Insomnia in Patients Participating in Interdisciplinary Pain Rehabilitation
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Inpatient rehabilitation, Outpatient day rehabilitation.
- Who it may be relevant to
- Registry conditions: Musculoskeletal Pain, Insomnia. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Norway
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The main purpose of this project is to conduct a prospective cohort study in order to better understand the importance of insomnia symptoms in patients referred to interdisciplinary rehabilitation due to chronic pain. Moreover, this project will also raise awareness on how insomnia symptoms, alone, and in interplay with factors such as function, psychological distress, physical activity, and fatigue impact on patient's prognosis and work ability. Our aim is that this knowledge can be used to design new interventions and improve rehabilitation programs for this patient group.
Detailed description
Insomnia is a vast problem among patients with chronic musculoskeletal pain. Despite the close relation between pain and sleep, sleep quality has received little attention in rehabilitation programs for patients with pain. So far, there is a lack of studies investigating the association between insomnia and chronic pain in patients referred to interdisciplinary rehabilitation. Identifying subgroups of the population with higher burden of poor sleep will aid clinicians to tailor treatment and prevention strategies. Moreover, knowledge on how insomnia symptoms fluctuate throughout the rehabilitation program and how insomnia symptoms interact with factors such as mental distress, physical activity, and fatigue impact on patient's recovery (e.g., the prognosis of pain, quality of life, and work participation) can be used to develop and implement more successful rehabilitation programs.
This is a cohort study primarily designed to address sleep problems in patients referred for pain rehabilitation by using questionnaire data from the rehabilitation centers linked to registry data. This study will constitute both a cross-sectional survey among patients referred to rehabilitation before they participate in rehabilitation. In addition to questionnaires, administrative data and clinical data, these data will be linked to national health registries on prescriptions, health care use and sickness absence. Potential participants are patients referred to rehabilitation at five different Unicare rehabilitation centers in Norway (Unicare Helsefort, Unicare Coperio, Unicare Hokksund, Unicare Friskvern and Unicare Jeløy) due to long-term pain complaints.
Interventions
- Behavioral Inpatient rehabilitation
Inpatient multimodal rehabilitation in specialist health care - Behavioral Outpatient day rehabilitation
Multimodal rehabilitation in specialist health care with program lasting whole work days
Primary outcome measures
- Insomnia [Time frame: Baseline]
- Pain intensity [Time frame: Baseline]
Secondary outcome measures (9)
- Health-related quality of life [Time frame: Baseline]
- Fatigue [Time frame: Baseline]
- Function [Time frame: Baseline]
- Physical activity [Time frame: Baseline]
- Workability [Time frame: Baseline]
- Symptoms of anxiety and depression [Time frame: Baseline]
- Prescriptions [Time frame: Up to five years before rehabilitation and one year after rehabilitation]
- Sickness absence [Time frame: Up to five years before rehabilitation and one year after rehabilitation]
- Health care use [Time frame: Up to five years before rehabilitation and one year after rehabilitation]
Eligibility criteria
Inclusion criteria
- Take part in rehabilitation for long-term pain complaints at one of the five centers
- Consented to research
Exclusion criteria
- None
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Norway · 1 center
- Unicare Helsefort — Rissa
Identifiers
NCT: NCT06478628 · 547864