Struktur- und Prozessqualität multimodaler Schmerztherapie
- 8 September 2012
- journal article
- abstracts
- Published by Springer Science and Business Media LLC in Der Schmerz
- Vol. 26 (6), 661-669
- https://doi.org/10.1007/s00482-012-1207-8
Abstract
Multimodal therapy has demonstrated good clinical effectiveness in the treatment of chronic pain syndromes. However, within the German health system a comprehensive and nationwide access to multimodal therapy is not available and further improvement is therefore necessary. In order to analyze the current status of multimodal therapy and specifically its structural and procedural requirements and qualities, a survey was carried out in 37 pain clinics with established multimodal treatment programs. An anonymous questionnaire was used for data collection. Results demonstrated that a substantial accordance was found between all pain clinics concerning requirements for space, facilities and staff. Structured multidisciplinary assessments were carried out by all pain clinics even though the amount of time allocated for this varied widely. The main focus of multimodal therapy in all facilities was based on a common philosophy with a cognitive-behavioral approach to reduce patient helplessness and avoidance behavior and to increase physical and psychosocial activities as well as to strengthen self-efficacy. Some differences in the ways and means to achieve these goals could be demonstrated in the various programs.Keywords
This publication has 33 references indexed in Scilit:
- Deutscher Schmerzfragebogen (DSF) und standardisierte Dokumentation mit KEDOQ-SchmerzDer Schmerz, 2012
- Empfehlung zur Klassifikation schmerztherapeutischer Einrichtungen in DeutschlandDer Schmerz, 2011
- Liebe Kolleginnen und Kollegen!Der Schmerz, 2011
- Evaluation einer multimodalen Schmerztherapie am UniversitätsSchmerzCentrum DresdenDer Schmerz, 2009
- The Dachau multidisciplinary treatment program for chronic painDer Schmerz, 2008
- Multimodale Gruppentherapie bei Senioren mit chronischen SchmerzenDer Schmerz, 2008
- Ziele der Leitlinie zur Diagnostik und Therapie des FibromyalgiesyndromsDer Schmerz, 2008
- Comparison of a biopsychosocial therapy (BT) with a conventional biomedical therapy (MT) of subacute low back pain in the first episode of sick leave: a randomized controlled trialEuropean Spine Journal, 2005
- Schmerztherapeutische Angebote an Kliniken in DeutschlandDer Schmerz, 2004
- Strukturqualität in der ambulanten Versorgung chronisch schmerzkranker PatientenDer Schmerz, 1999