Predictors of dropout in interdisciplinary chronic pain management programmes : A systematic review

Published on Jan 1, 2019in Journal of Rehabilitation Medicine2.046
· DOI :10.2340/16501977-2502
Janke Oosterhaven2
Estimated H-index: 2
,
Harriet Wittink20
Estimated H-index: 20
+ 2 AuthorsWalter Devillé49
Estimated H-index: 49
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Abstract
Objective: Systematic review to identify predictors for dropout during interdisciplinary pain management programmes. Data sources: PubMed, PsycINFO, CINAHL, Embase, and SPORTDiscus were searched from inception to 22 June 2017. Study selection: Screening, data-extraction and quality assessment was carried out independently by 2 researchers. Data synthesis: Eight studies with low methodological quality were included in this review. Out of 63 potential predictors identified in univariate analyses, significant results were found for 18 predictors of dropout in multiple logistic regression analyses in 4 domains, as described by Meichenbaum & Turk: (i) sociodemographic domain (2); (ii) patient domain (8); (iii) disease domain (6); and (iv) treatment domain (2). Conclusion: This systematic review presents an overview of predictors of dropout. The literature with regard to the prediction of dropout has focused mainly on patient characteristics and is still in the stage of model development. Future research should focus on therapist/therapy-related predictors and the interaction between these predictors. This review suggests future research on this topic, in order to generate better outcomes in interdisciplinary pain management programmes.
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Die Behandlung von Patienten mit chronischen Schmerzen stellt weltweit eine gesundheitliche und soziookonomische Herausforderung dar. Am Zentrum fur Schmerzmedizin (ZSM) Nottwil wird eine individuelle, multimodale, interdisziplinare Schmerztherapie im Sinne des biopsychosozialen Krankheitsmodells angeboten. Diese Studie stellt eine „real-life“-Analyse dar, welche beabsichtigte die am ZSM behandelten Patienten, die durchgefuhrten Behandlungen und die Langzeiteffekte der Therapie zu analysieren. I...
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#1Tibor P. Palfai (BU: Boston University)H-Index: 38
#2Maya P. L. Kratzer (BU: Boston University)H-Index: 2
Last. Judith Bernstein (BU: Boston University)H-Index: 6
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BACKGROUND Chronic pain and heavy drinking are conditions that commonly co-occur among primary care patients. Despite the availability of behavioral interventions that target these conditions individually, engagement and adherence to treatment remain a challenge, and there have been no interventions designed to address both of these conditions together for patients presenting to primary care. This study seeks to incorporate the perspectives of patients regarding symptoms, treatment experiences, ...
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#1Tamila Roslyakova (University of Montpellier)
Last. Aurélie GauchetH-Index: 9
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Objective: The aim of this study was to compare the clinical efficacy of two differently-designed psychological interventions for chronic pain. Design: 138 patients presenting chronic pain were ran...
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#1FR Moore (Raigmore Hospital)
#1FR Moore (Raigmore Hospital)
Last. M Dunbar
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We examined relationships between various sociodemographic factors and attendance at the Glasgow Pain Management Programme (n = 2899 from 2011 to 2019). We tested for associations between gender, a...
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#1Daniëlle Stollenga (UG: University of Groningen)
#2Henrica R. Schiphorst Preuper (UG: University of Groningen)H-Index: 10
Last. Michiel F. Reneman (UG: University of Groningen)H-Index: 34
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To analyse the number of, timing of, and reasons for early termination of interdisciplinary pain rehabilitation (IPR). A multicentre study in two Dutch rehabilitation centres with a mixed method de...
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#1Harriet Wittink (UU: Utrecht University)H-Index: 20
#2Janke Oosterhaven (UU: Utrecht University)H-Index: 2
Last. Carin D. SchröderH-Index: 14
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Background. The Treatment Beliefs Questionnaire has been developed to measure patients’ beliefs of necessity of and concerns about rehabilitation. Preliminary evidence suggests that these beliefs may be associated with attendance of rehabilitation. The aim of this study was to translate and adapt the Treatment Beliefs Questionnaire for interdisciplinary pain rehabilitation and to examine the measurement properties of the Dutch translation including the predictive validity for dropout. Methods. T...
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