Individually Tailored Web-based Multimodal Pain Rehabilitation in Primary Health Care

Individually Tailored Web-based Multimodal Pain Rehabilitation in Primary Health Care

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.

Inclusion Criteria:

• With persistent neuromusculoskeletal pain from the neck/shoulder/back-area and/or fibromyalgia and a screening
• > 90 on Lintons´ questionnaire, The Örebro Musculoskeletal Pain Questionnaire (Linton & Halldén., 1998; Hockings et.al., 2008)
• Fluent in Swedish language
• Working, or in disposition to at least 25%

Exclusion Criteria are persons with:

• Dementia
• Restricted cognitive functioning
• Comorbidity which might prevent treatment participation
• Identified abuse, retirement pension
• Ongoing causal treatment
• Pregnancy
• Patients lacking internet attached computers in their home