A multidisciplinary cognitive behavioural programme for coping with chronic neuropathic pain following spinal cord injury: the protocol of the CONECSI trial

BMC Neurology, 2010 · DOI: 10.1186/1471-2377-10-96 · Published: October 20, 2010

Spinal Cord Injury Neurology Pain Management

Simple Explanation

This study aims to see if a special program can help people with spinal cord injuries who have long-lasting nerve pain. The program uses different methods, like teaching, thinking exercises, and changing behaviors, to help people manage their pain better. Researchers will check if the program reduces pain and improves mood, activity levels, and happiness compared to people who are waiting to join the program.

Study Duration

12 Months

Participants

60 persons with chronic neuropathic spinal cord injury pain

Evidence Level

Level 1: Multicentre randomised controlled trial

Key Findings

1
The primary aim of the CONECSI trial is to evaluate the effects of a multidisciplinary cognitive behavioural treatment programme on pain intensity and pain-related disability
2
Secondary outcomes are mood (Hospital Anxiety and Depression Scale), participation in activities (Utrecht Activities List), and life satisfaction (Life Satisfaction Questionnaire).
3
The intervention consists of educational, cognitive, and behavioural elements and encompasses 11 sessions over a 3-month period.

Research Summary

The CONECSI trial evaluates a multidisciplinary cognitive behavioural programme for chronic neuropathic spinal cord injury pain (CNSCIP). The intervention aims to decrease pain intensity and related disability, while increasing mood, participation, and life satisfaction. The study employs a multicentre randomised controlled trial design, involving 60 participants across four rehabilitation centres in the Netherlands.

Practical Implications

Improved Treatment Options

The intervention is expected to contribute to the treatment options for people with CNSCIP, a severe problem for which existing treatments are insufficiently effective.

Rehabilitation Setting Integration

The multidisciplinary design fits well in a rehabilitation setting, increasing chances of implementation.

Wider Applicability

The availability of a written treatment protocol also contributes to applicability in other rehabilitation centres by rehabilitation professionals.

Study Limitations

1
Including people who exclusively have CNSCIP is not an option and we decided to include people who experience CNSCIP as their main type of pain.
2
If the intervention as a whole is effective, this will make it more difficult to point out the effective elements of the intervention.
3
Participants will be allowed to continue their current pain treatments, but will be asked to refrain, if possible, from starting, stopping, or changing pain treatment during the intervention.

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