| Autor: |
Hasha W; Department of Global Public Health and Primary Care, University of Bergen, Årstadveien 17, 5020 Bergen, Norway., Igland J; Department of Global Public Health and Primary Care, University of Bergen, Årstadveien 17, 5020 Bergen, Norway., Fadnes LT; Department of Global Public Health and Primary Care, University of Bergen, Årstadveien 17, 5020 Bergen, Norway.; Department of Addiction Medicine, Haukeland University Hospital, Jonas Lies vei 65, 5021 Bergen, Norway., Kumar B; Norwegian Institute of Public Health, Unit for Migration and Health, 222 Skøyen, 0213 Oslo, Norway., Haj-Younes J; Department of Global Public Health and Primary Care, University of Bergen, Årstadveien 17, 5020 Bergen, Norway., Strømme EM; Department of Global Public Health and Primary Care, University of Bergen, Årstadveien 17, 5020 Bergen, Norway., Norstein EZ; OsloMet-Faculty of Health Sciences, Oslo Metropolitan University, P.O. Box 4, St. Olavsplass N, 0130 Oslo, Norway., Vårdal R; Center for Migration Health, Solheimsgaten 9, 5058 Bergen, Norway., Diaz E; Department of Global Public Health and Primary Care, University of Bergen, Årstadveien 17, 5020 Bergen, Norway.; Norwegian Institute of Public Health, Unit for Migration and Health, 222 Skøyen, 0213 Oslo, Norway. |
| Abstrakt: |
Chronic pain is common among refugees, and often related to mental health problems. Its management, however, is often challenging. A randomized waitlist-controlled trial was designed to study the effect of group physiotherapy activity and awareness intervention (PAAI) on reducing pain disorders, and secondarily improving mental health, among Syrian refugees. A total of 101 adult Syrian refugees suffering from chronic pain were randomized to either the intervention group or the control group, which thereafter also received PAAI after a waiting period. Pain intensity measured by the Brief Pain Inventory (BPI) was the primary outcome. Scores from the Impact of Events Scale-Revised (IES-R 22) and the General Health Questionnaire (GHQ-12) were secondary outcomes. Intention-to-treat analyses (ITT) showed no effect of the intervention on either pain levels (regression coefficient [B {95% CI} of 0.03 {-0.91, 0.96}], IESR scores [4.8 {-3.7, 13.4}] or GHQ-12 scores [-0.4 {-3.1, 2.3}]). Yet, participants highly appreciated the intervention. Despite the negative findings, our study contributes to the evidence base necessary to plan targeted and effective health care services for refugees suffering from chronic pain and highlights the challenge of evaluating complex interventions adapted to a specific group. |
