Occupational performance and factors associated with outcomes in patients participating in a
musculoskeletal pain rehabilitation programme
Sammanfattning
OBJECTIVES: To assess outcomes after a pain rehabilitation programme in terms of
occupational performance and satisfaction with occupational performance, and to investigate whether
socio-demographic factors and pain-related factors were associated with outcomes at follow-up.
METHODS: A pre- and post-test study of 555 participants with musculoskeletal pain who completed a
pain rehabilitation programme. The Canadian Occupational Performance Measure (COPM) was used
as the primary outcome measure. Socio-demographic and pain-related factors were collected using
background questionnaires, the Disability Rating Index (DRI) and the Multidimensional Pain
Inventory (MPI). Data were analysed using multivariate logistic regression analyses.
RESULTS: Statistically significant improvements were seen on occupational performance and
satisfaction with occupational performance at the 1-year follow-up. Female gender, less severe
disability, less life interference and more life control predicted improvements 1 year after the
programme. High initial scores on occupational performance and satisfaction with performance
predicted reduced possibilities for improvements in these respects.
CONCLUSION: A pain rehabilitation programme can, for a majority of participants, affect occupational
performance and satisfaction with performance. Men and those with more severe pain-related
consequences may need additional or modified rehabilitation interventions in order to improve their
occupational performance and satisfaction with occupational performance.