Pain management: Long-term follow-up of an inpatient program

J. Malec, J. J. Cayner, R. F. Harvey, R. C. Timming

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

To determine maintenance of lifestyle changes following completion of an inpatient behavioral pain management program, 40 patients were followed up by questionnaire 6 months to 3 years after program completion, with the majority contacted at least 18 months postdischarge. Thirty-two patients completed some portion of the questionnaire. Responders were similar to nonresponders in age, sex, chronicity of pain on admission, and time since discharge. Responses to specific items indicated that patients had increased activity level and employment and had decreased use of pain-related medications. A global measure of success was based on 3 criteria: (1) reported nonuse of narcotic analgesics, muscle relaxants and tranquilizers; (2) status as employed, in training, or running a household or continuation of 50% to 100% of exercises and reported increased recreational activities; and (3) no reported increase in pain. Of the patients providing adequate data for application of these criteria, 37% met all 3 standards at follow-up. Such a multivariate criterion is recommended for assessment of multidisciplinary pain programs. More frequently practiced behaviors (ie, nonuse of medications, exercises) appeared better maintained. Thus, increased behavioral practice, particularly in vocational and recreational activities, is recommended.

Original languageEnglish (US)
Pages (from-to)369-372
Number of pages4
JournalArchives of physical medicine and rehabilitation
Volume62
Issue number8
StatePublished - Jan 1 1981

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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    Malec, J., Cayner, J. J., Harvey, R. F., & Timming, R. C. (1981). Pain management: Long-term follow-up of an inpatient program. Archives of physical medicine and rehabilitation, 62(8), 369-372.