Mixed-method approach to veteran satisfaction with pain education

Watson, Elizabeth; Coghill, David; Lin, Erica H.

doi:10.1682/jrrd.2013.10.0221

Cited by 10 publications

(8 citation statements)

References 27 publications

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“…Past research has shown that veterans found specific modules (acupuncture and medication management) to be more relevant, and found other modules (tobacco cessation and hypnosis) to be less fitting. 64 However, the current study did not find that subject matter from any of the classes had any effect on attendance.…”

Section: Discussioncontrasting

confidence: 82%

“…Past research has examined what themes veterans commented as being barriers to attendance in the pain education program, and found that veterans either reported not having any barriers (24%) or noted travel (24%), finances (21%), or other illness (18%) as being obstacles. 64 Other studies investigating military personnel have found the most frequently reported reason for missing appointments was administrative error (including believing their appointment was on another date, having cancelled the appointment, and not knowing they had an appointment). 65 Furthermore, due to limitations of this archival collection, demographics (e.g., gender differences 15,51 ) and other individual barriers to care (e.g., distance from the facility and/or finances 66 ) were not able to be assessed.…”

Section: Discussionmentioning

confidence: 99%

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Do Weather Changes Affect Veterans’ Outpatient, Pain Management Clinic Attendance?

Coghill

2017

JVS

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Adherence to appointments has been found to be a strong predictor of successful chronic disease selfmanagement, yet up to 30% of health appointments are missed. Many factors have been found to influence attendance, including patients not having enough time, facing transportation issues, lack of childcare, administrative errors, and inclement weather. The current study investigated weather indices as possible factors related to missed appointments among patients who suffer from chronic pain. In a five-year longitudinal study, 911 veterans participated in a patient pain education program. Attendance was tracked and weather indices were recorded for the day before, the day of, and the day after class. Significant associations were found between attendance and wind-chill for the day of class and temperature change for the day after class. No other weather indices, seasonality, nor education class topic, were found to influence attendance in this study. Although pain was not measured directly, findings may offer some support for pain sensitivity as it relates to weather predictability, as attendance for classes was lower when a significant temperature change occurred the day after class. These findings have important clinical implications for veterans with chronic pain conditions, as weather is often implicated as barrier. We recommend future studies take efforts to measure pain levels, and conduct individual analysis on demographic information, pain history, and mental health history to identify other possible obstacles.

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Section: Discussioncontrasting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Do Weather Changes Affect Veterans’ Outpatient, Pain Management Clinic Attendance?

Coghill

2017

JVS

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“…Qualitative methods enable researchers to gain a broader understanding of human experiences, attitudes, and processes through an emphasis on participant perceptions [16–18]. Past research has highlighted the added value of this methodology in understanding the subjective experience of pain [19–22]. A recent randomized controlled trial found a concordance rate of less than 50% between quantitative questionnaire and qualitative interview data [23].…”

Section: Introductionmentioning

confidence: 99%

Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain Rehabilitation

Wideman

Boom

Dell’Elce

et al. 2016

Pain Research and Management

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Chronic pain negatively impacts health, well-being, and social participation. Effective rehabilitation often hinges on long-term changes in pain-related perceptions and behaviors. However, there are important gaps in understanding how patients perceive these changes. The present pilot study addresses this gap by using qualitative and quantitative methodologies to explore how patients perceive and experience changes in function, participation, and pain-related factors following a chronic pain rehabilitation program. A mixed-method design was used in which the core method was qualitative. Descriptive quantitative data was used to further characterize the sample. Semistructured interviews were conducted 1–6 months following treatment completion. Questionnaires were administered before and after treatment and at follow-up. Interview data was analyzed thematically. Participants' individual descriptive data was compared to established cut-scores and criteria for change. A major theme of personal growth emerged in the qualitative analysis. Participants also discussed the factors that facilitated personal growth and the ongoing challenges to this growth. The quantitative data revealed limited improvement on measures of pain, disability, catastrophizing, and depression. These findings suggest that, despite limited improvement on treatment-related questionnaires, patients can experience an important and enduring sense of personal growth. Clinical and theoretical implications are discussed.

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“…Seven articles met the inclusion criteria. Examples of studies excluded were the articles in which there is no clear information on duration of pain of participants 31,32 ; education was combined with other interventions 33,34 ; and to understand their condition, be active participants in their treatment, and comply with therapeutic interventions. 23 Also, education is central in establishing and maintaining the positive behaviors needed for effectively managing the chronic pain.…”

Section: Stage Three: Study Selectionmentioning

confidence: 99%

Education programs for people living with chronic pain: a scoping review

Wang¹,

Grech

Evans

et al. 2020

Frontiers of Nursing

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ObjectiveThe aim of this scoping review was to provide evidence for health practitioners to improve patient education practice for chronic pain management.MethodsA scoping review was guided by Arksey and O'Malley's (2005)1 five-stage framework, investigated contemporary patient education programs (2007–2018) for chronic pain management in education content, formats of delivery, and tools used for evaluation. Content analysis and description were used for the outcome report.ResultsSeven quantitative studies were included. Education content consisted of General information, Cognitive behavior therapy (CBT), Self-management, and Pain neurophysiology (PN). Education delivery formats varied from workbook to workbook, face-to-face, online, when given for a group or individual or in a combined way. In total, 19 tools were reported for the evaluation of the education programs.ConclusionsThere is a variety in the education content and the delivery formats. The majority of programs showed effectiveness in patients’ chronic pain management based on their selected evaluation tools. This review showed that patient education programs can be useful in chronic pain management. The effectiveness of patient education programs focuses on the improved patients’ physical function and quality of life rather than the cessation of pain only.

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Mixed-method approach to veteran satisfaction with pain education

Cited by 10 publications

References 27 publications

Do Weather Changes Affect Veterans’ Outpatient, Pain Management Clinic Attendance?

Do Weather Changes Affect Veterans’ Outpatient, Pain Management Clinic Attendance?

Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain Rehabilitation

Education programs for people living with chronic pain: a scoping review

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