ConheceDOR: the development of a board game for modern pain education for patients with musculoskeletal pain

Abstract

BACKGROUND AND OBJECTIVES: Chronic pain is one of the main challenges for health systems. Pain education and self-motivated strategies have great potential in the treatment of people with chronic pain, especially by modifying beliefs and behavior. The development of board games for educational purposes can contribute to the learning of pain concepts and behavioral strategies. The objective of this study was to develop a board game (ConheceDor) to be used as an intervention tool for pain education. CONTENTS: The systematic review for the development of the game ConheceDor, considered the following search strategy: "chronic pain", "musculoskeletal pain", "health education", "patient education", "neuroscience education", "pain education", "therapeutic neuroscience education". The primary outcomes considered were pain intensity and disability. Fifteen studies were included, with a total of 1,486 participants. Six studies reported reduction on pain of at least 10%, and two studies reported an improvement of at least 30% on disability. For the development of the game, we elaborated the layout of the board, the rules and other components (dice, cards, and pins). The cards of the game included the contents commonly used in the randomized controlled trials: negative thoughts, pain neurophysiology, stress management, and relaxation, coping and exercises. CONCLUSION: The development of the present board game was based on the critical appraisal of the content of education-ConheceDOR: the development of a board game for modern pain education for patients with musculoskeletal pain ConheceDOR: desenvolvimento de um jogo de tabuleiro para educação moderna em dor para pessoas com dor musculoesquelética

Estratégias para o desenvolvimento de educação em saúde sobre dor no hospital

“…Tais artigos são apresentados no Quadro 1. Em relação à caracterização, 2018 foi o ano com maior número de publicações, com quatro estudos (Lima & Reis, 2018;Loduca et al, 2018;Alvarez, et al, 2018;Sullivan et al, 2018), seguido do ano de 2019 com três estudos publicados (Valentim et al, 2019;Vieira et al, 2019;Chu et al, 2019). Estados Unidos da América (Marco et al, 2006;Sullivan et al, 2018;Buchbinder, Wilbur, Mclean & Leath, 2015;Street et al, 2010;Syrjala et al, 2008;West et al, 2003;Erkes, Parker;Carr & Mayo, 2001) e Brasil (Valentim et al, 2019;Vieira et al, 2019;Lima & Reis, 2018;Loduca et al, 2018;Mendez et al, 2017;Alvarez et al, 2018) foram os dois países com maior número mais publicações sobre o tema, tendo sete e seis artigos publicados respectivamente.…”

“…Quanto ao delineamento, 12 estudos utilizaram a abordagem quantitativa (Vieira et al, 2019;Loduca et al, 2018;Alvarez et al, 2018;Marco et al, 2006;Chu et al, 2019;Sullivan et al, 2018;Capewell;Gregory, Closs & Bennett, 2010;Street et al, 2010;Syrjala et al, 2008;Yates et al, 2004;Edwards et al, 2001;Erkes, Parkerg, Carr & Mayo, 2001) e cinco utilizaram a abordagem qualitativa (Valentim et al, 2019;Lima & Reis, 2018;Mendez et al, 2017;Buchbinder;Wilbur;Mclean & Sleath, 2015;West et al, 2003).…”

“…Sobre o tipo de amostragem, quando mencionada, 12 estudos utilizaram a forma intencional (Valentim et al, 2019;Vieira et al, 2019;Lima & Reis, 2018;Loduca et al, 2018;Mendez et al, 2017;Alvarez et al, 2018;Chu et al, 2019;Sullivan et al, 2018;Buchbinder;Wilbur;Mclean & Sleath, 2015;West et al, 2003;Edwards et al, 2001;Erkes, Parkerg, Carr & Mayo, 2001) e cinco a randomizada (Marco et al, 2006;Capewell, Gregory, Closs & Bennett, 2010;Street et al, 2010;Syrjala et al, 2008;Yates et al, 2004).…”

“…Quanto à análise de dados, nove estudos utilizaram estatística descritiva (Vieira et al, 2019;Loduca et al, 2018;Alvarez et al, 2018;Marco et al, 2006;Sullivan et al, 2018;Capewell, Gregory, Closs & Bennett, 2010;Syrjala et al, 2008;Yates et al, 2004;Erkes, Parkerg, Carr & Mayo, 2001), seis empregaram análise do conteúdo (Valentim et al, 2019;Mendez et al, 2017;Chu et al, 2019;Buchbinder, Wilbur, Mclean, Sleath, 2015;Street et al, 2010;West et al, 2003) e dois recorreram à análise de conteúdo em combinação com estatística descritiva (Lima & Reis, 2018;Edwards et al, 2001).…”

“…Seis estudos trouxeram como ferramentas de educação sobre dor intervenções psicoeducativas (Valentim et al, 2019;Loduca et al, 2018;Buchbinder, Wilbur, Mclean & Sleath, 2015;Street et al, 2010;Yates et al, 2004;Edwards et al, 2001).…”