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Open Access 01-12-2017 | Protocol

The effect of psychological interventions on the prevention of chronic pain in adults: a systematic review protocol

Authors: Mélanie Bérubé, Céline Gélinas, Manon Choinière, Nancy Feeley, Géraldine Martorella, Stefan Parent, David L. Streiner

Published in: Systematic Reviews | Issue 1/2017

Abstract

Background

Numerous psychological risk and protective factors have been identified as contributing to or preventing the development of the prevalent issue of chronic pain. Systematic reviews of studies on psychological interventions that tackle these factors have shown limited effects on chronic pain. Therefore, implementing psychological interventions before pain becomes chronic has been put forward. However, the efficacy of such interventions in preventing the transition from acute to chronic pain has not yet been systematically assessed.

Methods

The aims of this systematic review are to assess the effects of psychological interventions applied in the acute pain phase on pain severity as well as on physical, psychological, and social functions at 3 months and beyond. Randomized controlled trials including psychological intervention as a treatment of primary interest and participants with pain of less than 3 months duration will be considered. The following comparisons will be undertaken: psychological interventions with (1) standard treatment, (2) information, (3) waiting-list, and (4) active treatment. The primary outcome will be pain severity using indicators such the presence or absence of pain and self-report measures such as the numeric pain intensity rating scale. Secondary outcomes will include pain-related disability, mood, coping with pain, quality of life, health care utilization, and work capability. A systematic review of English and French articles in MEDLINE, Embase, PsycINFO, CINAHL, and the Cochrane Central Register of Controlled Trials will be conducted without date restriction. Extracted data will include demographics and clinical characteristics, sample size, intervention and control group types, assessment tools used, time interval of measurement, fidelity of the intervention, and attrition rate. Standardized mean differences (SMD) and risk ratios with 95% confidence intervals (CI) will be used to assess treatment effects.

Discussion

This systematic review is the first in examining the effects of psychological interventions implemented in the acute pain phase with the objective of preventing chronic pain. Results of this systematic review could provide information on psychological intervention characteristics that are most helpful for individuals with pain and guidance as to when such interventions should be applied in the continuum of care.

Systematic review registration

PROSPERO CRD42016049312

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Institute of Medicine of the National Academies. Relieving pain in America: a blueprint for transforming prevention, care, education, and research. Washington: National Academies Press; 2011.

International Association for the Study of Pain, Classification of chronic pain. Description of chronic pain syndromes and definition of pain terms. Pain. 1986;30(Suppl 1):1–S225.

Lynch ME. The need for a Canadian pain strategy. Pain Res Manag. 2011;16:77–80.CrossRefPubMedPubMedCentral

Wegener ST, Castillo RC, Haythornthwaite J, Mackenzie EJ, Bosse MJ, Leap Study Group. Psychological distress mediates the effect of pain on function. Pain. 2011; doi:10.1016/j.pain.2011.02.020.

Demyttenaere K, Bruffaerts R, Lee S, Posada-Villa J, Kovess V, Angermeyer MC, et al. Mental disorders among persons with chronic back or neck pain: results from the World Mental Health Surveys. Pain. 2007; doi:10.1016/j.pain.2007.01.022.

Gureje O, Von Korff M, Kola L, Demyttenaere K, He Y, Posada-Villa J, et al., The relation between multiple pains and mental disorders: results from the World Mental Health Surveys. Pain. 2008; doi:10.1016/j.pain.2007.05.005.

Tsang A, Von Korff M, Lee S, Alonso J, Karam E, Angermeyer MC, et al. Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders. J Pain. 2008; doi:10.1016/j.jpain.2008.05.005.

Gaskin DJ, Richard P. The economic costs of pain in the United States. J Pain. 2012; doi:10.1016/j.jpain.2012.03.009.

Todd KH, Ducharme J, Choiniere M, Crandall CS, Fosnocht DE, Homel P. Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study. J Pain. 2007; doi:10.1016/j.jpain.2006.12.005.

10.

Hestbaek L, Leboeuf-Yde C, Manniche C. Low back pain: what is the long-term course? A review of studies of general patient populations. Eur Spine J. 2003;12:149–65.PubMedPubMedCentral

11.

Itz CJ, Geurts JW, van Kleef M, Nelemans P. Clinical course of non-specific low back pain: a systematic review of prospective cohort studies set in primary care. Eur J Pain. 2013; doi:10.1002/j.1532-2149.2012.00170.x.

12.

Katz J, Seltzer Z. Transition from acute to chronic postsurgical pain: risk factors and protective factors. Expert Rev Neurother. 2009; doi:10.1586/ern.09.20.

13.

Martinez V, Baudic S, Fletcher D. Chronic postsurgical pain. Ann Fr Anesth Reanim. 2013; doi:10.1016/j.annfar.2013.04.012.

14.

Rosenbloom BN, Khan S, McCartney C, Katz J. Systematic review of persistent pain and psychological outcomes following traumatic musculoskeletal injury. J Pain Res. 2013; doi:10.2147/JPR.S38878.

15.

Rosenbloom BN, Katz J, Chin KY, Haslam L, Canzian S, Kreder HJ, et al. Predicting pain outcomes after traumatic musculoskeletal injury. Pain. 2016; doi:10.1097/j.pain.0000000000000580.

16.

Voscopoulos C, Lema M. When does acute pain become chronic? Br J Anaesth. 2010; doi:10.1093/bja/ae.

17.

Latremoliere A, Woolf CJ. Central sensitization: a generator of pain hypersensitivity by central neural plasticity. J Pain. 2009; doi:10.1016/j.jpain.2009.06.012.

18.

Mifflin KA, Kerr BJ. The transition from acute to chronic pain: understanding how different biological systems interact. Can J Anaesth. 2014; doi:10.1007/s12630-013-0087-4.

19.

Gosselin RD, Suter MR, Ji RR, Decosterd I, et al. Glial cells and chronic pain. Neuroscientist. 2010; doi:10.1177/1073858409360822.

20.

Hashmi JA, Baliki MN, Huang L, Baria AT, Torbey S, Hermann KM, et al. Shape shifting pain: chronification of back pain shifts brain representation from nociceptive to emotional circuits. Brain. 2013; doi:10.1093/brain/awt211.

21.

Clay FJ, Watson WL, Newstead SV, McClure RJ. A systematic review of early prognostic factors for persisting pain following acute orthopedic trauma. Pain Res Manag. 2012;17:35–44.CrossRefPubMedPubMedCentral

22.

Holmes A, Williamson O, Hogg M, Arnold C, O'Donnell ML. Determinants of chronic pain 3 years after moderate or serious injury. Pain Med. 2013; doi:10.1111/pme.12034.

23.

Vranceanu AM, Bachoura A, Weening A, Vrahas M, Smith RM, Ring D. Psychological factors predict disability and pain intensity after skeletal trauma. J Bone Joint Surg Am. 2014; doi:10.2106/jbjs.l.00479.

24.

Castillo RC, MacKenzie EJ, Wegener ST, Bosse MJ. Prevalence of chronic pain seven years following limb threatening lower extremity trauma. Pain. 2006; doi:10.1016/j.pain.2006.04.020.

25.

Jackson T, Wang Y, Wang Y, Fan H. Self-efficacy and chronic pain outcomes: a meta-analytic review. J Pain. 2014; doi:10.1016/j.jpain.2014.05.002.

26.

Esteve R, Ramirez-Maestre C, Lopez-Marinez AE. Adjustment to chronic pain: the role of pain acceptance, coping strategies, and pain-related cognitions. Ann Behav Med. 2007; doi:10.1080/08836610701309724.

27.

McCracken LM, Eccleston C. A prospective study of acceptance of pain and patient functioning with chronic pain. Pain. 2005;118:164–9.CrossRefPubMed

28.

Ramirez-Maestre C, Esteve R, López-Martinez A. Fear-avoidance, pain acceptance and adjustment to chronic pain: a cross-sectional study on a sample of 686 patients with chronic spinal pain. Ann Behav Med. 2014; doi:10.1007/s12160-014-9619-6.

29.

Ruiz-Parraga GT, Lopez-Martinez AE. The role of experiential avoidance, resilience and pain acceptance in the adjustment of chronic back pain patients who have experienced a traumatic event: a path analysis. Ann Behav Med. 2014; doi:10.1007/s12160-014-9654-3.

30.

Eccleston C, Hearn L, Williams AC. Psychological therapies for the management of chronic neuropathic pain in adults. Cochrane Database Syst Rev. 2015;10:CD011259.

31.

Eccleston C, Fisher E, Craig L, Duggan GB, Rosser BA, Keogh E. Psychological therapies (Internet-delivered) for the management of chronic pain in adults. Cochrane Database Syst Rev. 2014;2:CD010152.

32.

Williams AC, Eccleston C, Morley S. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev. 2012;11:CD007407.PubMed

33.

Eccleston C, Morley SJ, Williams AC. Psychological approaches to chronic pain management: evidence and challenges. Br J Anaesth. 2013; doi:10.1093/bja/aet207.

34.

Ehde DM, Dillworth TM, Turner JA. Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research. Am Psychol. 2014; doi:10.1037/a0035747.

35.

Jensen MP, Turk DC. Contributions of psychology to the understanding and treatment of people with chronic pain: why it matters to ALL psychologists. Am Psychol. 2014; doi:10.1037/a0035641.

36.

Michie S, West R, Campbell R, Brown J, Gainforth H. ABC of behaviour change theories. Kingston upon Thames: Silverback Publishing; 2014.

37.

Katz DL, Ather A. Preventive medicine, integrative medicine & the health of the public. Washington, DC: Institute of Medicine Summit on Integrative Medicine and the Health of the Public; 2009.

38.

Skinner M, Wilson HD, Turk DC. Cognitive-behavioral perspective and cognitive-behavioral therapy for people with chronic pain: distinctions, outcomes, and innovations. J Cogn Psychother. 2012; doi:10.1891/0889-8391.26.2.93.

39.

Linton SJ. Information and psychoeducation in the early management of persistent pain. In: Gebhart GF, editor. Encyclopedia of Pain. Berlin: Springer Berlin Heidelberg; 2013. p. 1632–6.CrossRef

40.

Gatchel RJ, Stowell AW, Wildenstein L, Riggs R, Ellis E 3rd. Efficacy of an early intervention for patients with acute temporomandibular disorder-related pain: a one-year outcome study. J Am Dent Assoc. 2006;137:339–47.CrossRefPubMed

41.

Linton SJ, Ryberg M. A cognitive-behavioral group intervention as prevention for persistent neck and back pain in a non-patient population: a randomized controlled trial. Pain. 2001;90:83–90.CrossRefPubMed

42.

Moore JE, Von Korff M, Cherkin D, Saunders K, Lorig K. A randomized trial of a cognitive-behavioral program for enhancing back pain self care in a primary care setting. Pain. 2000;88:145–53.CrossRefPubMed

43.

Slater MA, Weickgenant AL, Greenberg MA, Wahlgren DR, Williams RA, Carter C. Preventing progression to chronicity in first onset, subacute low back pain: an exploratory study. Arch Phys Med Rehabil. 2009; doi:10.1016/j.apmr.2008.10.032.

44.

Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the health belief model. Health Educ Q. 1988;15:175–83.CrossRefPubMed

45.

Ajzen I. The theory of planned behaviour. Organ Behav Human Dec Process. 1991;50:179–211.CrossRef

46.

Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215.CrossRefPubMed

47.

Bandura A. Social foundations of thought and action: a social cognitive theory. Upper Saddle River: Prentice-Hall; 1986.

48.

Hobbs N, Godfrey A, Lara J, Errington L, Meyer TD, Rochester L, et al. Are behavioral interventions effective in increasing physical activity at 12 to 36 months in adults aged 55 to 70 years? A systematic review and meta-analysis. BMC Med. 2013; doi:10.1186/1741-7015-11-75.

49.

Taylor N, Conner M, Lawton R. The impact of theory on the effectiveness of worksite physical activity interventions: a meta-analysis and meta-regression. Health Psychology Rev. 2011; doi:10.1080/17437199.2010.533441.

50.

Dombrowski SU, Sniehotta FF, Avenell A, Johnston M, MacLennan G, Araujo-Soares V. Identifying active ingredients in complex behavioural interventions for obese adults with obesity-related co-morbidities or additional risk factors for co-morbidities: a systematic review. Health Psychology Rev. 2012; doi:10.1080/17437199.2010.513298.

51.

Albarracin D, Gillette JC, Earl AN, Glasman LR, Durantini MR, Ho MH. A test of major assumptions about behaviour change: a comprehensive look at the effects of passive and active HIV-prevention interventions since the beginning of the epidemic. Psychol Bull. 2005; doi:10.1037/0033-2909.131.6.856.

52.

Albada A, Ausems MG, Bensing JM, van Dulmen S. Tailored information about cancer risk and screening: a systematic review. Patient Educ Couns. 2009; doi:10.1016/j.pec.2009.03.005.

53.

Glanz K, Rimer BK, National Cancer Institute. Theory at a glance. A guide for health promotion practice. Bethesda: US Department of Health and Human Services; 2005.

54.

World Health Organization. Health education: theoretical concepts, effective strategies and core competencies:a foundation document to guide capacity development of health educators. Cairo: WHO Regional Office for the Eastern Mediterranean; 2012.

55.

Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015; doi:10.1136/bmj.g7647.

56.

Dworkin RH, Turk DC, Farrar JT, Haythornthwaite JA, Jensen MP, Katz NP, et al. Core outcome measures for chronic pain clinical trials: IMMPACT recommendations. Pain. 2005; doi:10.1016/j.pain.2004.09.012.

57.

Gewandter JS, Dworkin RH, Turk DC, Farrar JT, Fillingim RB, Gilron I. Research design considerations for chronic pain prevention clinical trials: IMMPACT recommendations. Pain. 2015; doi:10.1097/j.pain.0000000000000191.

58.

Jensen MP, Karoly P. Self-report scales and procedures for assessing pain in adults, in Handbook of pain assessment. In: Turk DC, Melzack R, editors. New York: Guilford Press; 2001. p. 135-151.

59.

Cochrane Consumers and Communication Review Group. Data extraction template for included studies version 1.7. 2016. http://cccrg.cochrane.org/author-resources. Accessed 10 Oct 2016.

60.

Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Vol.5.1.0. Cochrane Collab. 2011. http://handbook-5-1.cochrane.org/ edition. Accessed 10 Oct 2016.

61.

Streiner DL. Meta-analysis: a 12 step program. EJGI. 2003;23:61–75.

62.

Savovic J, Weeks L, Sterne JA, Turner L, Altman DG, Moher D, Higgins JP. Evaluation of the Cochrane Collaboration's tool for assessing the risk of bias in randomized trials: focus groups, online survey, proposed recommendations and their implementation. Syst Rev. 2014; doi:10.1186/2046-4053-3-37.

63.

Dworkin RH, Turk DC, Wyrwich KW, Beaton D, Cleeland CS, Farrar JT, et al. Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations. J Pain. 2008; doi:10.1016/j.jpain.2007.09.005.

64.

Reichenbach S, Sterchi R, Scherer M, Trelle S, Bürgi E, Dieppe PA, Jüni P. Meta-analysis: chondroitin for osteoarthritis of the knee or hip. Ann Intern Med. 2007;146:580–90.CrossRefPubMed

65.

Higgins JP, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002;21(11):1539–58.CrossRefPubMed

66.

Baker WL, White CM, Cappelleri JC, Kluger J, Coleman CI. Health Outcomes, Policy, and Economics (HOPE) Collaborative Group. Understanding heterogeneity in meta-analysis: the role of meta-regression. Int J Clin Pract. 2009; doi:10.1111/j.1742-1241.2009.02168.x.

67.

Egger M, Smith DG, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ. 1997;315:629–34.CrossRefPubMedPubMedCentral

68.

Sterne JA, Sutton AJ, Ioannidis JP, Terrin N, Jones DR, Lau J, et al. Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials. BMJ. 2011; doi:10.1136/bmj.d4002.

69.

Brozek J, Oxman A, Schünemann H. GRADEpro guideline development tool [computer program] version 3.2 for Windows. McMaster University (developed by Evidence Prime, Inc.). 2015. www.gradepro.org. Accessed 20 Oct 2016.

70.

Harbord RM, Higgins JPT. Metaregression in Stata. Stata J. 2008;8:493–519.

71.

Thompson SG, Higgins JP. How should meta-regression analyses be undertaken and interpreted? Stat Med. 2002;21:1559–73.CrossRefPubMed

72.

Jüni P, Altman DG, Egger M. Systematic reviews in health care: assessing the quality of controlled clinical trials. BMJ. 2001;323:42–6.CrossRefPubMedPubMedCentral

Title: The effect of psychological interventions on the prevention of chronic pain in adults: a systematic review protocol
Authors: Mélanie Bérubé
Céline Gélinas
Manon Choinière
Nancy Feeley
Géraldine Martorella
Stefan Parent
David L. Streiner
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Systematic Reviews / Issue 1/2017
Electronic ISSN: 2046-4053
DOI: https://doi.org/10.1186/s13643-017-0583-7

At a glance: The STEP trials

Springer Medicine

The effect of psychological interventions on the prevention of chronic pain in adults: a systematic review protocol

Abstract

Background

Methods

Discussion

Systematic review registration

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Discussion

Systematic review registration

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