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