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| Name | Class |
|---|---|
| Norrbottens County Council | OTHER_GOV |
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The aim is to evaluate effects of early individually tailored web-based multimodal rehabilitation for persons with musculoskeletal neck/shoulder and back disorders in primary health care. The aim is also to study if this early web-based pain rehabilitation program is more cost-effective than only multimodal rehabilitation. Randomization will be done at each primary health care centre after screening to 1) Multimodal pain rehabilitation with web-based education and coaching support or 2) multimodal pain rehabilitation. The investigators suggest a clear rehabilitation chain where a web-based program is developed,evaluated and ready to implement if it shows positive effects on work-ability and/or is cost-effective. The research and implementation will be performed in a close cooperation with Luleå University of Technology.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Multimodal rehabilitation | No Intervention | The arm intervention is just multimodal rehabilitation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Web-based multimodal rehabilitation based on cognitive based principles | Behavioral | The patient will be randomized to either the interventions group (multimodal pain rehabilitation with an added web-based multimodal rehabilitation with CBT-influences) or a control group (multimodal pain rehabilitation). |
| Measure | Description | Time Frame |
|---|---|---|
| Work ability | 4 month |
| Measure | Description | Time Frame |
|---|---|---|
| Pain rating | Pain-rating is measured on a visual analog-scale | 12 month |
| Self-efficacy in relation to workability | Self-efficacy in relation to work-ability is measured by a questionnarie |
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Inclusion Criteria:
Exclusion Criteria are persons with:
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| Name | Affiliation | Role |
|---|---|---|
| Gunvor Gard, Professor | Luleå University of Technology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Primary health care centers in Norrbotten county council | Luleå | Norrbotten County | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28464364 | Derived | Calner T, Nordin C, Eriksson MK, Nyberg L, Gard G, Michaelson P. Effects of a self-guided, web-based activity programme for patients with persistent musculoskeletal pain in primary healthcare: A randomized controlled trial. Eur J Pain. 2017 Jul;21(6):1110-1120. doi: 10.1002/ejp.1012. Epub 2017 May 2. | |
| 27707686 | Derived |
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| ID | Term |
|---|---|
| D059352 | Musculoskeletal Pain |
| D013001 | Somatoform Disorders |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
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|
| 12 month |
| General health | General health is measured with SF-36 and EQ-5D. | 12 month |
| Functional status | Functional status is measured with Pain disability index. | 12 month |
| Nordin CA, Michaelson P, Gard G, Eriksson MK. Effects of the Web Behavior Change Program for Activity and Multimodal Pain Rehabilitation: Randomized Controlled Trial. J Med Internet Res. 2016 Oct 5;18(10):e265. doi: 10.2196/jmir.5634. |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001523 | Mental Disorders |