wow-inequalities/02-data/intermediate/wos_sample/787a2fea9dcc254be56af3713baec5fe-devan-hemakumar-and/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background. Self-management interventions fostering self-efficacy
improve the well-being of people with chronic pain.
Purpose. The purpose of this study was to synthesize the enablers (what
works) and barriers (what does not) of incorporating self-management
strategies for people in everyday life after completion of a pain
self-management intervention.
Data Sources. Major electronic databases (MEDLINE, AMED, PsycINFO,
Cochrane Library, PubMed, CINAHL, Scopus, and Google Scholar) were
searched from inception to July 2016.
Study Selection. Study selection included qualitative and mixed-method
studies that explored the perceptions of individuals with chronic pain
after completion of a self-management intervention.
Data Extraction. A thematic analysis approach was used to synthesize the
review findings, and a Confidence in the Evidence from Reviews of
Qualitative Research (CER-Qual) Approach was used to assess the level of
confidence.
Data Synthesis. Thirty-three studies with 512 participants were
included. Enablers to self-management included self-discovery-the
ability to distinguish self (ie, body, thoughts, and feelings) from
pain; feeling empowered by incorporating self-management strategies into
practice; and supportive ambience via collaborative relationships with
clinicians and support from family and friends. Barriers to
self-management included difficulty with sustaining motivation for pain
self-management; distress experienced from ongoing pain, anxiety, and
depression; and unsupportive relationships with clinicians, family, and
friends.
Limitations. This review only included interventions that involved at
least 4 self-management skills; thus, informative studies may have been
missed. The follow-up period varied from immediately after the
intervention to 72 months following the intervention; therefore, it is
uncertain which of the key enablers and barriers were most influential
long term. Only articles published in the English language were
included; studies conducted in low-and middle-income countries could not
be located.
Conclusions. The sustained effort to self-manage chronic pain could be
exhausting, and motivation could wane over time following intervention.
Providing intermittent support in the form of booster sessions and peer
support groups may be important. Person-centered care via shared
decision making and guided problem solving is essential to facilitating
ongoing self-management.'
affiliation: 'Devan, H (Corresponding Author), Univ Otago, Sch Physiotherapy, CHARR,
Wellington, New Zealand.
Devan, Hemakumar; Hale, Leigh; Perry, Meredith A., Univ Otago, Sch Physiotherapy,
CHARR, Wellington, New Zealand.
Hempel, Dagmar; Saipe, Barbara, CCDHB, Pain Management Serv, Wellington, New Zealand.'
author: Devan, Hemakumar and Hale, Leigh and Hempel, Dagmar and Saipe, Barbara and
Perry, Meredith A.
author-email: hemakumar.devan@otago.ac.nz
author_list:
- family: Devan
given: Hemakumar
- family: Hale
given: Leigh
- family: Hempel
given: Dagmar
- family: Saipe
given: Barbara
- family: Perry
given: Meredith A.
da: '2023-09-28'
doi: 10.1093/ptj/pzy029
eissn: 1538-6724
files: []
issn: 0031-9023
journal: PHYSICAL THERAPY
keywords-plus: 'RANDOMIZED CONTROLLED-TRIAL; LOW-BACK-PAIN; COGNITIVE-BEHAVIORAL
TREATMENT; SHARED DECISION-MAKING; PRIMARY-CARE PATIENTS;
MUSCULOSKELETAL PAIN; COMMITMENT THERAPY; SOCIAL SUPPORT; ACCEPTANCE;
IMPACT'
language: English
month: MAY
number: '5'
number-of-cited-references: '86'
orcid-numbers: 'Devan, Hemakumar/0000-0002-2923-7277
Perry, Meredith/0000-0003-1602-4421'
pages: 381-397
papis_id: 6d04e4bb3b765d33bc23824fcc072d32
ref: Devan2018whatworks
researcherid-numbers: 'Hale, Leigh Anne/AFD-2919-2022
Devan, Hemakumar/I-3218-2019
Perry, Meredith/G-8108-2017'
tags:
- review
times-cited: '77'
title: What Works and Does Not Work in a Self-Management Intervention for People With
Chronic Pain? Qualitative Systematic Review and Meta-Synthesis
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000434093900010
usage-count-last-180-days: '0'
usage-count-since-2013: '16'
volume: '98'
web-of-science-categories: Orthopedics; Rehabilitation
year: '2018'