Pain Rehabilitation: Patient Centered Outcomes

疼痛康复：以患者为中心的结果

基本信息

批准号：
7470089
负责人：
Michael E ROBINSON
金额：
$ 21.7万
依托单位：
UNIVERSITY OF FLORIDA
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-29 至 2010-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7470089
关键词：
Activities of Daily Living Address Affect Aftercare Age Anger Anxiety Back Pain Beck depression inventory Behavior Behavior Therapy Behavioral Characteristics Chronic Chronic low back pain Clinical Cognitive Cognitive Therapy Condition Data Equation Equipment and supply inventories Ethnic Origin Evaluation Fatigue Financial cost Foundations Fright Gender Goals Health Healthcare Individual Intervention Judgment Location Measurement Measures Mediating Mental Depression Methods Modeling Nociception Numbers Opioid Oral Outcome Outcome Assessment Outcome Measure Pain Pain Measurement Pain management Patient Self-Report Patient-Focused Outcomes Patients Performance Pharmaceutical Preparations Physical Function Population Prevalence Process Purpose Range Rate Recording of previous events Rehabilitation Outcome Rehabilitation therapy Reporting Research Research Design Research Personnel Rest Statistical Methods Subgroup Symptoms Testing Theoretical model Time Treatment Efficacy Treatment outcome Validity and Reliability Visual Analogue Pain Scale care seeking chronic pain clinically relevant comparison group design desire disability expectation health care service utilization improved indexing innovation instrument interdisciplinary treatment approach multidisciplinary patient expectation patient oriented psychologic psychosocial response satisfaction size success trait

项目摘要

DESCRIPTION (provided by applicant): The extremely high personal and financial costs of chronic pain make it one of the most pressing health issues. Despite empirical support for the efficacy of some treatments, the prevalence of chronic pain conditions continues to rise. We propose that one reason that patients continue to seek treatment, despite availability of empirically validated treatments is that the outcome measures and success criteria typically employed in pain treatment studies are not patient defined, and do not assess clinical relevance. The purpose of this project is to compare pain treatment outcome from the perspective of the patient with traditional measures of treatment outcome. Obtaining patient centered and defined treatment success assessments across multiple domains (pain intensity, negative affect, function) will allow for a more clinically relevant determination of treatment success. We will make direct comparisons of traditional outcome measures and nomothetic statistical comparisons of those measures with patient centered, clinically relevant outcomes. We will employ a number of innovative measurement approaches to address the outcome and success of two types of treatment for chronic pain: cognitive-behavioral rehabilitation, and oral opioid treatment. We will assess specific hypotheses about how these treatments influence change in success criteria across multiple treatment domains. In a longitudinal design, treatment outcome/success will be assessed via patient centered self report of: pain intensity, negative affect, and function. Physical function will also be assessed with physical performance measures. Results of the project will provide more clinically relevant assessment of pain treatment success, better definition of common effect sizes for these treatments (ie. NNT) and will provide preliminary data on the tailoring of treatments. These data will also improve our understanding of the mechanisms underlying Cognitive-Behavioral Treatments and Oral Opioid Treatment of chronic pain conditions.

描述（由申请人提供）：慢性疼痛的个人和经济成本极高，使其成为最紧迫的健康问题之一。尽管经验支持某些治疗的功效，但慢性疼痛状况的流行率仍在升高。我们建议，尽管经过经验验证的治疗可用性，但患者仍继续寻求治疗的原因是，通常在疼痛治疗研究中使用的结果指标和成功标准未定义患者，并且没有评估临床相关性。该项目的目的是从患者的角度与传统的治疗结果测量进行比较。在多个领域（疼痛强度，负面影响，功能）中获得以患者为中心和定义的治疗成功评估，将可以更加临床相关地确定治疗成功。我们将直接比较这些措施与患者以临床相关结果为中心的传统结果指标和名义上的统计比较。我们将采用多种创新的测量方法来解决两种治疗方法的慢性疼痛的结果和成功：认知行为康复和口服阿片类药物治疗。我们将评估有关这些治疗方法如何影响多个治疗领域成功标准的变化的特定假设。在纵向设计中，将通过以患者为中心的自我报告来评估治疗结果/成功：疼痛强度，负面影响和功能。身体功能也将通过身体绩效指标进行评估。该项目的结果将提供对疼痛治疗成功的更临床相关评估，对这些治疗的共同效应大小的更好定义（即NNT），并将提供有关治疗量身定制的初步数据。这些数据还将提高我们对认知行为治疗和口服阿片类药物治疗慢性疼痛状况的理解。

项目成果

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Patient-centered outcome criteria for successful treatment of facial pain and fibromyalgia.

以患者为中心的成功治疗面部疼痛和纤维肌痛的结果标准。

DOI：
发表时间：
2009
期刊：
Journal of orofacial pain
影响因子：
0
作者：
Stutts,LaurenA;Robinson,MichaelE;McCulloch,RobertC;Banou,Evangelia;Waxenberg,LoriB;Gremillion,HenryA;Staud,Roland
通讯作者：
Staud,Roland

Investigating patient expectations and treatment outcome in a chronic low back pain population.