title: Occupational performance and factors associated with outcomes in patients participating in a musculoskeletal pain rehabilitation programme.
abstract: OBJECTIVE
  To assess outcomes after a pain rehabilitation programme in terms of occupational performance and satisfaction with occupational performance, and to investigate whether socio-demographic factors and pain-related factors were associated with outcomes at follow-up.
  
  
  METHODS
  A pre- and post-test study of 555 participants with musculoskeletal pain who completed a pain rehabilitation programme. The Canadian Occupational Performance Measure (COPM) was used as the primary outcome measure. Socio-demographic and pain-related factors were collected using background questionnaires, the Disability Rating Index (DRI) and the Multidimensional Pain Inventory (MPI). Data were analysed using multivariate logistic regression analyses.
  
  
  RESULTS
  Statistically significant improvements were seen on occupational performance and satisfaction with occupational performance at the 1-year follow-up. Female gender, less severe disability, less life interference and more life control predicted improvements 1 year after the programme. High initial scores on occupational performance and satisfaction with performance predicted reduced possibilities for improvements in these respects.
  
  
  CONCLUSIONS
  A pain rehabilitation programme can, for a majority of participants, affect occupational performance and satisfaction with performance. Men and those with more severe pain-related consequences may need additional or modified rehabilitation interventions in order to improve their occupational performance and satisfaction with occupational performance.
authors.affiliation: Department of Health Sciences, Lund University Hospital, SE-221 00 Lund, Sweden. elisabeth.b.persson@skane.se, elisabeth.persson@med.lu.se.
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Persson
authors.forename: Jan
authors.initials: J
authors.lastname: Lexell
authors.forename: Marcelo
authors.initials: M
authors.lastname: Rivano-Fischer
authors.forename: Mona
authors.initials: M
authors.lastname: Eklund
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D059352:Musculoskeletal Pain / Q000534:rehabilitation*; D059408:Pain Management; D010147:Pain Measurement; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult