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The Effectiveness of Individual Placement and Support in Chronic Pain Patients (IPSinPain)

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ClinicalTrials.gov Identifier: NCT02697656
Recruitment Status : Active, not recruiting
First Posted : March 3, 2016
Last Update Posted : May 16, 2018
Sponsor:
Collaborator:
Norwegian Directorate of Health
Information provided by (Responsible Party):
Silje Endresen Reme, Oslo University Hospital

Brief Summary:
Individual Placement and support (IPS) is an evidence-based approach originally developed to help people with severe mental disorders to obtain and maintain employment. The effectiveness of IPS for patients with severe mental illness is well documented, but has never previously been tested for patients with chronic pain. In fact, employment support is rarely provided in pain clinics, despite an increasing focus on integrating work and health in all patient treatment (OECD, 2013). The aim of this study is to investigate the effectiveness of IPS as an integrated part of the interdisciplinary treatment for patients with chronic pain in a hospital outpatient clinic.

Condition or disease Intervention/treatment Phase
Chronic Pain Behavioral: IPS Behavioral: Self-help Behavioral: Treatment as usual Not Applicable

Detailed Description:

Individual Placement and support (IPS) is an evidence-based approach originally developed to help people with severe mental disorders to obtain and maintain employment. IPS represents a relatively new approach to vocational rehabilitation and incorporates following principles: (1) Every person that wants to work, can work given that the person is provided with the appropriate work and environment. (2)The goal is employment in regular, competitive employment. (3) IPS is integrated with treatment. (4) Job search is individualised; based on the participants' preferences and competence. (5) Work incentives planning is provided; which includes counselling about how work can influence social security and other public benefits. The intention of this benefits counselling is to enable the participant to make informed decisions about work (job starts and changes). (6) The job support is not time-limited. (7) Finally, IPS differs from more traditional employment services in that it does not involve pre-vocational training, often referred to as "train, then place". (8) In IPS job search starts as soon as the client expresses an interest in work. Therefore, IPS follows the principle "place, then train".

The effectiveness of IPS for patients with severe mental illness is well documented. International research shows that IPS is more effective than other types of employment programs for this group of clients. However, the effect of IPS on patients with chronic pain in an outpatient hospital clinic is largely unknown.


Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 65 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Randomized Controlled Trial Assessing the Effectiveness of the Individual Placement and Support Model for Patients With Chronic Pain in an Outpatient Hospital Pain Clinic
Study Start Date : November 2015
Estimated Primary Completion Date : June 2018
Estimated Study Completion Date : June 2019

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Chronic Pain

Arm Intervention/treatment
Active Comparator: Treatment as usual + self-help
Interdisciplinary treatment as usual at the outpatient pain clinic + an additional self-help binder with resources about pain management and employment advice.
Behavioral: Self-help
Self-help resources on obtaining employment and coping with chronic pain

Behavioral: Treatment as usual
Transdisciplinary treatment at the pain clinic. This includes medical, psychological and physiotherapy treatment.

Experimental: Treatment as usual + IPS
Individual job support (IPS) as an integrated part of the interdisciplinary treatment at the outpatient pain clinic.
Behavioral: IPS
Individualized job support provided by an employment specialist

Behavioral: Treatment as usual
Transdisciplinary treatment at the pain clinic. This includes medical, psychological and physiotherapy treatment.




Primary Outcome Measures :
  1. Competitive employment [ Time Frame: At 12-months follow-up ]
    Hours/days/weeks worked in competitive employment the last 12 months


Secondary Outcome Measures :
  1. Health-related quality of life [ Time Frame: 6 and 12 months follow-up ]
    EQ5D termometer

  2. Pain-related disability [ Time Frame: 6 and 12 months follow-up ]
    Oswestry, modified to chronic pain patients

  3. Pain intensity [ Time Frame: 6 and 12 months follow-up ]
    Numeric Rating Scale



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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients referred to the pain clinic and eligible for interdisciplinary treatment
  • Not currently working (long-term sick leave, disability pension or unemployed)
  • Expressed desire to work

Exclusion Criteria:

  • Living too far away from the pain clinic (outside of Oslo)

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02697656


Locations
Norway
Silje Endresen Reme
Oslo, Norway
Sponsors and Collaborators
Oslo University Hospital
Norwegian Directorate of Health
Investigators
Principal Investigator: Silje E Reme, PhD Oslo University Hospital