Canadian Adaptation of REVEAL(OT) for Chronic Pain Management: Rapid Qualitative Analysis Results.
Julie Masse, Svetlana S Nielsen, Jeanette R Christensen and 9 others
No OTs currently work in these two Montreal pain clinics, and patients report long waits for OT services.
Participants said an adapted intervention needs hands-on practice, a mix of group and individual sessions, and help building daily routines around constant pain.
Key findings
1All three groups (patients, clinicians, managers) said adding OT to these pain clinics would fill a gap, because no OTs currently work in the units and patients face long waits for OT services at rehabilitation centres.
2Participants described the intervention as needing hands-on practice in the patient's own daily environment, a mix of group sessions (to break social isolation) and individual sessions (to personalize), and support for building balanced routines around constant pain.
3Home visits are not feasible in the Canadian hospital context, virtual sessions could complement but should not replace in-person contact, and managers flagged long-term funding as the main sustainability risk.
Still to come
How it was doneWhat they foundWhat it means for OTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Convenience sampling from only two clinics in Montreal; results may not transfer to other settings or populations. Sample lacks diversity: more than half of patients were over 60, 91% identified as white, 86% were born in Canada, and most were highly educated. The main interviewer was an OT, and 42% of the clinicians interviewed were OTs, which the authors acknowledge may bias responses in favour of an OT-led intervention. This is Phase Ia (Define the intervention) of the ORBIT model. No patients received the intervention and no clinical outcomes were measured. The findings describe what participants think the adapted version should look like, not whether it works. Focus group sizes ranged from two to seven, and 65% of interviews were conducted online, which may have shaped the depth of discussion.
Declared interests
Funded by the Canadian Institutes of Health Research (Grant 486429). The original Danish REVEAL(OT) intervention was supported by Region Zealand Health Research Fund, the University of Southern Denmark, and the Danish OT Association. No industry funding or commercial conflicts of interest are declared.
The easy way to misread this
Do not read this as evidence that REVEAL(OT) improves pain outcomes or functional performance. It is a qualitative study of what participants think an adapted version should look like (Phase Ia of the ORBIT model). No patients received the intervention, and no clinical outcomes were measured. The paper reports perspectives and preferences, not treatment effects.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →