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February 21, 20260 citationsOpen Access

Effectiveness of an ambulatory interprofessional rehabilitation on occupational performance of persons with chronic pain. A registry-based longitudinal cohort study.

FBFelicia BertschiUniversity of Bern MAMette AndresenEuropean Medicines Agency BGBrigitte GantschnigUniversity of Bern

Key Points

To assess the impact of the Bern Ambulatory Interprofessional Rehabilitation on occupational performance and quality of life among individuals with chronic pain.
Registry-based longitudinal cohort study design
Involvement of 172 participants with chronic musculoskeletal pain
Biopsychosocial intervention focusing on holistic rehabilitation
Assessment using validated measures like the Canadian Occupational Performance Measure
Significant improvement in quality of occupational performance post-treatment (p ≤ 0.001)
Satisfaction with occupational performance showed significant gains (p ≤ 0.001)
Burden of suffering was significantly reduced at both post-treatment and follow-up (p ≤ 0.001)
Health-related quality of life improved significantly (p ≤ 0.001)
No significant or clinically meaningful change in pain intensity was observed (p > 0.05)

Abstract

Objective: To examine to what extent the Bern Ambulatory Interprofessional Rehabilitation results in statistically significant and clinically meaningful changes in self-rated quality of and satisfaction with occupational performance, health-related quality of life, pain intensity, and burden of suffering of persons with chronic pain. Design: Registry-based longitudinal cohort study. Setting: Department of Rheumatology and Immunology at the Bern University Hospital, Switzerland. Participants: A total of 172 participants with chronic musculoskeletal pain. Intervention: The Bern Ambulatory Interprofessional Rehabilitation is a biopsychosocial intervention for persons with chronic pain. Main measures: Canadian Occupational Performance Measure, Pictorial Representation of Illness and Self Measure, European Quality of Life and Health Measure Visual Analogue Scale, and Visual Analogue Scale for pain intensity. Results: Changes over time were statistically significant and clinically meaningful for quality of occupational performance (post-treatment p ≤ 0.001, 95% confidence interval (CI) 1.62-2.31, d = 0.8; follow-up p ≤ 0.001, 95% CI 1.23-2.20, d = 0.70), satisfaction with occupational performance (post-treatment p ≤ 0.001, 95% CI 2.35-3.22, d = 0.95; follow-up p ≤ 0.001, 95% CI 1.95-3.14, d = 0.87), burden of suffering (post-treatment p ≤ 0.001, 95% CI 0.25 to -0.42, d = 0.61; follow-up p ≤ 0.001, 95% CI 0.20-0.40, d = 0.55), and health-related quality of life (post-treatment p ≤ 0.001, 95% CI 6.30-15.66, d = 0.43; follow-up p ≤ 0.001, 95% CI 3.08-15.28, d = 0.36). Changes for pain intensity were not statistically significant nor clinically meaningful (post-treatment p = 0.676, 95% CI -3.85 to 5.45, d = 0.03; follow-up p = 0.243, 95% CI -8.91 to 1.72, d = -0.09). Conclusions: This study confirms the short- and mid-term effectiveness of the Bern Ambulatory Interprofessional Rehabilitation on occupational performance, burden of suffering, and health-related quality of life of persons with chronic pain.

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