Authors (including presenting author) :
Chan CW (1), Chan OL (1) Lam Flori (1), Law MS (1), Lee Tiffany (2), Leung Regina (3)
Affiliation :
(1) Pain Relief Centre, Dept of Anaes & OTS, Kwong Wah Hospital
(2) Department of Clinical Psychology, Kwong Wah Hospital
(3) Department of Physiotherapy, Kwong Wah Hospital
Introduction :
Chronic Pain Management Programmes vary in intensity, ranging from low-intensity programmes with a contact time of 6-24 hours to high-intensity programmes with a contact time of 60-120 hours. Patients are selected for chronic pain management programmes based on their degree of disability, pain intensity, pain self-efficacy, and level of catastrophising. The aims of a pain programme are to enhance patients’ understanding of chronic pain and its effects, improve their physical function, promote a return to daily living tasks, and modify their perceived levels of pain, disability, and suffering. Additionally, it aims to provide coping strategies for managing pain, disability, and distress, promote self-management of pain, and ultimately reduce or achieve appropriate future utilisation of healthcare services related to pain.
Mindfulness Adaptive Program (MAP program) is a medium-intensity pain management program at Kwong Wah Hospital with a contact time of 28 hours. Our multi-disciplinary team, including pain physicians, nurses, clinical psychologists and physiotherapists, provided different activities to empower patients to manage their chronic pain.
Using a body composition analyser was first introduced in our MAP Program. Body composition analysers can obtain detailed insights into body fat distribution, muscle mass, and overall body composition. By understanding these metrics, patients can evaluate their body composition more objectively and help them establish goals to accomplish during the program.
Pain Catastrophising questionnaire (HK-PCS) and Pain Self-Efficacy questionnaire (PSEQ) are commonly used pain questionnaires to evaluate patient worries and their self-confidence in living with chronic pain, respectively.
Objectives :
This study aims to assess whether using a body composition analyser incorporated in chronic pain management programs can objectively measure patients' body status and contribute to enhanced self-management confidence.
Methodology :
This is a retrospective cohort study of participants enrolled in our MAP Program in 2023 and 2024. Both programs consist of similar class schedules, with the 2024 cohort with the addition of body composition analyser to their assessment.
Data was collected on the program's first day, last day, and 1 month after completion.
Data collected include patient age, gender, psychiatric follow up, HK-PCS, PSEQ, and other functional parameters.
Primary Outcomes: HK-PCS (Pain Catastrophising Scale), PSEQ (Pain Self-efficacy Questionnaire)
Statistical Methods:
Simple Descriptive statistics and unpaired student t-tests was used for the analysis.
Result & Outcome :
Six patients and five patients with chronic pain were enrolled in the MAP at Kwong Wah Hospital in 2023 and 2024, respectively. The mean age of participants was 58 and 66 years old in 2023 and 2024, respectively.
HK-PCS changed from a baseline of 25.5 to 27.8 at the end of the program in the 2023 cohort and decreased from 37.8 to 29.6 in the 2024 cohort. There was a more significant reduction in pain catastrophising for the MAP group with the addition of body composition analyser measurement.
Mean PSEQ changed from a baseline of 26 to 36.7 at the end of the program in the 2023 cohort and decreased from 26.8 to 33.6 in the 2024 cohort (p>0.05). There was no statistically significant difference in the participants' self-efficacy between the groups at different time points.
