The Development and Impact of a Chronic Pain Support Group

Subramaniam, Vanitha; Stewart, Malcolm W.; Smith, John F.

doi:10.1016/s0885-3924(99)00012-3

Cited by 62 publications

(46 citation statements)

References 18 publications

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“…This finding fits with previous studies on the importance of support groups. [30][31][32] In addition, most patients made use of the group to motivate themselves to work harder and to adhere to their exercise regimen. This is explained by the social comparison theory of Festinger.…”

Section: Discussionmentioning

confidence: 99%

An exploration of chronic pain patients’ perceptions of home telerehabilitation services

Cranen

Drossaert

Brinkman

et al. 2011

Health Expectations

103

110

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Objectives To explore patientsÕ perceptions regarding prospective telerehabilitation services and the factors that facilitate or impede patientsÕ intentions to use these services.Design Using semi-structured interviews, patients reflected on the pros and cons of various scenarios of prospective telerehabilitation services. PatientsÕ arguments were first arranged according to the Unified Theory of Acceptance and Use of Technology (UTAUT). Next, using inductive analysis, the data for each UTAUT component were analysed and arranged into subthemes.Setting and participants Twenty-five chronic pain patients were selected from a rehabilitation centre in the Netherlands.Results Overall, participants considered telerehabilitation helpful as a complementary or follow-up treatment, rather than an autonomous treatment. Arguments mainly related to the UTAUT constructs of Ôperformance expectancyÕ and Ôfacilitating conditionsÕ. Patients valued the benefits such as reduced transportation barriers, flexible exercise hours and the possibility to better integrate skills into daily life. However, many patients feared a loss of treatment motivation and expressed concerns about both reduced fellow sufferer contact and reduced face-to-face therapist contact. Few arguments related to Ôsocial normsÕ and Ôeffort expectancyÕ.Conclusions The effect of telerehabilitation on healthcare strongly depends on patientsÕ willingness to use. Our study showed that chronic pain patients valued the benefits of telerehabilitation but hesitate to use it as an autonomous treatment. Therefore, future initiatives should maintain traditional care to some degree and focus on patientsÕ attitudes as well. Either by giving information to increase patientsÕ confidence in telerehabilitation or by addressing reported drawbacks into the future design of these services. Further quantitative studies are needed to explore patientsÕ intentions to use telerehabilitation.

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Section: Discussionmentioning

confidence: 99%

An exploration of chronic pain patients’ perceptions of home telerehabilitation services

Cranen

Drossaert

Brinkman

et al. 2011

Health Expectations

103

110

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“…To be effective, the physical activity program should include patient counseling and education in order to promote positive changes in lifestyle, such as increased daily physical activity and understanding and coping with problems and limitations [6][7][8]. Moreover, when physical activities are performed in groups, they may reach a larger number of people, improve interpersonal relationships and adherence to guidelines, and provide reduction in health costs [9][10]. Group rehabilitation programs have become more popular in recent years, and a typical program consists of stretching, strengthening resistance, and/or aerobic exercises [11][12].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of simple integrated group rehabilitation program for patients with knee osteoarthritis: Single-blind randomized controlled trial

et al. 2015

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Abstract-We investigated the role of an evidence-based integrated group rehabilitation program on the treatment of patients with knee osteoarthritis (KOA). This was a two-group, randomized controlled, 8 wk trial with 41 patients with moderate to very severe KOA. Patients were assigned to an intervention group (IG) or control group (CG). After both groups had received a self-management education program, IG participants underwent a rehabilitation program, including educational aspects about KOA followed by exercises. CG participants received only general health orientation about KOA during this period. The outcome measures were the Lequesne algofunctional index; 36-Item Short Form Health Survey (SF-36); and chair-stand, sit-and-reach, timed up-and-go, and 6-minute walk tests. Analysis of covariance revealed significant postintervention improvements of IG participants compared with CG participants (p < 0.05) on Lequesne total score and pain and function subdomains; SF-36 physical function, role physical, bodily pain, general health, vitality, and role emotional subdomains; and performance assessed by chair-stand, timed up-and-go, and 6-minute walk tests. Focusing on the primary outcome (Lequesne total score), the mean +/-standard deviation after 8 wk was 5.50 +/-2.98 for the IG and 7.87 +/-3. https://clinicaltrials.gov/ct2/show/ NCT01850862?term=NCT01850862&rank=1

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“…Guided support groups were intended to control for the absence of specific cognitive-behavioural interventions and the presence of therapist’s attention and treatment expectations. We assumed that support groups, as in other chronic diseases, might contribute to a feeling of mutual understanding, acceptance and support, and thereby would have a healing effect [5, 6]. An unexpected finding was that support groups were no more effective than the natural course.…”

Section: Introductionmentioning

confidence: 99%

Social Support and the Persistence of Complaints in Chronic Fatigue Syndrome

Prins¹,

Bos²,

Huibers

et al. 2004

Psychother Psychosom

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Background: Several studies suggested that the surroundings of chronic fatigue syndrome (CFS) patients are of importance in the persistence of complaints. Contrary to what was expected, participation in support groups has not led to clinical improvement. The purpose of the present study was to describe social support in CFS patients as compared with other fatigued and non-fatigued groups. Further, changes in social support and the influence of social support on the course of CFS over a period of more than 1 year were studied in patients with and without treatment. Methods: Baseline data were assessed in 270 CFS patients, 150 disease-free breast cancer patients, 151 fatigued employees on sick-leave and 108 healthy subjects using the Social Support List and Significant Others Scale. CFS patients were followed in cognitive behaviour therapy (CBT), guided support groups and natural course at 8 and 14 months. Results: CFS patients and fatigued employees reported more negative interactions and insufficiency of supporting interactions than cancer patients and healthy controls. No differences in frequency of supporting interactions were found. Negative interactions decreased significantly after treatment with CBT, but did not change in support groups or natural course. In the natural course, higher fatigue severity at 8 months was predicted by more negative interactions at baseline. Conclusions: In CFS patients and fatigued employees, social support is worse than in disease-free cancer patients and healthy controls. Lack of social support was identified as a new factor in the model of perpetuating factors of fatigue severity and functional impairment in CFS.

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The Development and Impact of a Chronic Pain Support Group

Cited by 62 publications

References 18 publications

An exploration of chronic pain patients’ perceptions of home telerehabilitation services

An exploration of chronic pain patients’ perceptions of home telerehabilitation services

Efficacy of simple integrated group rehabilitation program for patients with knee osteoarthritis: Single-blind randomized controlled trial

Social Support and the Persistence of Complaints in Chronic Fatigue Syndrome

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