Grant: Project Grant

Chronic pain, typically defined as pain that lasts more than three months, is a complex condition that includes biological, psychological and social factors. One adult in five lives with chronic pain. Chronic pain has multiple negative consequences on the lives of individuals living with this condition, including interference with professional, leisure, and daily activities. It is also often accompanied by psychological distress and disruptions in social roles. At the societal level, it is estimated that chronic pain has direct and indirect costs of CAN$40billions yearly. Despite its impact on multiple dimensions of an individual's functioning, little pain interventions offered in pain clinics directly targets occupational outcomes. Occupational therapists, who specialize in helping individuals' health and well-being through improvements in their occupational outcomes, are rarely part of multidisciplinary pain teams. There is thus a great need to offer occupational interventions to individuals living with chronic pain and build capacity of the healthcare system to deliver such interventions. Redesign your everyday activities and lifestyle with occupational therapy (R) is a Danish hybrid (in-person and online; individual and group) biopsychosocial intervention led by occupational therapists within multidisciplinary pain centers aimed at improving occupational engagement in meaningful everyday activities. The study objectives are 1) to adapt REVEAL(OT) through a collaborative approach between researchers, clinicians, individuals living with chronic pain, and stakeholders, 2) to analyze the implementation, and 3) to refine the intervention and plan next evaluation steps. Understanding mechanisms associated with implementation of such program within the healthcare system will be an important step toward the deployment of this intervention more broadly.