• Pain Manag Nurs · Aug 2023

    Randomized Controlled Trial

    A Pilot Randomized Controlled Trial of Effectiveness of a Psychoeducational Intervention on the Management of Musculoskeletal Chronic Noncancer Pain.

    • Sánchez-Gutiérrez Carmen, López-Millán José, Rivera-Sequeiros Adriana, and Gil-García Eugenia.
    • Department of Anesthesiology and Pain Medicine, Virgen del Rocío Universitary Hospital, Seville, Spain; Department of Anesthesiology and Pain Medicine, San Juan de Dios del Aljarafe Hospital, Avda, San Juan de Dios S/N. Seville, Spain. Electronic address: mari1959@gmail.com.
    • Pain Manag Nurs. 2023 Aug 1; 24 (4): 427435427-435.

    AimsTo investigate the effectiveness of a psychoeducational intervention on pain intensity management in musculoskeletal chronic noncancer pain and to identify relevant variables and preliminary data to allow the design of a randomized controlled trial.DesignTwo arms parallel randomized pilot study.Subjects And SettingADULT PATIENTS WITH MUSCULOSKELETAL CHRONIC NONCANCER PAIN WITH MODERATE-SEVERE INTENSITY TREATED AT PRIMARY HEALTH CENTERS.MethodsParticipants were randomly assigned to a psychoeducational intervention or a control group without intervention. Pain intensity, quality of life, and opioid use were assessed at baseline and at a 1-month follow-up.ResultsThe sample consisted of 37 adult patients (intervention group: 19; control group: 18). A significant reduction in pain intensity measured by the Verbal Numerical Rating Scale (p = .02, Cohen's d = 0.57) and improvement in quality of life measured by EuroQol-5D questionnaire (p = .04) were observed in the intervention group compared to the control. This improvement on pain intensity was greater in patients without strong opioid treatment (p = .01, Cohen's d = 1.36). Eighty percent of the strong opioids users in the intervention group reduced their consumption, without changes in the control group.ConclusionsThese findings provide promising support for the beneficial effects of psychoeducation on the intensity of noncancer chronic musculoskeletal pain. Based on the results, future randomized controlled trials are needed.Copyright © 2023 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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