Serious gaming during multidisciplinary rehabilitation for patients with complex chronic pain or fatigue complaints: study protocol for a controlled trial and process evaluation.

Autor:	Vugts MAP; Department of Tranzo Scientific Center for Care and Welfare, Tilburg School of Social and Behavioural Sciences, Tilburg University, Tilburg, The Netherlands.; Ciran Rehabilitation Centres, Venlo, The Netherlands., Joosen MCW; Department of Tranzo Scientific Center for Care and Welfare, Tilburg School of Social and Behavioural Sciences, Tilburg University, Tilburg, The Netherlands., Mert A; Ciran Rehabilitation Centres, Venlo, The Netherlands., Zedlitz A; Department of Health Medical and Neuropsychology, Leiden University, Leiden Institute for Brain and Cognition, Leiden, The Netherlands., Vrijhoef HJM; Department of Tranzo Scientific Center for Care and Welfare, Tilburg School of Social and Behavioural Sciences, Tilburg University, Tilburg, The Netherlands.; Department of Patient and Care, Maastricht University Medical Centre, Maastricht, The Netherlands.; Department of Family Medicine, Vrije Universiteit Brussels, Brussels, Belgium.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2017 Jun 08; Vol. 7 (6), pp. e016394. Date of Electronic Publication: 2017 Jun 08.
DOI:	10.1136/bmjopen-2017-016394
Abstrakt:	Introduction: Many individuals suffer from chronic pain or functional somatic syndromes and face boundaries for diminishing functional limitations by means of biopsychosocial interventions. Serious gaming could complement multidisciplinary interventions through enjoyment and independent accessibility. A study protocol is presented for studying whether, how, for which patients and under what circumstances, serious gaming improves patient health outcomes during regular multidisciplinary rehabilitation. Methods and Analysis: A mixed-methods design is described that prioritises a two-armed naturalistic quasi-experiment. An experimental group is composed of patients who follow serious gaming during an outpatient multidisciplinary programme at two sites of a Dutch rehabilitation centre. Control group patients follow the same programme without serious gaming in two similar sites. Multivariate mixed-modelling analysis is planned for assessing how much variance in 250 patient records of routinely monitored pain intensity, pain coping and cognition, fatigue and psychopathology outcomes is attributable to serious gaming. Embedded qualitative methods include unobtrusive collection and analyses of stakeholder focus group interviews, participant feedback and semistructured patient interviews. Process analyses are carried out by a systematic approach of mixing qualitative and quantitative methods at various stages of the research. Ethics and Dissemination: The Ethics Committee of the Tilburg School of Social and Behavioural Sciences approved the research after reviewing the protocol for the protection of patients' interests in conformity to the letter and rationale of the applicable laws and research practice (EC 2016.25t). Findings will be presented in research articles and international scientific conferences. Trial Registration Number: A prospective research protocol for the naturalistic quasi-experimental outcome evaluation was entered in the Dutch trial register (registration number: NTR6020; Pre-results). Competing Interests: Competing interests: MAPV reports employment by Ciran and is provided time and occasion to conduct independent doctoral research by way of agreement at Tranzo, Scientific Centre for Care and Welfare, Tilburg University. The terms of this arrangement have been reviewed and approved by Tranzo in accordance with its policy on objectivity in research. HJMV reports personal fees from Ciran, outside the submitted work. (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
Databáze:	MEDLINE
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