Romanas Polianskis MD, PhD
Mail: romanas.polianskis@regionh.dk
Multidisciplinary Pain Centre, Rigshospitalet 
Blegdamsvej 9, 2100 København 

Metaphors in Feedback- guided Multidisciplinary Pain Management Program
Pain Management Program at Rigshospitalet, Copenhagen consisting of 10-week 10 sessions has been offered to 9 groups of chronic non-cancer pain (CNCP) patients. The primary aim of this study was to evaluate understanding and acceptance of program contents for CNCP patients. 
Design
Case – control study
Setting
Multidisciplinary Pain Centre, Rigshospitalet 
Participants
67 outpatients enrolled in and 62 completed the program from 2015 to 2019, attending at least 7 out of 10 sessions.
Interventions
Classic CBT program was gradually adjusted over 4 years according to patients’ feedback. In its final version program goals included psychoeducation, body awareness, breathing exercises, pacing, goal setting, normalization, accept, motivation, communication with significant others/community, coping strategies, group feedback and support and networking. A multidisciplinary team consisted of physician, registered nurse, psychologist, social worker. Group leaders extensively user visual and oral metaphors. 


Main Outcome Measures
Participants participated in post-program interview and completed questionnaire at week 10 assessing understanding and retention of material, satisfaction with the main topics and program in general. 
Results
Analysis demonstrated significantly better retention of material supported with relevant metaphors in comparison to formal instruction. Satisfaction with the program was 3.8 on 4-point scale. 
Conclusions
Feedback- guided Multidisciplinary Pain Management Program is a feasible treatment for CNCP patients.