Predicting Completion of a Cognitive-Behavioral Pain Management Program by Initial Measures of a Chronic Pain Patient's Readiness for Change
Abstract
Objective There is a need to identify pretreatment patient indicators, which are predictive of the successful enrollment and completion of chronic pain treatment programs. Recent evidence suggests the Pain Stages of Change Questionnaire can predict enrollment and completion of a 10-session cognitive-behavioral pain management program. The purpose of this study is to determine whether the pretreatment Stages of Change Questionnaire can predict patients who would complete a cognitive-behavioral pain treatment program. Design Prospective cohort study using logistic regression analyses. Settings Patients referred for a 10-session cognitive-behavioral treatment program at a tertiary care multidisciplinary pain clinic or a community-based specialty clinic. Subjects Three hundred chronic pain patients (151 in the tertiary setting and 149 in the community-based setting) participated, with 147 of the patients (49%) completing and 153 (51%) patients not completing the 10-session program. Intervention Ten-visit cognitive-behavioral program for chronic pain patients. Outcome measure Completion of program. Results The Stages of Change Questionnaire scores could predict completion status chi2 (N = 300, 2 df) = 39.7, p Conclusion The Stages of Change Questionnaire is a potentially useful tool; however, the current scoring method is insufficient to recommend its use as an inclusion or exclusion criterion for enrollment in a cognitive-behavioral program.
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Preliminary support was provided for the predictive validity and utility of the PSOCQ and for the relevance of a stages of change model in addressing issues related to the self-management of chronic pain.
“Preliminary support was provided for the predictive validity and utility of the PSOCQ and for the relevance of a stages of change model in addressing issues related to the self-management of chronic pain.”
From Adjustment to Chronic Pain in Back Pain Patients Classified According to the Motivational Stages of Chronic Pain Management (2006) · cites this paper as [1]
Scores on the precontemplation measure correctly identified 61% of patients who completed treatment.
“scores on this measure correctly identified 61% of patients who completed treatment.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [7]
Patients who scored low on the precontemplation scale were significantly less likely to complete treatment.
“Patients who scored low on this scale were significantly less likely to complete treatment”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [7]
Older participants are more likely to complete chronic pain treatment programs than younger participants.
“This is consistent with previous research showing that older participants are more likely to complete chronic pain treatment programs than younger participants.5”
From Telehealth Versus In-Person Acceptance and Commitment Therapy for Chronic Pain: A Randomized Noninferiority Trial. (2017) · cites this paper as [5]
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- Authors
- Biller, N., Arnstein, P., Caudill, M. A., Federman, C. W., & Guberman, C.
- Affiliations
- Boston College (US)
- ORCID
- Arnstein, Paul
- Venue
- The Clinical Journal of Pain
- Published
- 2000-12
- Volume
- 16
- Issue
- 4
- Pages
- 352-359
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2005395504
- Cited by
- 93
- References
- 38
- Citations by year
- 2026: 1 · 2024: 3 · 2022: 1 · 2021: 1 · 2019: 10 · 2018: 6 · 2017: 4 · 2016: 2 · 2015: 2 · 2014: 5 · 2013: 1 · 2012: 4
- FWCI
- 2.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- GRO (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- chronic pain, cognitive-behavioral pain management, treatment completion, student dropout prediction, readiness to change, precontemplation, treatment enrollment, multidisciplinary pain clinic, depression, disability
- MeSH terms
- Adult, Attitude to Health, Chronic Disease, Disability Evaluation, Female, Humans, Male, Middle Aged, Pain, Patient Dropouts, Predictive Value of Tests, Prospective Studies, Surveys and Questionnaires, Sick Role, Cognitive Behavioral Therapy, Logistic Models, Pain Management
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