Comparison of short- and mid-term outcomes of Italian- and German-speaking patients after an interdisciplinary pain management programme in Switzerland: A prospective cohort study.

Benz, Thomas; Lehmann, Susanne; Brioschi, Roberto; Elfering, Achim; Aeschlimann, André; Angst, Felix (2019). Comparison of short- and mid-term outcomes of Italian- and German-speaking patients after an interdisciplinary pain management programme in Switzerland: A prospective cohort study. Journal of rehabilitation medicine, 51(2), pp. 127-135. Foundation of Rehabilitation Information 10.2340/16501977-2514

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OBJECTIVE To quantify and compare the course of health-related quality of life of immigrant native Italian-speaking and German-speaking patients before and after an interdisciplinary pain programme. DESIGN Prospective cohort study with 1-12 month follow-up. SUBJECTS Fibromyalgia, generalized widespread pain, and chronic non-specific back pain patients (Italian-speaking n = 96, German-speaking n = 199). METHODS Score changes measured with the Short Form 36 (SF-36) were compared with multivariate analysis using standardized mean differences (SMD), adjusted for sex, education and the baseline score. RESULTS At baseline, health of the Italian-speaking patients was worse than for the German-speaking patients. Adjusted SMDs showed significantly better improvements in the German group compared with the Italian group: SF-36 Physical functioning SMD = 0.54 (at discharge) and 0.49 (at 12 months), General health SMD = 0.71 and 0.44, Vitality SMD = 0.43 and 0.48 in one sample. In the other sample, the corresponding SMDs were 0.06 (discharge), 0.50 (3 months) and 0.47 (6 months) for Bodily pain. CONCLUSION State of health was better and health improvements were greater in German-speaking patients compared with Italian-speaking patients. Patients with a migration background may have special needs in therapeutic management, and addressing these might enhance the positive outcome in the short- and mid-term.

Item Type:

Journal Article (Original Article)

Division/Institute:

07 Faculty of Human Sciences > Institute of Psychology > Work and Organisational Psychology

UniBE Contributor:

Elfering, Achim

Subjects:

100 Philosophy > 150 Psychology
300 Social sciences, sociology & anthropology
600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1650-1977

Publisher:

Foundation of Rehabilitation Information

Language:

English

Submitter:

Christine Soltermann

Date Deposited:

13 Feb 2020 15:40

Last Modified:

13 Feb 2020 15:45

Publisher DOI:

10.2340/16501977-2514

PubMed ID:

30667513

BORIS DOI:

10.7892/boris.140317

URI:

https://boris.unibe.ch/id/eprint/140317

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