Life-Style Medicine for Chronic Musculoskeletal Pain in Older People
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Lifestyle medicine Health coaching.
- Кому может быть актуально
- Состояния в реестре: Musculoskeletal, Pain Management, Chronic Pain, Musculoskeletal Pain. Базовые параметры: от 60 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Гонконг
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Life-Style Medicine for Chronic Musculoskeletal Pain in Older People: A Pragmatic, Randomized Controlled Clinical Trial
Обзор
The goal of this clinical trial is to determine the clinical effectiveness of lifestyle medicine in reducing chronic musculoskeletal pain in older adults, as measured by pain intensity, pain interference, self-management efficacy, stress level, sleep quality, healthier diet, better quality of life, and cost-effectiveness, compared to a waitlist control group. Participants will be randomly assigned to either the intervention or the waitlist group. The intervention group will meet the health coach face-to-face for four sessions to negotiate and set personalized health goals. The waitlist control group will continue to receive usual care without any additional intervention for 24 weeks. Both groups will complete three assessments: at the start of the study, one month after the intervention, and three months after the intervention. The waitlist control group will be offered the same intervention after completing the study.
Вмешательства
- Поведенческое Lifestyle medicine Health coaching
Participants assigned to this group will have 4 face-to-face sessions with the health coach. Lifestyle modifications with the aim of pain reduction will be determined in a shared decision-making approach. Lifestyle modifications will be based on the 6 pillars of lifestyle medicine: Physical activity, Healthy eating, Stress reduction, Sleep restoration, Social Support, and Avoiding risky substances. The health coach will make use of motivational techniques such as motivational interviewing to gui
Первичные конечные точки
- Brief Pain Inventory - Severity score [Срок оценки: Week 0, 12, 24]
Вторичные конечные точки (10)
- BPI-Interference [Срок оценки: week 0, 12, 24]
- Pain-Self Efficacy questionnaire [Срок оценки: Week 0 12, 24]
- Chinese International Physical Activity Questionnaire (Short form) [Срок оценки: Week 0, 12, 24]
- Chinese Short Food Frequency Questionnaire [Срок оценки: Week 0, 12, 24]
- 10-item Perceived Stress Scale (PSS-10) [Срок оценки: Week 0, 12, 24]
- 7-item Insomnia Severity Index (ISI) [Срок оценки: Week 0, 12, 24]
- Lubben Social Network Scale-6 (LSNS-6) [Срок оценки: Week 0, 12, 24]
- EuroQuol-5D-5L (EQ-5D-5L) [Срок оценки: Week 0, 12, 24]
- Quantity of smoking and alcohol consumption [Срок оценки: Week 0, 12, 24]
- Quality-adjusted life years (QALYs) on EQ-5D-5L [Срок оценки: Week 0, 12, 24]
Критерии участия
Критерии включения
- chronic musculoskeletal pain, defined as pain that lasted for more than 3 months persistently or intermittently, including regional pain (joints, limbs, back, and/or neck)
- a degenerative joint condition, such as osteoarthritis, and/or musculoskeletal complaints that fall under the classification of the International Classification of Disease-11 as "chronic primary musculoskeletal pain" or "chronic secondary musculoskeletal pain"
- Pain intensity score ≥ 4 on a numerical rating scale of 10
- stable baseline physical activity
- ability to understand written and verbal Chinese
Критерии исключения
- patient with cancer-related pain
- inflammatory rheumatic disease
- a recent history of stroke or major surgery in the past 6 months
- terminal illness
- serious mental illness
- severe or uncontrolled heart disease
- comorbid conditions that might impede active participation in the study
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Простое слепое
- Основная цель
- Лечение
Центры проведения
Гонконг · 1 центр
- 4/F, Lek Yuen Health Center, Shatin, New Territories, Hong Kong — Гонконг
Идентификаторы
NCT: NCT07194239 · 2025.553 · 2025.553