Article

OBJECTIVES: To assess outcomes after a pain rehabilitation programme in terms of
occupational performance and satisfaction with occupational performance, and to
investigate whether socio-demographic factors and pain-related factors were
associated with outcomes at follow-up. METHODS: A pre- and post-test study of 555
participants with musculoskeletal pain who completed a pain rehabilitation
programme. The Canadian Occupational Performance Measure (COPM) was used as the
primary outcome measure. Socio-demographic and pain-related factors were
collected using background questionnaires, the Disability Rating Index (DRI) and
the Multidimensional Pain Inventory (MPI). Data were analysed using multivariate
logistic regression analyses. RESULTS: Statistically significant improvements
were seen on occupational performance and satisfaction with occupational
performance at the 1-year follow-up. Female gender, less severe disability, less
life interference and more life control predicted improvements 1 year after the
programme. High initial scores on occupational performance and satisfaction with
performance predicted reduced possibilities for improvements in these respects.
CONCLUSION: A pain rehabilitation programme can, for a majority of participants,
affect occupational performance and satisfaction with performance. Men and those
with more severe pain-related consequences may need additional or modified
rehabilitation interventions in order to improve their occupational performance
and satisfaction with occupational performance.

Langue : ANGLAIS