Proposed Topic (Most preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Authors (including presenting author) :
Leung WC(1), Tiffany Lee(2), Chan OL(3), Lam CW(3), Law MS(3)
Affiliation :
(1)Physiotherapy Department, Kwong Wah Hospital; (2)Clinical Psychology Department, Kwong Wah Hospital; (3)Department of Anaesthesilogy & Operating Theatre Services, Kwong Wah Hospital
Introduction :
34% of Hong Kong people have chronic pain. A significant amount of those suffers from severe psychosocial and physical impairment. MAP program has been successfully done since 2017. The effectiveness has been proven. However due to the full time nature of the program with 80-90 contact hours, patients may find it difficult to join. miniMAP program is a short version (about half the contact hours) of MAP program specifically designed by the pain team for Chronic pain patients KWH.
Objectives :
Pilot study to test the feasibility of short version MAP program (miniMAP) and evaluate the immediate pre and post effect of the program.
Methodology :
A list of physical and psychosocial parameters of “Pre” and “Post” programs was collected. Pair t- test was applied for comparison.
Result & Outcome :
Total 6 subjects (4 Females and 2 Males) were recruited, aged 53-69. Physical aspect Sitting endurance (minutes) 46.7 46.7 NS 6 minutes walk test (6MWT) (meters) 330.7 361.2 <0.05 Weight used for 40-meter walking test (lbs) 8.3 9.7 NS Steps walked in 2 minutes 118.2 122.5 NS Psychosocial aspect WSAS (Home) 5.5 4.7 NS WSAS (Social leisure) 5.3 4 NS WSAS (Relationships) 3.8 3.7 NS WSAS (Total) 19.7 15.7 NS SUDS 5.5 4.8 NS DASS 21 (Depression) 19.3 14.3 NS DASS 21 (Stress) 19.7 19 NS DASS 21 (Anxiety) 15.3 13 NS DASS 21 (Total) 54.3 46.3 NS SF12 PCS -2.4 -2.5 NS SF12 MCS -1.3 -0.5 0.01 Pain Catastrophizing Scale 25.5 26 NS Discussion: The miniMAP was successfully conducted. The contact time was approximately half that of the full version of MAP, making it more efficient for healthcare workers to arrange the venue and easier to manage within their busy schedules of other clinical duties. Patients also found it easier to participate and experienced less anxiety compared to the long hours required in the full-time setting of the program previously. However, the results were not as remarkable as the previously reported full version of MAP. This was partly due to the less severe baseline disturbance of the patients and partly because of the small sample size. The most notable effect was observed in the 6MWT, where patients subjectively and objectively demonstrated better physical "fitness" or willingness to walk. In terms of psychosocial distress, there was a significant improvement in the mental components of quality of life, as shown by the SF12 MCS score. Conclusion: Overall, miniMAP proved to be a feasible alternative to the full-scale MAP. It was well-received by both patients and the organizing team. However, further trial runs and a larger number of patients are needed to fully explore the potential improvement in clinical outcomes.
