Why might fears and worries persist after a pain education-grounded multimodal intervention for chronic back pain? A qualitative study

Review written by Dr Sandy Hilton info

Key Points

  1. Validating a person’s pain and symptoms provides a foundation that can help change perceptions of vulnerability.
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BACKGROUND & OBJECTIVE

The biopsychosocial approach to back pain is the standard now in clinical practice guidelines. The pain education (PE) included in a biopsychosocial approach includes recommendations to address the worries, fears, and beliefs about the condition, encourage movement and a return to meaningful activities (1).`

While there is increased understanding of pain as multidimensional there are many who still look for a biomedical answer to pain (2). PE-grounded interventions can improve pain and function by decreasing fear and worry in people with chronic low back pain (CLBP) (3). A previous study addressed participant perceptions on what was missing in PE-grounded intervention and how it compares to other treatments (4).

This study explored the challenges people face and the effect this has on their fears and worries about their pain during and following the PE-grounded intervention.

The pain education included in a biopsychosocial approach includes recommendations to address the worries, fears, and beliefs about the condition, encourage movement and a return to meaningful activities.
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We can use this study as motivation to further our skills of creating a patient specific education option that is modifiable for meeting the priorities and needs of each patient.

METHODS

  • This is a qualitative study using semi-structured interviews.
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