Clinical experience with a chronic pain management programme in Hong Kong Chinese patients.
OBJECTIVE
To describe experience with a chronic pain management programme in Hong Kong Chinese patients.


METHODS
Prospective study.


METHODS
Regional hospital, Hong Kong.


METHODS
Patients with chronic pain who participated in the first six Comprehensive Out-patient Pain Engagement programmes between 2002 and 2005.


METHODS
Comprehensive Out-patient Pain Engagement is a 14-day structured, multidisciplinary out-patient programme conducted over 6 weeks. It includes pain education, cognitive re-conceptualisation, training in communication skills and coping strategies, graded physical exercises and functional activities training. It aims to improve patient function and quality of life, despite persistent pain.


METHODS
Changes in scores from baseline values after joining the programme, with respect to several assessment tools. These included the following: visual analogue pain scale, Pain Catastrophizing Scale, Patient Self-efficacy Questionnaire, Canadian Occupational Performance Measure, Medical Outcome Survey-Short Form 36 Questionnaire, and duration of physical tolerances, medication utilisation, and work status records.


RESULTS
Forty-five patients were available for analysis. After the Comprehensive Out-patient Pain Engagement programme, improvements in Medical Outcome Survey-Short Form 36 Questionnaire (role physical and vitality), Pain Catastrophizing Scale, Patient Self-efficacy Questionnaire, and Canadian Occupational Performance Measure were demonstrated (P<0.05). The duration of standing and sitting tolerances increased (P<0.05). An improvement in employment rate was also evident (P=0.01).


CONCLUSIONS
The initial results of our management programme in Chinese patients with chronic pain are encouraging. This type of programme should be promoted more widely in this group of patients, as it appears to improve physical function, psychological well-being, and productivity.
Man
Alice K Y
AK
Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong. alicemn@cuhk.edu.hk
Chu
M C
MC
Chen
P P
PP
Ma
M
M
Gin
Tony
T
D000328:Adult; D000553:Ambulatory Care; D002681:China / Q000208:ethnology; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003142:Communication; D015444:Exercise; D005260:Female; D006723:Hong Kong; D006801:Humans; D008297:Male; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D010146:Pain / Q000208:ethnology; D059408:Pain Management; D010147:Pain Measurement; D010353:Patient Education as Topic; D011446:Prospective Studies; D011788:Quality of Life