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The purpose of this study was to explore the effectiveness of chronic pain self-management support and pain science education and exercise (COMMENCE) in improving function, pain disturbance, working status, pain intensity, fatigue, pain-related psychological factors, health care visits, satisfaction, and perceived changes compared to conventional care.
were designed using a parallel group of randomized controlled trials, followed for 1 week and 12 weeks, and included referrals in community health centers for self-management support for adults with chronic non-cancerous pain (N-102).
80 of the 102 participants completed a 12-week follow-up assessment.
no participants withdrew due to adverse events.
participants received COMMENCE or routine care at random.
main results: the use of short musculoskeletal function assessment - dysfunction index measurement function.
Secondary Results: Short Musculoskeletal Function Assessment- Annoyance Index, Patient Reporting Results Measurement Information System Pain Interference, Work Status, Numerical Pain and Fatigue Score Scale, Tampa Motion Phobia Scale, Pain Gastroenterology Scale, Pain Self-Efficacy Scale, Pain Neurophysiology Questionnaire, Number of Medical Care Visits, Satisfaction, and Global Change Scores.
results showed that the functionality measured using short myoskeletal muscle F COMMENCE improved function (12wk follow-up average difference (MD)-8.0; 95%CI, -14.7 to -1.3), dysfunition (MD, -1 12.0; 95%CI, -20.8 to -3.2), Pain Intensity (MD, -1.0; 95%CI, -2.1 to -0.1), Split Thinking (MD, -8) .2;95% CI, -14.5 to -2.0), self-efficacy (MD, 7.0; 95% CI, 0.8 to 13.2), Cognition (MD, 2.8; 95% CI) 1.6 to 3.9), satisfaction (MD, 1.2; 95% CI, 0.7 to 1.8), and perceived change (MD, 1.4; 95% CI, 0.8 to 2.1).
differences in pain disturbance, work, fatigue, depressive symptoms, or health care visits.
In summary, the results showed that COMMENCE was more effective than normal care in improving function, pain, split thinking, self-efficacy, pain knowledge, satisfaction, and perceived changes, but there was no significant difference in pain disturbance, work status, fatigue, depressive symptoms, or health care visits.
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