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dc.contributor.authorNøst, Torunn Hatlen
dc.contributor.authorSteinsbekk, Aslak
dc.contributor.authorBratås, Ola
dc.contributor.authorGrønning, Kjersti
dc.date.accessioned2016-08-17T12:10:25Z
dc.date.available2016-08-17T12:10:25Z
dc.date.issued2016-07-18
dc.description.abstractBackground People struggling with chronic pain may benefit from different types of non-pharmacological interventions such as self-management courses. Self-management courses aim to increase participants’ skills and knowledge in managing chronic conditions. Community health-care services in Norway have increasingly established Healthy Life Centres (HLCs) to offer easily accessible interventions to people in need of support to better handle a life with chronic illness. The aim of this trial is to investigate the expectations, effect and experience of an easily accessible, group-based self-management course delivered at a HLC for people with chronic pain. Methods/Design This is an open pragmatic two-armed randomised controlled trial with an embedded qualitative study. The intervention is a self-management course comprising education, discussions, exchange of experiences between the participants, and physical movement exercises. The control group is offered a drop-in outdoor physical activity. The intervention period is 6 weeks. The primary outcome is patient activation measured by the patient activation measure (PAM). The secondary outcomes include measures of self-efficacy, pain and quality of life. Data will be collected at baseline, and after 3, 6 and 12 months. Using a mixed linear model, the number needed in each arm to achieve a power of 80 % becomes 55. To allow for dropout, the aim is to include 120 participants. Analysis will be done using mixed linear models. In the embedded qualitative study, we will perform semi-structured face-to-face interviews with a sample from both trial arms before randomisation and after 3 and 12 months. The topics elaborated will be motivation for participation and experiences with the activity related to possible changes in managing and coping with chronic pain. Discussion There is need for more knowledge on interventions delivering self-care support in an easily accessible way that aim to reach those in need of this kind of health service. This trial will produce important knowledge on the effect and the experiences of participants in such an easily accessible self-management course delivered in Norwegian public primary care. Trial registration ClinicalTrials.gov: NCT02531282. Registered on 21 August 2015.en_US
dc.description.sponsorshipThis trial is part of the project “Health Promotion – Worthwhile?” carried out at the Centre for Health Promotion Research at the Norwegian University of Science and Technology. The Norwegian Research Council has contributed to the funding of the trial (238331/F60).en_US
dc.descriptionPublisher's version, source <a href=http://doi.org/10.1186/s13063-016-1462-6>http://doi.org/10.1186/s13063-016-1462-6</a>en_US
dc.identifier.citationTrials 2016, 17:325en_US
dc.identifier.cristinIDFRIDAID 1369583
dc.identifier.doi10.1186/s13063-016-1462-6
dc.identifier.issn1745-6215
dc.identifier.urihttps://hdl.handle.net/10037/9515
dc.identifier.urnURN:NBN:no-uit_munin_9069
dc.language.isoengen_US
dc.publisherBioMed Centralen_US
dc.relation.projectIDNorges forskningsråd: 238331
dc.rights.accessRightsopenAccess
dc.subjectChronic painen_US
dc.subjectSelf-managementen_US
dc.subjectPatient activationen_US
dc.subjectHealth promotionen_US
dc.subjectPrimary careen_US
dc.subjectHealth services accessibilityen_US
dc.subjectEasy accessen_US
dc.subject(MeSH): chronic painen_US
dc.subjectSelf-careen_US
dc.subjectPatient participationen_US
dc.subjectHealth promotionen_US
dc.subjectPrimary health careen_US
dc.subjectHealth services accessibilityen_US
dc.subjectHealth-care qualityen_US
dc.subjectAccess and evaluationen_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Forebyggende medisin: 804en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleExpectations, effect and experiences of an easily accessible self-management intervention for people with chronic pain: study protocol for a randomised controlled trial with embedded qualitative studyen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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