title: The effectiveness of an improved multidisciplinary pain management programme: a 6- and 12-month follow-up study.
abstract: OBJECTIVE
  This article is a report of a Norwegian-revised study on the effectiveness of a follow-up multidisciplinary management programme for chronic pain to investigate the change processes associated with treatment.
  
  
  BACKGROUND
  Substantial evidence supports the use of Cognitive Behavioural Therapy approaches to chronic pain. As relapse is often reported, follow-up sessions should be included.
  
  
  METHODS
  A follow-up quasi-experimental design was performed, and a previous control group was used. The study initially included 117 participants, and 104 of the sample completed the 6- and 12-month follow-up programme. The 6-month follow-up consisted of therapeutic dialogue and education combined with physical activity. At the 12-month follow-up, a telephonic consultation was conducted. The data collection period was between September 2006 and January 2008. The statistical and clinical significance were considered.
  
  
  RESULTS
  Findings suggest that this follow-up programme can potentially maintain the positive results of the basic programme in terms of reduced pain perception, improved health-related quality of life, and movement towards self-management.
  
  
  CONCLUSIONS
  These results are consistent with the ultimate goal of Cognitive Behavioural Therapy approaches, which is to help patients with chronic pain to cope more effectively and to improve their health-related quality of life and functioning. To maintain treatment improvements and advance nursing, there is a clear need for research that tests the efficacy of follow-up interventions that are designed to prevent drop out and relapse.
authors: Department of Health Studies, Faculty of Social Sciences, University of Stavanger, Norway.
authors: Elin
authors: E
authors: Dysvik
authors: Jan Terje
authors: JT
authors: Kvaløy
authors: Gerd Karin
authors: GK
authors: Natvig
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D059350:Chronic Pain / Q000451:nursing / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015403:Nursing Evaluation Research; D059408:Pain Management / Q000379:methods* / Q000451:nursing / Q000523:psychology; D010348:Patient Care Team; D010352:Patient Dropouts / Q000706:statistics & numerical data; D015397:Program Evaluation; D011788:Quality of Life; D055502:Secondary Prevention; D012648:Self Care; D016896:Treatment Outcome; D055815:Young Adult