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Long-term outcomes ...
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Pietilä Holmner, Elisabeth,1953-Umeå universitet,Rehabiliteringsmedicin,Umea Univ, Sweden
(författare)
Long-term outcomes of multimodal rehabilitation in primary care for patients with chronic pain
- Artikel/kapitelEngelska2020
Förlag, utgivningsår, omfång ...
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Uppsala :Foundation Rehabilitation Information,2020
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electronicrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:umu-169757
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-169757URI
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https://doi.org/10.2340/16501977-2649DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-165100URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Funding Agencies|Swedish Social Insurance Agency; research programme REHSAM; AFA Insurance; Forsknings-ALF (county council of Vasterbotten); Forsknings-ALF (county council of Ostergotland)
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Objectives: To investigate the outcomes one year after multimodal rehabilitation programmes in primary care for patients with chronic pain, both as a whole and for men and women separately. A second aim was to identify predictive factors for not being on sickness absence at follow-up after one year.Methods: A prospective longitudinal cohort study of 234 patients, 34 men and 200 women, age range 18–65 years, who participated in multimodal rehabilitation programmes in primary care in 2 Swedish county councils. Pain, physical and emotional functioning, coping, health-related quality of life, work-related factors, sickness absence (sick leave, sickness compensation/disability pension) were evaluated prior to and one year after multimodal rehabilitation programmes.Results: Patients showed significant improvements at 1-year follow-up for all measures (all p ≤ 0.004) except satisfaction with vocation (p = 0.060). The proportion of patients on sick leave decreased significantly at follow-up (p = 0.027), while there was no significant difference regarding the proportion of patients on sickness compensation/disability pension (p = 0.087). Higher self-rated work ability was associated with not being on sickness absence at 1-year follow-up (odds ratio (OR) 1.19, 95% confidence interval (CI) 1.21–1.06, p = 0.005).Conclusion: This study indicates that multimodal rehabilitation programmes in primary care could be beneficial for patients with chronic pain, since the outcomes at 1-year follow-up for pain, physical and emotional functioning, coping, and health-related quality of life were positive. However, the effect sizes were small and thus further development of multimodal rehabilitation programmes is warranted in order to improve the outcomes.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Enthoven, PaulLinköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum(Swepub:liu)pauen91
(författare)
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Gerdle, BjörnLinköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum(Swepub:liu)bjoge88
(författare)
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Molander, PeterLinköpings universitet,Psykologi,Filosofiska fakulteten,Institutionen för hälsa, medicin och vård,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum(Swepub:liu)petmo97
(författare)
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Stålnacke, Britt-Marie,1955-Umeå universitet,Rehabiliteringsmedicin,Umea Univ, Sweden(Swepub:umu)brst0005
(författare)
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Umeå universitetRehabiliteringsmedicin
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of Rehabilitation MedicineUppsala : Foundation Rehabilitation Information52:21650-19771651-2081
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