Preferred Communication Strategies Used by Physical Therapists in Chronic Pain Rehabilitation: A Qualitative Systematic Review and Meta-Synthesis

Chapman, Chelsea; Woo, Nathan T.; Maluf, Katrina S.

doi:10.1093/ptj/pzac081

Cited by 5 publications

(5 citation statements)

References 61 publications

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“…29 Furthermore, another study highlighted that the lack of clarity regarding effective communication behaviors in chronic pain management serves as a barrier to implementing psychologically informed physical therapy approaches, which depend on competent communication by physical therapist providers. 30 Given the articles mentioned above, this review suggests that applying a two-way communication approach between specialists and individuals can be more effective for individualized exercise prescriptions for MetS than the traditional one-way method. For the two-way communication approach, specialists do not specify a particular value but instead suggest an appropriate range for the FITT-VP components of exercise (Frequency, Intensity, Time, Type, Volume, and Progression).…”

Section: Two-way Communication Approach For Better Personalized Exerc...mentioning

confidence: 99%

Section: Two-way Communication Approach For Better Personalized Exerc...mentioning

confidence: 99%

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Effects of Individualized Exercise on Risk Factors of Metabolic Syndrome: A Scoping Review

Kim,

Choe,

Sung

2024

Journal of Obesity & Metabolic Syndrome

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Exercise intervention is effective in alleviating the severity of metabolic syndrome (MetS). However, the results of previous studies on the effect of exercise on MetS have demonstrated considerable individual variability in response to a specific dose of exercise, which was attributed to the lack of a personalized approach to exercise prescription. It is essential to consider individual factors to enhance the effectiveness of exercise in addressing MetS. This scoping review assesses the effectiveness of individualized exercise on the risk factors associated with MetS. Various databases and articles were examined based on eligibility criteria and nine studies were chosen for this review. Personal and adjusted factors were predominantly analyzed to tailor exercise prescriptions to individual needs. This review proposes that personal factors can be classified into three categories: fixed factors, adaptation factors, and response factors, considering both clinical and exercise science perspectives. It also suggests that a two-way communication approach between specialists and individuals is more effective for prescribing exercise to address MetS compared to a one-way method. A one-way communication approach relies solely on an expert’s decision, even whether or not he or she fully considers a client’s lifestyle and preferences. If the individualized selection of exercise prescriptions is achieved through two-way communication between specialists and subjects, significant improvements can be expected in terms of both MetS severity and exercise adherence.

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Section: Two-way Communication Approach For Better Personalized Exerc...mentioning

confidence: 99%

Section: Two-way Communication Approach For Better Personalized Exerc...mentioning

confidence: 99%

Effects of Individualized Exercise on Risk Factors of Metabolic Syndrome: A Scoping Review

Kim,

Choe,

Sung

2024

Journal of Obesity & Metabolic Syndrome

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“…Regardless of their specific discipline, health students should be trained to both listen 57 and communicate effectively with patients with CP. 19 Students are highly unlikely to learn how to effectively build TA and utilize patient-centered communication strategies through didactic teaching alone.…”

Section: Five Interdisciplinary Messages For Cp Treatmentmentioning

confidence: 99%

“… 18 Even when the provider understands what may be useful for a patient, successfully connecting that message to the patient can be a challenge. 19 …”

Section: Introductionmentioning

confidence: 99%

“…18 Even when the provider understands what may be useful for a patient, successfully connecting that message to the patient can be a challenge. 19 One potential reason these conversations are difficult is the comparative lack of time spent in healthcare education, across disciplines, in both teaching and, but more importantly practicing, how to evaluate and treat patients with CP. [20][21][22] The purpose of this article is to share 5 interdisciplinary evidence-based messages and related learning activities that interprofessional health educators could use with their students to improve their skills to evaluate and treat patients in CP.…”

Section: Introductionmentioning

confidence: 99%

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Interprofessional Active Learning for Chronic Pain: Transforming Student Learning From Recall to Application

Helms,

Frankart,

Bradner

et al. 2023

Journal of Medical Education and Curricular Development

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Chronic pain (CP) affects over 50 million Americans daily and represents a unique challenge for healthcare professionals due to its complexity. Across all health professions, only a small percentage of the curriculum is devoted to treating patients with CP. Unfortunately, much of the content is delivered passively via lecture without giving students an opportunity to practice the communication skills to effectively treat patients in the clinic. An interprofessional team of health educators identified 5 essential messages that students frequently struggle to convey to patients with CP. Those messages were based on interprofessional and profession-specific competencies to treat patients with CP from the International Association for the Study of Pain. The 5 messages highlighted the importance of (1) therapeutic alliance, (2) consistent interdisciplinary language, (3) patient prognosis, (4) evidence for pain medicine, surgery, and imaging, and (5) early referral to the interprofessional team. For each message, the team summarized relevant research supporting the importance of each individual message that could serve as a foundation for didactic content. The team then developed active learning educational activities that educators could use to have students practice the skills tied to each message. Each learning activity was designed to be delivered in an interprofessional manner.

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Psychologically Informed Practice: The Importance of Communication in Clinical Implementation

et al. 2023

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There has been increasing interest in the secondary prevention of chronic pain and pain-associated disability over the past 3 decades. In 2011, psychologically informed practice (PiP) was suggested as a framework for managing persistent and recurrent pain, and, since then, it has underpinned the development of stratified care linking risk identification (screening). Although PiP research trials have demonstrated clinical and economic advantage over usual care, pragmatic studies have been less successful, and qualitative studies have identified implementation difficulties in both system delivery and individual clinical management. Effort has been put into the development of screening tools, the development of training, and the assessment of outcomes; however, the nature of the consultation has remained relatively unexplored. In this Perspective, a review of the nature of clinical consultations and the clinician-patient relationship is followed by reflections on the nature of communication and the outcome of training courses. Consideration is given to the optimization of communication, including the use of standardized patient-reported measures and the role of the therapist in facilitating adaptive behavior change. Several challenges in implementing a PiP approach in day-to-day practice are then considered. Following brief consideration of the impact of recent developments in health care, the Perspective concludes with a brief introduction to the PiP Consultation Roadmap (the subject of a companion paper), the use of which is suggested as a way of structuring the consultation with the flexibility required of the patient-centered approach to guided self-management of chronic pain conditions.

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Preferred Communication Strategies Used by Physical Therapists in Chronic Pain Rehabilitation: A Qualitative Systematic Review and Meta-Synthesis

Cited by 5 publications

References 61 publications

Effects of Individualized Exercise on Risk Factors of Metabolic Syndrome: A Scoping Review

Effects of Individualized Exercise on Risk Factors of Metabolic Syndrome: A Scoping Review

Interprofessional Active Learning for Chronic Pain: Transforming Student Learning From Recall to Application

Psychologically Informed Practice: The Importance of Communication in Clinical Implementation

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