Evidence map›Paper›PMID 36115674›Full record

ArticleBMJ open2022

Occupational therapy lifestyle intervention added to multidisciplinary treatment for adults living with chronic pain: a feasibility study.

Svetlana Solgaard Nielsen, Søren T Skou, Anette Enemark Larsen, Romanas Polianskis, Wojciech Zbigniew Pawlak, Henrik Bjarke Vægter, Jens Søndergaard, Jeanette Reffstrup Christensen

2 registry-linked trialsAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03903900 nacompletednot on this map

Redesign of Everyday Activities and Lifestyle With Occupational Therapy for Chronic Pain Patients - A Feasibility Study of an Occupational Therapy Intervention Added a Multidisciplinary Biopsychosocial Treatment at a Danish Pain Centre

TypeinterventionalSponsorSlagelse HospitalRan2019 to 2021Enrolled40ConditionsChronic PainArmsLifestyle-oriented Occupational Therapy added to current treatment of chronic non-malignant pain
NCT06121999 nacompletednot on this mapstarted 2023, after this paper: background citation

13-Week Behavioral Lifestyle Intervention for Metabolic Dysfunction-associated Steatotic Liver Disease (MASLD) and Metabolic Dysfunction-associated Steatosis (MASH) in Adults: A Randomized Control Trial

TypeinterventionalSponsorGrand Valley State UniversityRan2023 to 2024Enrolled24ConditionsMetabolic Associated-dysfunction Steatotic Liver Disease (MASLD), Metabolic Associated-dysfunction Steatohepatitis (MASH)ArmsStandard of care acceptance-based behavioral weight loss program, Occupational therapy dietary and lifestyle modifications
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Canadian Adaptation of REVEAL(OT) for Chronic Pain Management: Rapid Qualitative Analysis Results.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Chronic noncancer pain management: Integration of a nurse-led program in primary care.Canadian family physician Medecin de famille canadien · 2023
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Svetlana Solgaard NielsenUser Perspectives and Community-Based Interventions, Department of Public Health, University of Southern Denmark, Odense, Denmark ssolgaard@health.sdu.dk.ORCID 0000-0002-3694-4236
Søren T SkouDepartment of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Slagelse, Denmark.ORCID 0000-0003-4336-7059
Anette Enemark LarsenDepartment of Midwifery, Physiotherapy, Occupational Therapy and Psychomotor Therapy, University College Copenhagen, Copenhagen, Denmark.
Romanas PolianskisDepartment of Anesthesiology, Næstved Hospital, Næstved, Denmark.
Wojciech Zbigniew PawlakDepartment of Anesthesiology, Næstved Hospital, Næstved, Denmark.
Henrik Bjarke VægterPain Research Group, Pain Centre South, Department of Anaesthesiology and Intensive Care Medicine, University Hospital Odense, Odense, Denmark.
Jens SøndergaardResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-1629-1864
Jeanette Reffstrup ChristensenUser Perspectives and Community-Based Interventions, Department of Public Health, University of Southern Denmark, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the feasibility and outcomes of an occupational therapy lifestyle intervention for adults living with chronic pain.

designThis one-group pre-post interventional study investigated the feasibility and outcomes of the Redesign Your Everyday Activities and Lifestyle with Occupational Therapy (REVEAL(OT)) intervention targeting meaningful activities and lifestyle. SETTINGS: The occupational therapist-led intervention was added to standard multidisciplinary chronic pain treatment at a Danish pain centre.

participantsOf the 40 adult participants aged 18-64 (mean 46.6±10.9 years old, 85% females, chronic pain duration ≥3 months), there were 31 completers.

interventionThree feasibility rounds were carried out in 2019-2021. The intervention focused on meaningful activities, healthy eating habits and daily physical activity. Methods of didactical presentations, group discussions, personal reflection and experiential learning were used in the intervention composed both of individual and group sessions. OUTCOMES: Primary outcomes were predefined research progression criteria evaluated by the red-amber-green method. Secondary outcomes measured pre-post changes in health-related quality of life and occupational performance and satisfaction.

resultsThe study demonstrated satisfactory programme adherence (77.5%), patients' self-perceived relevance (97%), timing and mode of delivery (97%) and assessment procedure acceptance (95%). No adverse events causing discontinuation occurred. Recruitment rate (n=5.7 monthly), retention (77.5%) and the fidelity of delivery (83.3%) needed improvement. We observed no improvement in health-related quality of life (mean=0.04, 95% CI -0.03 to 0.12) but positive change in occupational performance (mean=1.80, 95% CI 1.25 to 2.35) and satisfaction (mean=1.95, 95% CI 1.06 to 2.84). The participants reached the minimal clinically important difference for occupational performance (≥3.0 points in 13.8%) and satisfaction (≥3.2 points in 24.0%).

conclusionsThe REVEAL(OT) intervention was feasible to deliver and beneficial for the participants' occupational performance and satisfaction. The interventions' recruitment, retention and delivery strategies need optimisation in a future definitive trial. TRIAL REGISTRATION NUMBER: NCT03903900.

Indexed as

Chronic PainOccupational TherapyAdultAmberFeasibility StudiesFemaleHumansLife StyleMaleMiddle AgedQuality of LifeAmberCOMPLEMENTARY MEDICINEPAIN MANAGEMENTPUBLIC HEALTHREHABILITATION MEDICINE

Identifiers

PMID36115674
PMCPMC9486323

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.