitual well-being, and FESV (P < 0.001; variance of 16.7% [95% confidence interval 7.8–25.5]). After 12 months, 49.4% showed an improvement with regard to the VEV outcome measurement, 22.6% showed no changes, and 28% showed worsening of the symptoms. Gender and age did not influence the results at 12 months (P = 0.408; P = 0.964).

Conclusion.  This study provides evidence for the short-term effect of the IOPP in chronic pain patients as well as the long-term effect for the variable “pain-related psychological strain.”

Ancillary