Dissertation/Thesis Abstract

Maintenance of chronic pain self -management behaviors after completion of a multidisciplinary pain treatment program
by Wallach, Joseph E., Ph.D., Illinois Institute of Technology, 2008, 92; 3370895
Abstract (Summary)

Multidisciplinary Pain Treatment Programs (MPTPs) have demonstrated efficacy in the management of chronic pain (Guzmán et al., 2001) with significant treatment effects at long-term follow-up (Patrick, Altmaier, and Found, 2004). In addition, many treatment components (e.g., Psychology, Physical Therapy, and Relaxation Training) of MPTP have demonstrated effectiveness, with superior results from the combination of treatment modalities (Flor, Fydrich, and Turk, 1992; Guzmán et al., 2001). However, there is limited evidence that the continued use of the pain self-management techniques (acquired during MPTP) are related to the maintenance of treatment effects (Patrick, et al.). The goals of this study were to: (1) survey the long-term use of different pain management behaviors; (2) identify pain management factors, clusters of pain management behaviors that are frequently used together; (3) test for a relationship between reported use of self-management factors and change in pain; (4) assess whether the increase in time since treatment is associated with fewer pain self-management behaviors; (5) test for an association among pain self-management factors and quality of life (exploratory); (6) test for an association among pain self-management factors and perceived disability (exploratory); and (7) explore the utility of the Total Design Method (Dillman, 1978) for maximizing survey response rates in the chronic pain population.

Pain management techniques acquired during MPTP were investigated in relation to changes in pain since evaluation, quality of life, and perceived disability. The Survey of Current Pain Management (SCPM) was developed for this study and used to collect self-report data on pain management behaviors.

The current study found that participants reported a wide range of pain management behaviors on the SCPM (0%–85.9%). Two broad theoretically supported pain management factors were computed using SCPM data, Pain Self-Management and Treatment Seeking. Pain self-management behaviors accounted for 8% of the variance in pain change since evaluation. Pain self-management does not appear to decline over time. Change in pain, but not pain self-management or treatment seeking, was related to quality of life and perceived disability. Lastly, the utility of Dillman's survey design methodology was not conclusively supported for use in the chronic pain population.

Indexing (document details)
Advisor: Schleser, Robert
School: Illinois Institute of Technology
School Location: United States -- Illinois
Source: DAI-B 70/08, Dissertation Abstracts International
Subjects: Physical therapy, Clinical psychology
Keywords: Chronic pain, Follow-up, Interdisciplinary, Multidisciplinary, Pain, Pain treatment, Self-management
Publication Number: 3370895
ISBN: 9781109326468