Collaboratory Treatment Pathway for Chronic Pain Patients.

Enrolling by invitation · Not applicable

Conditions studied: Chronic Pain, Chronic Pain Syndrome, Chronic (Non-malignant) Musculoskeletal Pain, Patients Referred to Multidisciplinary Pain Clinics

In brief

In this multicenter randomized controlled trial, the aim is to evaluate the effectiveness of a standardized treatment pathway (STP) for patients referred to four participating pain clinics, by comparing it to treatment as usual (TAU) which is standard care at the clinics. The STP differs from TAU in two key aspects: * Structured cross-sector collaboration: Involvement of primary healthcare providers, particularly the patient's GP, in two digital collaborative meetings with the pain clinic. * Time-bound treatment pathway: A clearly defined treatment trajectory with follow-up over a six-month period. The study aims to answer whether the STP give larger improvements than TAU in the following outcomes: * patients´ reported overall impression of change in health (primary outcome) * pain interference (primary outcome) * physical function and mental health * satisfaction with and experience of continuity and integration of the health care services All study participants will follow an initial care pathway at the pain clinic, which includes: * a screening consultation with a study coordinator * a multidisciplinary clinical assessment based on a biopsychosocial approach by at least to health care professions. The specific professional groups included in each assessment are determined individually based on patient needs. The control group: This group will receive standard care at the pain clinic. This will vary somewhat between the four pain clinics , but almost all patients will be offered a summary consultation with the pain clinic team where further plans for follow-up will be discussed. Some patients will be offered further treatment at the pain clinic. All clinics will send a clinical summary to the referring physician with suggestions for further follow-up. If further collaboration with primary care is needed, it may preferably be written or arranged via telephone. Digital collaborative meeting will not be offered to this group. The intervention group: All patients in this group will be offered the STP with two digital collaborative meetings as described above.

Key facts

Study ID: NCT07331766
Run by: St. Olavs Hospital
People needed: 386
Starts: 2025-12-19
Expected to finish: 2028-12-31
Last updated by the study team: 2026-05-29

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Patients aged 18 years or older who have been granted the right to specialist health care in accordance with the Norwegian National prioritization guideline for pain clinics, and who are scheduled for multidisciplinary treatment involving at least two professionals from the pain clinic.

You may not qualify if…

Patients scheduled for monodisciplinary treatment. Patients referred solely for invasive procedures. Patients without sufficient language skills to understand the study information and provide informed consent. Patients are excluded if interpreter services are required.
Patients deemed unable to complete study-related tasks (e.g., questionnaires). Patients referred exclusively for stabilization or tapering of opioids or other medications considered addictive.
Patients who will be unable to participate in collaborative meetings or follow the treatment plan due to extensive ongoing or planned care trajectories within other specialist health services.

Where it is running

Innlandet Hospital — Ottestad, Innlandet, Norway
University Hospital of Northern Norway — Tromsø, Troms, Norway
St Olavs hospital — Trondheim, Trøndelag, Norway
Haukeland University Hospital — Bergen, Norway

Full record on ClinicalTrials.gov

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