Lifestyle Redesign® for Chronic Pain Management: A Retrospective Clinical Efficacy Study

Am J Occup Ther. 2017 Jul/Aug;71(4):7104190040p1-7104190040p7. doi: 10.5014/ajot.2017.025502.

Abstract

Objective: Our objective was to determine the efficacy of a Lifestyle Redesign® intervention for people living with chronic pain on quality of life (QOL), function, self-efficacy, and pain levels.

Method: Clinical outcomes were collected from 45 patients who completed an individual outpatient Lifestyle Redesign occupational therapy program for chronic pain as part of their usual plan of medical care. Outcome measures included the Canadian Occupational Performance Measure, the 36-Item Short-Form Survey, the Brief Pain Inventory, and the Pain Self-Efficacy Questionnaire. We analyzed scores using paired-samples t tests.

Results: Significant changes were observed in occupational performance and satisfaction scores, physical and social functioning, role limitations due to physical and emotional problems, energy and fatigue, general health, and pain self-efficacy.

Conclusion: Lifestyle Redesign interventions, when integrated into a patient's medical plan of care, can improve patient functioning, self-efficacy, and QOL.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Ambulatory Care
  • Chronic Pain / complications
  • Chronic Pain / rehabilitation*
  • Fatigue / etiology
  • Fatigue / rehabilitation
  • Female
  • Humans
  • Life Style
  • Male
  • Occupational Therapy / methods*
  • Pain Measurement
  • Quality of Life*
  • Retrospective Studies
  • Self Care*
  • Self Efficacy*
  • Treatment Outcome