Nurse Specialist Intervention Promoting Altered Coping and Treatment for Chronic Pain

What Impact Does a Consultation With a Nurse Pain Specialist Have on Behaviour Towards Chronic Pain and Pain Intensity in Chronic Pain Patients?

The aim of this study is to investigate of the implementation of an autonomous consultation with a nurse pain specialist for chronic pain patients has an influence on the behaviour towards the chronic pain. The trail will be done with patients that has planned an infiltration in a pain centre. Furthermore the pain intensity and patent satisfaction will be investigated as second outcomes.

During the consultation there will be explained what the patient can expect from the treatment in the pain clinic. What the patient expect from the infiltration will also be surveyed, so that it can be adjusted if necessary. In the end of the consultation there will be a brief explanation of chronic pain and the physiology as well als the different factors that have an influence on it.

This study is a monocentric randomised controlled trail of 172 participants, with an equal allocation (1:1). To collect the data there will be three different questionnaires for both groups. The first is a baseline measurement. The second will take place three weeks after the infiltration and the third ten weeks after the infiltration. This is in order to see if there is an evolution in the outcomes during time.

Inclusion criteria:

• Patients that have an appointment for a treatment
• Patients with chronic pain, so 3 months or more and of functional dysfunction because of the pain.
• Patients that are receiving a spinal treatment form the cervical, thoracic or lumbar spine.
• The patient has to understand the Dutch language.

Exclusion criteria:

• Patients with a neurostimulator, an intrathecal medication pump or patients that already has an appointment at the consultation in the pain clinic. They have an doctor- patient relationship and that can cause bias.
• People who are legally incapable (persons younger then 18 years, persons with dementia, other cognitive diseases.
• People with facial pain. Here is the necessity of quick treatments. Or they already take place in other studies.
• People who are interned or detained. There is no possibility of follow-up.
• Palliative, oncologic or in hospital patients
• Patients who need a emergency treatment, because it is mostly acute or sub acute pain.