Chronic Pain and Social Vulnerability: Prevalence and Predictive Factors of the Social Vulnerability in Evaluation and Treatment of the Pain Center (CETD)

NCT02171936 | Unknown

• 1 other identifier: CHU-0194
• Study Type: observational
• Target: 800
• Locations: 1 country
• Sites: 1

Brief Summary

In the care of the chronic pain in pain's department, pain consultation or Evaluation and Treatment of the Pain Center (CETD), the patients are often in a situation of physical and psychic suffering which requires a multidisciplinary follow-up. So, 19 percent of the chronic painful patients lost their employment, are "disintegrated" because of their pain, this being able to provocate a loss of their financial autonomy. A large number of painful patients thus find themselves in situations of social vulnerability even of precariousness often denied and difficult to detect by the caring team. Precarity is define as " the lack of one or several securities, in particular the employment, allowing the people and the families to assume their professional, family or social obligations, and to enjoy their fundamental rights." To allow a earlier identification of the populations in deprivation situation, the questionnaire EPICES (Evaluation of the Precariousness and the Disparities of health for the Centers of Examination of Health (CES)) was administered to more than 7000 people. The individual score, indicator of the precariousness and the disparities of health, is calculated after answer to 11 questions and was calculated on about 200 000 French people. Among numerous indicators, it appears that the consumption of psychotropics or a negative perception of the health are socioeconomic indicators, mode of life and health which are prevailing according to the quintiles of the score EPICES. This national study, on the French CETD aims is: 1 - to study prevalence of the social vulnerability even of the precariousness thanks to adapted questionnaires of which the questionnaire EPICES, 2 - to identify predictive social-economic factors which generate and amplify this circumstance, 3 - to identify the patients for whom a situation of precariousness and social vulnerability is proved true, justifying the earlier orientation towards the social worker of the Center so allowing a "global" care of the patient during the second visit

Conditions

Chronic Pain

Keywords

Pain; Precariousness; EPICES Score; CETD

Outcome Measures

Primary Outcomes (1)

• Estimate prevalence of the precariousness and the disparities of health at the chronic painful patient in CETD by the questionnaire EPICES

  Estimate prevalence of the precariousness and the disparities of health at the chronic painful patient in CETD by the questionnaire EPICES (Evaluation of the Precariousness and the Disparities of Health for the Centers of Examination of Health). Patient which have a score EPICES ≥ 30, 2. will be considered as " vulnerable socially or precarious" and will came for a second consultation in the center of Evaluation and Treatment of the Pain, to benefit an earlier orientation and better adapted with a social worker.

  At day 1

Secondary Outcomes (1)

• Estimation of the relation between precariousness / disparities of health and the quality of life estimated by the SF36

  At day 1

Study Arms (1)

chronic pain

Other: Questionnaire EPICES (Evaluation of the Precariousness and the Disparities of Health for the Centers of Examination of Health).

Interventions

Questionnaire EPICES (Evaluation of the Precariousness and the Disparities of Health for the Centers of Examination of Health). OTHER

chronic pain

Eligibility Criteria

• Age: Up to 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Patients follow-up in a CETD

You may qualify if:

• Patient follow-up in a CETD, Patient of more than 18 years old, Patient having a sufficient cooperation and an understanding to conform to the imperatives of the study, Patient agreeing to give a written consent, Patient member in the social security system French.

You may not qualify if:

• Old Patient under age 18, Patient with cooperation and understanding not allowing conforming in a strict way to the conditions and to the tests planned by the protocol, Patient benefiting from a legal protective measure (guardianship, supervision) Unaffiliated patient in the social security system French

Sponsors & Collaborators

• University Hospital, Clermont-Ferrand: lead

Study Sites (1)

CHU Clermont-Ferrand

Clermont-Ferrand, 63003, France

RECRUITING

MeSH Terms

Conditions

Chronic Pain; Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Gisèle PICKERING

  University Hospital, Clermont-Ferrand

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Patrick LACARIN

CONTACT

04 73 75 11 95; placarin@chu-clermontferrand.fr

Study Design

• Study Type: observational
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 16, 2014
• First Posted: June 24, 2014
• Study Start: May 1, 2014
• Primary Completion: April 1, 2016
• Study Completion: May 1, 2016
• Last Updated: June 24, 2014

Record last verified: 2014-06

Locations

FR (1)