The purpose of this study is to evaluate whether a multimodal rehabilitation program effectively reduces functional disability in adolescents with chronic musculoskeletal pain, compared to care as usual.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
60
The Multimodal Rehabilitation Program is a Graded exposure based treatment. It consists of a Graded Exposure Module (GE), a Combination Module (HMGE) and a Parent Module (PM).
Care as usual is the care currently provided to adolescents with musculoskeletal chronic pain and is based on the principles of Graded Activity.
Maastricht University Medical Center
Maastricht, Limburg, Netherlands
Laurentius Ziekenhuis Roermond
Roermond, Limburg, Netherlands
Revant Revalidatiecentrum Breda
Breda, North Brabant, Netherlands
Rijndam Revalidatiecentrum
Rotterdam, South Holland, Netherlands
Change in Functional Disability
Adolescent self-reported functional disability
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months
Change in Quality of life
Adolescent self-reported pain-specific quality of life
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months
Change in Fear of Pain
Adolescent self-reported fear of pain
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months
Change in Fear of Pain
Parent proxy report measure
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months
Change in Pain Catastrophizing
Adolescent self-reported pain catastrophizing
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months
Change in Pain Catastrophizing
Parental catastrophizing about their child's pain
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months
Change in Depressive symptoms
Adolescent self-reported depressive symptoms
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months
Change in Perceived Harmfulness
Adolescent self-reported perceived harmfulness of daily activities
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months
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Change in Pain Intensity
Adolescent self-reported pain intensity
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months
Change in Functional Disability
Parent-perceived functional disability of their child
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months
Change in parental responses to childrens pain
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months
Treatment expectations
Adolescent self-report
Time frame: Baseline
Treatment expectations
Parent self-report
Time frame: Baseline
Treatment satisfaction/ patient centeredness
Time frame: 16 weeks
Treatment satisfaction/ family centeredness
Time frame: 16 weeks
Change in General Health Related Quality of Life
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months
Cost-diary per month
Adolescent self-report of total health care utilization and other costs
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months
Cost-diary per month
Parent self-reported adolescent related costs
Time frame: Baseline, 8 weeks, 16 weeks, 10 months, 12 months