Hum E, Karunananthan S, Adil A, Moroz I, Davidson R, Liddy C
School of Interdisciplinary Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Bruyère Research Institute, Ottawa, Ontario, Canada.
Can J Pain. 2025 Jan 24;9(1):2440338. doi: 10.1080/24740527.2024.2440338. eCollection 2025.
Health care providers often struggle to treat patients with chronic pain. One potential solution is to facilitate access to programs and tools that develop patients' skills and confidence in managing their own care.
This study aimed to describe the uptake of the Chronic Pain Self-Management Program (CPSMP) in Eastern Ontario and evaluate the effectiveness of the program in the acquisition of knowledge, confidence, and skills required to manage chronic pain, as measured by the Patient Activation Measure (PAM).
Using data routinely collected through the CPSMP between December 2017 and May 2023, we conducted a descriptive analysis of the number of participants each year, their gender, and their age distributions. We conducted a longitudinal analysis of the change in PAM score between participants' first (baseline) and last (follow-up) day in the program.
Overall, 1023 individuals enrolled in the CPSMP during the study period, with enrollments peaking in 2018 and remaining stable thereafter. There was a higher proportion of females compared to males (69%, = 709) and 50- to 59-year-olds compared to other ages. Of the 1023 participants enrolled, 151 completed PAM surveys at baseline and follow-up (15%), of which 69% experienced an increase of at least 4 points on the PAM (104/151).
Most participants were female and aged 50 to 59 years old. Among a sample of participants with available longitudinal data, the CPSMP demonstrated promising effectiveness at equipping participants with the knowledge, skills, and confidence to manage their pain. Replication in a larger representative sample is warranted.
医疗保健提供者在治疗慢性疼痛患者时常常面临困难。一个潜在的解决方案是促进患者获得有助于培养自身管理护理技能和信心的项目及工具。
本研究旨在描述安大略省东部慢性疼痛自我管理项目（CPSMP）的参与情况，并评估该项目在获取管理慢性疼痛所需知识、信心和技能方面的有效性，这通过患者激活量表（PAM）来衡量。
利用2017年12月至2023年5月期间通过CPSMP常规收集的数据，我们对每年的参与者数量、性别和年龄分布进行了描述性分析。我们对参与者在项目中的第一天（基线）和最后一天（随访）之间的PAM得分变化进行了纵向分析。
总体而言，在研究期间有1023人参加了CPSMP，2018年参与人数达到峰值，此后保持稳定。女性参与者比例高于男性（69%，即709人），50至59岁的参与者比例高于其他年龄段。在1023名登记参与者中，有151人在基线和随访时完成了PAM调查（15%），其中69%的人在PAM上至少提高了4分（104/151）。
大多数参与者为女性，年龄在50至59岁之间。在有可用纵向数据的参与者样本中，CPSMP在使参与者具备管理疼痛的知识、技能和信心方面显示出了有前景的效果。有必要在更大的代表性样本中进行重复研究。
