A clinical evaluation of a community-based rehabilitation and social intervention programme for patients with chronic pain with associated multi-morbidity (pp. 149-159)
Authors: Ellen Wright, Roxaneh Zarnegar, Ingrid Hermansen, and David McGavin
Abstract: Background: Multi-morbidity, low mood and social isolation are common among patients suffering chronic pain and can inhibit effective self-management. We have developed the novel approach of a charity working alongside a community pain clinic to provide highly individualised therapy, support and social activities towards encouraging de-medicalisation, independence and personal development. Methods: We carried out an evaluation of the service using routinely collected clinic data, post discharge interviews and information obtained from the general practitioner. Results: Data analysis was possible in 29 of the first 30 patients. Despite initial higher than average levels of disability, there was a statistically significant improvement in mean EQ5D-3L health status, median average pain intensity on BPI and an overall reduction in clinically-significant depression using PHQ-9 scores, 19 months after participating in the project. Repeat analgesic and psychotropic medication prescriptions were reduced in both number of items (46%) and cost (46%). Conclusions: A community based method of holistic, integrated and individualised care for patients with chronic pain delivered by a charity, working in partnership with the NHS, was successful in improving many aspects of chronic pain related disability and reducing healthcare use.
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