Interdisciplinary Rehabilitation of Patients With Chronic Widespread Pain
IMPROvE
1 other identifier
interventional
192
1 country
2
Brief Summary
The primary objective of the current study is to evaluate the outcome of an interdisciplinary multi-component rehabilitation programme customized to patients with chronic widespread pain (CWP) based on multidimensional diagnostic assessment including sub-grouping, and aiming to improve functional ability in everyday life. The hypothesis is that a patient-focused multi-disciplinary rehabilitation approach will improve both functional ability and quality of life for patients with CWP.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2011
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2011
CompletedFirst Submitted
Initial submission to the registry
May 4, 2011
CompletedFirst Posted
Study publicly available on registry
May 11, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2014
CompletedAugust 10, 2016
August 1, 2016
2.7 years
May 4, 2011
August 9, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Assessment of Motor and Process Skills (AMPS)
The Assessment of Motor and Process Skills (AMPS) is a performance-based evaluation of ADL ability, developed to establish the extent of an individual's ability to perform and complete daily life tasks independently and in a safe and efficient manner. Further, the AMPS measurement model incorporates the use of Rasch analysis, and therefore provides equal-interval linear measures of the quality of ADL task performances. Two separate measures are reported, one for ADL motor ability (moving self and objects) and one for ADL process ability (organising and adapting actions).
change from baseline at the end of intervention and 6 months follow-up
SF-36 Mental Composite Score
change from baseline at the end of intervention and 6 months follow-up
Secondary Outcomes (8)
Health related quality of life scales; Short-Form-36 Health Survey (SF-36)
change from baseline at the end of intervention and 6 months follow-up
Disease severity scales;Fibromyalgia Impact Questionnaire (FIQ)
change from baseline at the end of intervention and 6 months follow-up
Anxiety; Generalised Anxiety Disorder (GAD-10)
change from baseline at the end of intervention and 6 months follow-up
Depression; Major Depression Inventory (MDI)
change from baseline at the end of intervention and 6 months follow-up
Pain catastrophizing; Coping Strategy Questionnaire (CSQ)
change from baseline at the end of intervention and at 6 months follow-up
- +3 more secondary outcomes
Study Arms (2)
waiting list assignment
NO INTERVENTION6 months waiting list assignment followed by the 2-week interdisciplinary rehabilitation programme
Intervention: interdisciplinary rehabilitation programme
ACTIVE COMPARATORA two-weeks non-residential, group-based, psycho-educative treatment course conducted by an interdisciplinary team.
Interventions
A two-weeks non-residential, group-based, psycho-educative, multi-component treatment course conducted by an interdisciplinary team consisting of a rheumatologist, a nurse, occupational therapists, physical therapists, and a psychologist. The rehabilitation Programme comprises of a combination of lectures and group discussions, as well as instructions during physical exercise and task performance. The main focus is on education and adaptations in everyday life. There is a scheduled Programme for every day, with a daily time schedule between four and six hours. There will be a maximum of eight participants in each group.
Eligibility Criteria
You may qualify if:
- age above 18
- fulfills the American College of Rheumatology (ACR) 1990 classification criteria of widespread musculoskeletal pain i.e. reporting of pain axially and in all 4 body quadrants for a minimum duration of 3 months
- willing to participate in a 2-week group-based rehabilitation programme
You may not qualify if:
- severe physical impairment necessitating assistance in personal activities of daily living
- concurrent history of major psychiatric disorder not related to the pain disorder
- other medical conditions capable of causing patients symptoms (e.g. uncontrolled inflammatory/autoimmune disorder, uncontrolled endocrine disorder, malignancy)
- not Danish speaking
- enrollment in any other clinical trial within the last 30 days
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Frederiksberg University Hospitallead
- Oak Foundationcollaborator
Study Sites (2)
The Parker Institute, Frederiksberg Hospital
Frederiksberg, Frederiksberg, 2000, Denmark
The Parker Institute, Frederiksberg University Hospital
Frederiksberg, 2000, Denmark
Related Publications (3)
Amris K, Jespersen A, Bliddal H. Self-reported somatosensory symptoms of neuropathic pain in fibromyalgia and chronic widespread pain correlate with tender point count and pressure-pain thresholds. Pain. 2010 Dec;151(3):664-669. doi: 10.1016/j.pain.2010.08.023. Epub 2010 Sep 15.
PMID: 20832941BACKGROUNDWaehrens EE, Amris K, Fisher AG. Performance-based assessment of activities of daily living (ADL) ability among women with chronic widespread pain. Pain. 2010 Sep;150(3):535-541. doi: 10.1016/j.pain.2010.06.008. Epub 2010 Jul 3.
PMID: 20598803BACKGROUNDJespersen A, Dreyer L, Kendall S, Graven-Nielsen T, Arendt-Nielsen L, Bliddal H, Danneskiold-Samsoe B. Computerized cuff pressure algometry: A new method to assess deep-tissue hypersensitivity in fibromyalgia. Pain. 2007 Sep;131(1-2):57-62. doi: 10.1016/j.pain.2006.12.012. Epub 2007 Jan 25.
PMID: 17257757BACKGROUND
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Bente Danneskiold-Samsøe, Professor
The Parker Institute, Frederiksberg University Hospital
- PRINCIPAL INVESTIGATOR
Kirstine Amris, MD
The Parker Institute, Frederiksberg University Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
May 4, 2011
First Posted
May 11, 2011
Study Start
May 1, 2011
Primary Completion
January 1, 2014
Study Completion
January 1, 2014
Last Updated
August 10, 2016
Record last verified: 2016-08