The effectiveness of an improved multidisciplinary pain management programme: a 6- and 12-month follow-up study

J Adv Nurs. 2012 May;68(5):1061-72. doi: 10.1111/j.1365-2648.2011.05810.x. Epub 2011 Nov 3.


Aim: This article is a report of a Norwegian-revised study on the effectiveness of a follow-up multidisciplinary management programme for chronic pain to investigate the change processes associated with treatment.

Background: Substantial evidence supports the use of Cognitive Behavioural Therapy approaches to chronic pain. As relapse is often reported, follow-up sessions should be included.

Methods: A follow-up quasi-experimental design was performed, and a previous control group was used. The study initially included 117 participants, and 104 of the sample completed the 6- and 12-month follow-up programme. The 6-month follow-up consisted of therapeutic dialogue and education combined with physical activity. At the 12-month follow-up, a telephonic consultation was conducted. The data collection period was between September 2006 and January 2008. The statistical and clinical significance were considered.

Results: Findings suggest that this follow-up programme can potentially maintain the positive results of the basic programme in terms of reduced pain perception, improved health-related quality of life, and movement towards self-management.

Conclusion: These results are consistent with the ultimate goal of Cognitive Behavioural Therapy approaches, which is to help patients with chronic pain to cope more effectively and to improve their health-related quality of life and functioning. To maintain treatment improvements and advance nursing, there is a clear need for research that tests the efficacy of follow-up interventions that are designed to prevent drop out and relapse.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Adult
  • Aged
  • Chronic Pain / nursing
  • Chronic Pain / psychology
  • Chronic Pain / therapy*
  • Cognitive Behavioral Therapy / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Nursing Evaluation Research
  • Pain Management / methods*
  • Pain Management / nursing
  • Pain Management / psychology
  • Patient Care Team*
  • Patient Dropouts / statistics & numerical data
  • Program Evaluation
  • Quality of Life*
  • Secondary Prevention
  • Self Care
  • Treatment Outcome
  • Young Adult