Background & Aims

The effects of person-centred care have been studied in several patient populations [1, 2, 3, 4]. The project Early Accessible Person-centred Rehabilitation for Patients with Chronic Pain (EAPER-P) evaluated person-centred support through telephone and an e-health platform in persons with chronic musculoskeletal pain through a randomized controlled trial (RCT). The RCT lasted between August 2021 and February 2024. The primary outcome was a composite score of self-efficacy and return to work. The trial experienced recruitment issues and ended up being underpowered with 30 participants in the intervention and control group respectively (n=60). Process evaluations can aid in gaining valuable information from complex interventions, such as understanding recruitment issues [5, 6], how participants experienced the intervention and which components were meaningful to them. The aim of the study was to perform a process evaluation of the EAPER-P project.

Methods

This mixed methods study follows the Medical Research Council’s guidance of process evaluation of complex interventions where the implementation, impact and contextual factors affecting the effectiveness of the trial will be evaluated [6]. The intervention consisted of a 6-month person-centred phone and e-health support, including health plans, messages and self-rating scales. The participants could also invite family and friends to the e-health platform. The quantitative process data consist of questionnaires measuring perceived meaningfulness of the intervention’s components, sent out to the intervention group (n=30) at baseline, after 3 – and 6 months (endpoint). Routine monitoring data on intervention usage, such as number of phone calls and messages, will also be collected. The quantitative data will be analysed with descriptive statistics. Qualitative content analysis will be used to analyse interview data from participants after participating in the intervention (n=15).

Results

Data collection will be ongoing until early spring 2024. Analyses will take place during late spring to early autumn 2024, meaning that preliminary or final results will be available to present at the IASP conference.

Conclusions

Conclusions generated from the results and related to the aim will be presented.

References

1.Ali L, Wallström S, Barenfeld E, et al. Person-centred care by a combined digital platform and structured telephone support for people with chronic obstructive pulmonary disease and/or chronic heart failure: study protocol for the PROTECT randomised controlled trial. BMJ open. 2020 Jul 19;10(7):e036356. doi: 10.1136/bmjopen-2019-036356. PubMed PMID: 32690519; PubMed Central PMCID: PMCPMC7371144. eng.
2.Cederberg M, Alsén S, Ali L, et al. Effects of a Person-Centered eHealth Intervention for Patients on Sick Leave Due to Common Mental Disorders (PROMISE Study): Open Randomized Controlled Trial. JMIR mental health. 2022 Mar 15;9(3):e30966. doi: 10.2196/30966. PubMed PMID: 35289756; PubMed Central PMCID: PMCPMC8965681. eng.
3.Fors A, Ekman I, Taft C, et al. Person-centred care after acute coronary syndrome, from hospital to primary care – A randomised controlled trial. International journal of cardiology. 2015;187:693-9. doi: 10.1016/j.ijcard.2015.03.336. PubMed PMID: 25919754; eng.
4.Fors A, Wallbing U, Alfvén G, et al. Effects of a person-centred approach in a school setting for adolescents with chronic pain-The HOPE randomized controlled trial. European journal of pain (London, England). 2020 Sep;24(8):1598-1608. doi: 10.1002/ejp.1614. PubMed PMID: 32501596; eng.
5.Skivington K, Matthews L, Simpson SA, et al. A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance. BMJ (Clinical research ed). 2021 Sep 30;374:n2061. doi: 10.1136/bmj.n2061. PubMed PMID: 34593508; eng.
6.Moore GF, Audrey S, Barker M, et al. Process evaluation of complex interventions: Medical Research Council guidance. BMJ (Clinical research ed). 2015 Mar 19;350:h1258. doi: 10.1136/bmj.h1258. PubMed PMID: 25791983; PubMed Central PMCID: PMCPMC4366184; eng.
7.Cohen SP, Vase L, Hooten WM. Chronic pain: an update on burden, best practices, and new advances. Lancet (London, England). 2021 May 29;397(10289):2082-2097. doi: 10.1016/s0140-6736(21)00393-7. PubMed PMID: 34062143; eng.
8.Gatchel RJ, Peng YB, Peters ML, et al. The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychological bulletin. 2007 Jul;133(4):581-624. doi: 10.1037/0033-2909.133.4.581. PubMed PMID: 17592957; eng.
9.Borsook D, Youssef AM, Simons L, et al. When pain gets stuck: the evolution of pain chronification and treatment resistance. Pain. 2018 Dec;159(12):2421-2436. doi: 10.1097/j.pain.0000000000001401. PubMed PMID: 30234696; PubMed Central PMCID: PMCPMC6240430; eng.

Presenting Author

Veronica Lilja

Poster Authors

Veronica Lilja

MSc

Sahlgrenska Academy / University of Gothenburg

Lead Author

E-mail

Sara Wallström

PhD / RN

Lead Author

E-mail

Mari Lundberg

Professor / RPT

Department of Health Promoting Science

Lead Author

E-mail

Inger Ekman

Senior Professor / RN

Institute of Health and Care Sciences

Lead Author

E-mail

Vivi-Anne Segertoft

SA (patient representative)

Lead Author

E-mail

Markus Saarijärvi

PhD / RN

Lead Author

E-mail

Topics

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