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DROP-OUT FROM CHRONIC PAIN TREATMENT PROGRAMMES: IS RANDOMIZATION JUSTIFIED IN BIOPSYCHOSOCIAL APPROACHES?

OBJECTIVE: To identify profiles of patients who are at risk of dropping out from biopsychosocial approaches to chronic pain management. PATIENTS: A total of 575 patients were included in the study. Of these, 203 were randomized into 4 treatment groups: self-hypnosis/self-care; music/self-care; self-...

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Autores principales: BICEGO, Aminata, MONSEUR, Justine, ROUSSEAUX, Floriane, FAYMONVILLE, Marie-Elisabeth, MALAISE, Nicole, SALAMUN, Irène, COLLINET, Alain, NYSSEN, Anne-Sophie, VANHAUDENHUYSE, Audrey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Foundation for Rehabilitation Information 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8814856/
https://www.ncbi.nlm.nih.gov/pubmed/33829274
http://dx.doi.org/10.2340/16501977-2824
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author BICEGO, Aminata
MONSEUR, Justine
ROUSSEAUX, Floriane
FAYMONVILLE, Marie-Elisabeth
MALAISE, Nicole
SALAMUN, Irène
COLLINET, Alain
NYSSEN, Anne-Sophie
VANHAUDENHUYSE, Audrey
author_facet BICEGO, Aminata
MONSEUR, Justine
ROUSSEAUX, Floriane
FAYMONVILLE, Marie-Elisabeth
MALAISE, Nicole
SALAMUN, Irène
COLLINET, Alain
NYSSEN, Anne-Sophie
VANHAUDENHUYSE, Audrey
author_sort BICEGO, Aminata
collection PubMed
description OBJECTIVE: To identify profiles of patients who are at risk of dropping out from biopsychosocial approaches to chronic pain management. PATIENTS: A total of 575 patients were included in the study. Of these, 203 were randomized into 4 treatment groups: self-hypnosis/self-care; music/self-care; self-care; and psychoeducation/cognitive behavioural therapy. The remaining 372 patients were not randomized, as they presented with the demand to learn self-hypnosis/self-care, and therefore were termed a “self-hypnosis/self-care demanders” group. METHODS: Socio-demographics and behavioural data were included in the analyses. Univariates analyses, comparing early drop-outs (never attended treatment), late drop-outs (6/9 sessions’ treatment) and continuers were conducted in order to select variables to include in a multivariate logistic regression. RESULTS: Univariate analyses yielded 8 variables, out of 18 potential predictors for drop-out, which were eligible for inclusion in the multivariate logistic regression. The model showed that having an intermediate or high educational level protects against dropping out early or late in the pain management process. Having to wait for more than 4 months before starting the treatment increases the risk of never starting it. Being randomized increases the risk of never starting the treatment. CONCLUSION: In a context in which randomization is considered a “gold standard” in evidence-based practice, these results indicate that this very principle could be deleterious to pain management in patients with chronic pain.
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spelling pubmed-88148562022-02-08 DROP-OUT FROM CHRONIC PAIN TREATMENT PROGRAMMES: IS RANDOMIZATION JUSTIFIED IN BIOPSYCHOSOCIAL APPROACHES? BICEGO, Aminata MONSEUR, Justine ROUSSEAUX, Floriane FAYMONVILLE, Marie-Elisabeth MALAISE, Nicole SALAMUN, Irène COLLINET, Alain NYSSEN, Anne-Sophie VANHAUDENHUYSE, Audrey J Rehabil Med Original Report OBJECTIVE: To identify profiles of patients who are at risk of dropping out from biopsychosocial approaches to chronic pain management. PATIENTS: A total of 575 patients were included in the study. Of these, 203 were randomized into 4 treatment groups: self-hypnosis/self-care; music/self-care; self-care; and psychoeducation/cognitive behavioural therapy. The remaining 372 patients were not randomized, as they presented with the demand to learn self-hypnosis/self-care, and therefore were termed a “self-hypnosis/self-care demanders” group. METHODS: Socio-demographics and behavioural data were included in the analyses. Univariates analyses, comparing early drop-outs (never attended treatment), late drop-outs (6/9 sessions’ treatment) and continuers were conducted in order to select variables to include in a multivariate logistic regression. RESULTS: Univariate analyses yielded 8 variables, out of 18 potential predictors for drop-out, which were eligible for inclusion in the multivariate logistic regression. The model showed that having an intermediate or high educational level protects against dropping out early or late in the pain management process. Having to wait for more than 4 months before starting the treatment increases the risk of never starting it. Being randomized increases the risk of never starting the treatment. CONCLUSION: In a context in which randomization is considered a “gold standard” in evidence-based practice, these results indicate that this very principle could be deleterious to pain management in patients with chronic pain. Foundation for Rehabilitation Information 2021-04-08 /pmc/articles/PMC8814856/ /pubmed/33829274 http://dx.doi.org/10.2340/16501977-2824 Text en © 2021 Journal of Rehabilitation Medicine https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Report
BICEGO, Aminata
MONSEUR, Justine
ROUSSEAUX, Floriane
FAYMONVILLE, Marie-Elisabeth
MALAISE, Nicole
SALAMUN, Irène
COLLINET, Alain
NYSSEN, Anne-Sophie
VANHAUDENHUYSE, Audrey
DROP-OUT FROM CHRONIC PAIN TREATMENT PROGRAMMES: IS RANDOMIZATION JUSTIFIED IN BIOPSYCHOSOCIAL APPROACHES?
title DROP-OUT FROM CHRONIC PAIN TREATMENT PROGRAMMES: IS RANDOMIZATION JUSTIFIED IN BIOPSYCHOSOCIAL APPROACHES?
title_full DROP-OUT FROM CHRONIC PAIN TREATMENT PROGRAMMES: IS RANDOMIZATION JUSTIFIED IN BIOPSYCHOSOCIAL APPROACHES?
title_fullStr DROP-OUT FROM CHRONIC PAIN TREATMENT PROGRAMMES: IS RANDOMIZATION JUSTIFIED IN BIOPSYCHOSOCIAL APPROACHES?
title_full_unstemmed DROP-OUT FROM CHRONIC PAIN TREATMENT PROGRAMMES: IS RANDOMIZATION JUSTIFIED IN BIOPSYCHOSOCIAL APPROACHES?
title_short DROP-OUT FROM CHRONIC PAIN TREATMENT PROGRAMMES: IS RANDOMIZATION JUSTIFIED IN BIOPSYCHOSOCIAL APPROACHES?
title_sort drop-out from chronic pain treatment programmes: is randomization justified in biopsychosocial approaches?
topic Original Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8814856/
https://www.ncbi.nlm.nih.gov/pubmed/33829274
http://dx.doi.org/10.2340/16501977-2824
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