Self-Management of Chronic Neck and Low Back Pain and Relevance of Information Provided During Clinical Encounters: An Observational Study

Escolar-Reina, Pilar; Medina-Mirapeix, Françesc; Gascón-Cánovas, Juan José; Montilla-Herrador, Joaquina; Valera-Garrido, Fermín; Collins, Sean M.

doi:10.1016/j.apmr.2009.05.012

Cited by 42 publications

(24 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The same review also suggested that trust might influence patients’ perception of eHealth services, for example concerns about scientific sources of the information provided [25]. An observational study on self-management of chronic neck and LBP showed that adherence to non-pharmacologic self-management strategies increased when patients received information about their illness and the effectiveness of the self-management strategy during the clinical course from their HCP [26]. From the current study it seems that involvement of the HCP and the perceived trustworthiness of the eHealth service may be related and their combination could be a factor in the use of the eHealth campaign.…”

Section: Discussionmentioning

confidence: 99%

A multimedia campaign to improve back beliefs in patients with non-specific low back pain: a process evaluation

Suman

Schaafsma

Bamarni³

et al. 2017

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundLow back pain (LBP) is one of the most prevalent and costly disorders worldwide. To reduce its burden in the Netherlands, implementation of a multidisciplinary guideline for LBP was supported by a multifaceted eHealth campaign for patients with LBP. The current study aims 1) to evaluate whether the implementation strategy was performed as planned; 2) to assess the feasibility, barriers and facilitators of the patient based eHealth campaign; 3) to gain insight into the satisfaction and experiences of patients with various ethnic backgrounds with the implementation strategy and to make a comparison between them; and 4) to explore the association between exposure to and satisfaction with the implementation strategy.MethodsThis process evaluation was performed using the Linnan and Steckler framework, and used a mixed methods approach for data collection and analysis. The relationship between satisfaction of patients and exposure to the strategy was statistically examined. Semi-structured interviews were analysed using qualitative data analysis methods.ResultsTwo hundred and fourteen patients participated in the quantitative, and 44 in the qualitative analysis. Most were female and had a high level of education. Many patients did not use the campaign at all or only once, and those that did rated it as reasonable. Patient satisfaction with the campaign increased significantly with an increase in its use. Qualitative analysis showed that four main themes played a role in campaign rating and use: satisfaction with intervention components, perceived benefits of the intervention, usage of the intervention, and satisfaction with the medium used.ConclusionThis process evaluation showed that the eHealth campaign was used only by a small proportion of patients with non-specific LBP. It seemed that the campaign was offered to the patients too late, that the lay-out of the campaign did not meet patient needs, and that healthcare providers rarely discussed the campaign with their patients, while involvement of those providers seemed to improve trustworthiness of the campaign and increase its usage. It is important to invest effort into healthcare providers to motivate patients to use eHealth intervention and to tailor strategies better to the needs of users.Trial registrationNetherlands Trial Register (NTR): NTR4329. Registered December 20th, 2013.

show abstract

Section: Discussionmentioning

confidence: 99%

A multimedia campaign to improve back beliefs in patients with non-specific low back pain: a process evaluation

Suman

Schaafsma

Bamarni³

et al. 2017

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…20 Increased confidence, formulation of self-help strategies, control over CLBP, and adherence to SM strategies were also demonstrated. [21][22][23] No difference on fear-avoidance beliefs and back/ neck care were noted from an RCT 18 and a nonexperimental research. 21 Only 1 study (RCT) showed nonsignificant findings on self-efficacy, pain days, and general health.…”

Section: Clbp Studiesmentioning

confidence: 99%

“…[21][22][23] No difference on fear-avoidance beliefs and back/ neck care were noted from an RCT 18 and a nonexperimental research. 21 Only 1 study (RCT) showed nonsignificant findings on self-efficacy, pain days, and general health. 20 SM and SMS.…”

Section: Clbp Studiesmentioning

confidence: 99%

Self-Management and Support in Chronic Pain Subgroups: Integrative Review

Kawi¹

2013

The Journal for Nurse Practitioners

View full text Add to dashboard Cite

“…A review of randomized controlled trials examining the role of advice on management of chronic low back pain showed that advice to stay active coupled with exercise was most effective for improving pain, back-specific function, and work disability [53]. Patients are also more likely to adhere to selfmanagement strategies when provided specific information about self management and its effectiveness either verbally or through books or handouts [54,55]. Finally, patients may benefit from education about the role of psychosocial factors in the maintenance of chronic pain.…”

Section: Improving Adherence By Increasing Patient Knowledge Motivatmentioning

confidence: 99%

Providers' roles in enhancing patients' adherence to pain self management

Dorflinger

Kerns

Auerbach

2012

Behav. Med. Pract. Policy Res.

View full text Add to dashboard Cite

Practice guidelines and empirical research related to pain management encourage clinicians to take active roles in providing education about self management and promoting adoption of a self-management approach. The purpose of the study was to review the relevant literature, summarize aspects of the patientprovider interaction that influence patient engagement in self management for chronic pain, and outline practice recommendations in this area. Review of the literature on aspects of the patient-provider interaction that promote engagement in pain self-management was used. Findings are synthesized into recommendations for providers. Patients benefit from a biopsychosocial and patient-centered approach. Patients are more likely to fully disclose when providers respond empathically, which can improve conceptualization and treatment. Patient education and motivation play important roles in engaging patients in self management. Self management is influenced in part by the patient-provider communication process. Suggestions for communication strategies to facilitate patient engagement in self-management techniques, including empathic discussion of barriers and motivation enhancement, are provided. KEYWORDSChronic pain, Self management, Doctor-patient communication, Patient-centered care, Adherence Pain is one of the most common presenting problems in medical settings [1], and the majority of pain treatment tends to be carried out in the primary care context [2]. Pain that persists beyond 3 months and that does not remit with typical treatments for acute pain, such as rest, non-steroidal anti-inflammatory drugs, and heat or ice, is considered chronic pain. It is estimated that more than 100 million Americans have chronic pain [3], and prevalence in other countries varies from about 10-50 % of the general population [4]. Not only is chronic pain a prevalent health issue but it also significantly impacts quality of life [5][6][7][8] and the costs of care, and lost productivity are estimated to total almost $635 billion each year [3].Pain guidelines have recommended selfmanagement strategies in the treatment of chronic pain [9,10]. Self management differs from other treatments such as surgery and medication in that it emphasizes the patient's own control over his/her pain experience rather than relying on external factors to treat pain symptoms. At its most rudimentary level, self management consists of basic methods such as distraction, physical activity, and ice or heat to manage pain. Many patients use these practices on their own or are able to easily implement them after receiving reassurance and encouragement from their providers. Other patients may benefit from additional self-management techniques, such as those emphasized in cognitivebehavioral treatment for chronic pain, that aim to modify the thoughts and behaviors that contribute to the maintenance and exacerbation of pain. Such self-management skills include time-based pacing, relaxation, stress management, and identifying and modifying catastrophic ...

show abstract

Self-Management of Chronic Neck and Low Back Pain and Relevance of Information Provided During Clinical Encounters: An Observational Study

Cited by 42 publications

References 25 publications

A multimedia campaign to improve back beliefs in patients with non-specific low back pain: a process evaluation

A multimedia campaign to improve back beliefs in patients with non-specific low back pain: a process evaluation

Self-Management and Support in Chronic Pain Subgroups: Integrative Review

Providers' roles in enhancing patients' adherence to pain self management

Contact Info

Product

Resources

About