Activity and Life-role Targeted Pain Rehabilitation in Primary Health Care
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ClinicalTrials.gov Identifier: NCT01447953 |
Recruitment Status
:
Terminated
(Organizational changes in health care made further recruitment to the treatment options unpossible.)
First Posted
: October 6, 2011
Last Update Posted
: December 15, 2015
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Condition or disease | Intervention/treatment | Phase |
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Musculoskeletal Neck Pain Musculoskeletal Shoulder Pain | Other: Activity targeted pain rehabilitation Other: Treatment as usual | Not Applicable |
The primary goal of the Swedish national rehabilitation plan on pain is to reduce disability and facilitate return-to-work. However, there is a lack of treatment strategies that effectively target and affect return-to-work and reduce sickness absence, and that in addition are sufficiently easy and feasible to administer in primary care. A new activity and life-role targeting rehabilitation program (ALAR) has been developed to reduce psychosocial barriers to rehabilitation progress, promote re-integration into life-role activities and facilitate return-to-work. The program will be implemented and provided as one of the pain treatment modalities available through multi-professional teams in primary care in one Swedish county. This study aims to evaluate the effect of an activity and life-role targeting pain rehabilitation program on the outcome variables return-to-work and sickness absence.
Patients seeking care due to disabling back, neck or shoulder pain at seven primary health care units in the County of Dalarna, Sweden, was randomly allocated to ALAR or usual multimodal rehabilitation. Between and within-group differences on return-to-work, sickness absence and disability will be evaluated at 10 weeks, six months, one and two years post-treatment.
The enrollment of patients was ended on preterm in june 2013. Due to changes in the organization in primary health care it was no longer possible to ensure that treatment arms could be delivered as intended. Data collection up to 1-year follow-up is completed. Data from longterm follow-up at 2 years will be completed in june 2015. Data analyses and reporting of results is presently undertaken. The number of enrolled participants is not enough to reach statistical power. Thus, results will need to be interpreted with caution.
Still the results of this pragmatic study will be of importance for the planning of a full scale study to accurately evaluate the effects of ALAR, to be conducted in primary care.
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 65 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | Activity and Life-role Targeted Pain Rehabilitation in Primary Health Care: a Randomized Controlled Trial |
Study Start Date : | October 2011 |
Actual Primary Completion Date : | June 2013 |
Actual Study Completion Date : | June 2015 |

Arm | Intervention/treatment |
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Experimental: Activity targeted pain rehabilitation
A new activity and life-role targeting pain rehabilitation program (ALAR) has been developed to reduce psychosocial barriers to rehabilitation progress, promote re-integration into life-role activities and facilitate return-to-work.
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Other: Activity targeted pain rehabilitation
An activity and life-role targeting rehabilitation programme (ALAR) provided by one of the care givers in the multi-professional rehabilitation teams at each of the eight participating primary health care centres, by ten weekly 1-hour treatment sessions.
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Active Comparator: Treatment as usual
Usual treatment consisting of multimodal rehabilitation provided by multi-professional teams in primary health care in the County of Dalarna, Sweden.
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Other: Treatment as usual
Usual treatment with type of treatment modalities, number, frequency and duration of visits according to the judgement of the muli-professional teams at each primary health care centre.
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- Number of days of sickness absence from work [ Time Frame: 6 months ]Number of days of sickness absence from work during a 3-month period preceding the baseline measurement and preceding each follow-up, and specified in percent of full-time work.
- Number of days of sickness absence from work [ Time Frame: 1 year ]Number of days of sickness absence from work during a 3-month period preceding the baseline measurement and preceding each follow-up, and specified in percent of full-time work.
- Number of days of sickness absence from work [ Time Frame: 2 years ]Number of days of sickness absence from work during a 3-month period preceding the baseline measurement and preceding each follow-up, and specified in percent of full-time work.
- Return-to-work after sickness absence [ Time Frame: Before treatment (at baseline), with follow-ups at 6 months, 1 , 2 and 5 years after treatment (after baseline assessment) ]Number of participants that return to work after sickness absence, i.e. that were on sick leave before the study and that has returned to work after the study.
- Disability [ Time Frame: Before treatment (at baseline), with follow-ups at 6 months, 1 , 2 and 5 years after treatment (after baseline assessment) ]Pain-related disability according to Pain Disability Index (PDI).

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Ages Eligible for Study: | 18 Years to 60 Years (Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Persons seeking primary health care due to back, neck or shoulder pain
- Aged 18 to 60 years
- Being on sick leave or disability compensation
- Able to understand, read and write Swedish

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): NCT01447953
Sweden | |
The County Council of Dalarna; Primary Health Care units | |
Falun, Sweden, 79182 |
Responsible Party: | Catharina Gustavsson, RPT PhD, Principal Investigator Registered Physical Therapist PhD, Uppsala University |
ClinicalTrials.gov Identifier: | NCT01447953 History of Changes |
Other Study ID Numbers: |
ALAR-2009RS |
First Posted: | October 6, 2011 Key Record Dates |
Last Update Posted: | December 15, 2015 |
Last Verified: | December 2015 |
Keywords provided by Catharina Gustavsson, RPT PhD, Uppsala University:
Activity disability life-role multimodal rehabilitation |
primary health care persistent pain randomized controlled trial Musculoskeletal back pain |
Additional relevant MeSH terms:
Neck Pain Shoulder Pain Pain Neurologic Manifestations Nervous System Diseases |
Signs and Symptoms Arthralgia Joint Diseases Musculoskeletal Diseases |