Informations générales (source: ClinicalTrials.gov)
DEterminants of Decisional Autonomy In Chronic Pain Patients and Assessment of Treatment Effectiveness (DEDICATE)
Observational
Fondation Hôpital Saint-Joseph (Voir sur ClinicalTrials)
mars 2025
octobre 2027
25 juin 2025
Chronic pain is defined as an unpleasant sensory and emotional experience that persists
for three months or more, affecting 20-30% of the global adult population. It can arise
from primary conditions or as a consequence of diseases and is a significant source of
disability. Chronic pain is no longer merely a symptom but often a disease itself, with
neurological and psychosocial mechanisms. The biopsychosocial model introduced by George
Engel in 1977 helps to consider the biological, psychological, social, and societal
dimensions of chronic pain. Patients with chronic pain must adapt to new circumstances,
acquiring new knowledge and coping skills to reach a new homeostasis. The goal is not
necessarily pain elimination but enabling patients to manage their pain and continue
daily activities effectively.
International guidelines suggest a patient-centered, interdisciplinary approach to
managing chronic pain, with an emphasis on empowering patients, motivating them, and
involving them in decision-making. Autonomy in decision-making is crucial in this
context, encompassing both negative freedom (absence of external constraints) and
positive freedom (the ability to make choices and realize one's potential). However,
chronic pain can limit cognitive and functional abilities, potentially impeding a
patient's autonomy. Research indicates that a significant proportion of chronic pain
patients experience a deficit in decision-making autonomy.
This mixed-methods study aims to explore the determinants of decision-making autonomy in
chronic pain patients and its impact on their treatment. Using the MacCAT-T assessment
tool, which evaluates understanding, reasoning, appreciation, and choice expression, the
study will examine the relationship between patients' autonomy levels and their health
outcomes. The study will also assess how clinicians perceive patients' autonomy compared
to the tool's findings.
Etablissements
| Les établissements d'Île-de-France dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| GH PARIS SITE SAINT JOSEPH | Juliette COURTIADE MAHLER, PhD | Contact (sur clinicalTrials) | |||
Critères
Tous
Inclusion Criteria:
- Patient aged 18 years or older
- Patient attending their first consultation for chronic pain between 01/01/2025 and
31/12/2025
- Francophone patient
- Patient capable of expressing their non-opposition to participation
- Patient aged 18 years or older
- Patient attending their first consultation for chronic pain between 01/01/2025 and
31/12/2025
- Francophone patient
- Patient capable of expressing their non-opposition to participation
- Patient with significant visual or hearing impairment
- Patient under guardianship or curatorship
- Patient deprived of liberty
- Patient under judicial protection Patient who opposes the use of their data for this
research