Health care providers’ experiences of pain management and attitudes towards digitally supported self-management interventions for chronic pain: a qualitative study

BMC Health Services Research

Karen E. Weiss¹  Lori B. Waxenberg²  Elin Børøsund³  Cecilie Varsi⁴  Ingrid Konstanse Ledel Solem⁵  Lise Solberg Nes⁶  Olöf B. Kristjansdottir⁷  Hilde Eide⁸  Eleshia J. Morrison⁹  Karlein M. G. Schreurs^1,10  Audun Stubhaug^1,11  Karina Heldal^1,12 

[1] Department of Anesthesiology and Pain Medicine, School of Medicine, University of Washington, Seattle, Washington, USA;Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida, USA;Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Pb 4950 Nydalen, N-0424, Oslo, Norway;Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Pb 4950 Nydalen, N-0424, Oslo, Norway;Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway;Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Pb 4950 Nydalen, N-0424, Oslo, Norway;Institute of Clinical Medicine, University of Oslo, Oslo, Norway;Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Pb 4950 Nydalen, N-0424, Oslo, Norway;Institute of Clinical Medicine, University of Oslo, Oslo, Norway;Department of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA;Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Pb 4950 Nydalen, N-0424, Oslo, Norway;Norwegian National Advisory Unit on Learning and Mastery in Health, Oslo University Hospital, Oslo, Norway;Department of Digital Health Research, Division of Medicine, Oslo University Hospital, Pb 4950 Nydalen, N-0424, Oslo, Norway;Science Centre Health and Technology, University of South-Eastern Norway, Drammen, Norway;Department of Psychiatry & Psychology, Mayo Clinic, Rochester, MN, USA;Department of Psychology, Health & Technology, University of Twente, Enschede, The Netherlands;Institute of Clinical Medicine, University of Oslo, Oslo, Norway;Department of Pain Management and Research, Oslo University Hospital, Oslo, Norway;Sunnaas Rehabilitation Hospital, Bjørnemyr, Norway;

关键词: Chronic pain;    Health personnel;    Health services;    Telemedicine;    eHealth;    Qualitative research;   

DOI  :  10.1186/s12913-021-06278-7

来源: Springer

【 摘 要 】

BackgroundChronic pain constitutes a significant burden for the individuals affected, and is a frequent reason why patients seek health care services. While in-person psychosocial interventions can be of support to people living with chronic pain, such interventions are not always accessible. eHealth interventions may provide greater accessibility, but the evidence and use of digital self-management solutions for chronic pain are still limited and the lack of health care provider input in the development process of such solutions a concern. Therefore, the aim of the current study was to investigate health care providers’ experiences of treating patients with chronic pain, their attitudes towards, and use of, digital solutions in pain management, and their suggestions for content and design elements for a potential digital pain self-management intervention.MethodsTwelve health care providers representing a variety of health care disciplines participated in semi-structured interviews. The interviews were analyzed using thematic analysis.ResultsThe material was analyzed into three main themes: [1] Patients with chronic pain and their current use of the health care services, [2] Health care providers’ own motivation and impression of patient prerequisites for use of digital self-management interventions, and [3] Suggestions for content and design elements in a digital self-management intervention for people living with chronic pain. The challenges faced by patients living with chronic pain were described as numerous. Despite interest and positive attitudes, few of the health care providers had used or recommended eHealth solutions to their patients. A range of potential content and functionality elements were identified, including aspects of motivation and engagement and providers also emphasized the importance of easy access and positive, personal content to support existing treatment.ConclusionsThis study offers insights into health care providers’ considerations for the potential of digital self-management interventions supporting patients living with chronic pain. Findings indicate the need for change and a more comprehensive treatment approach to pain management. eHealth solutions may contribute to such change, and providers pointed to a need for health care provider involvement, timely support and follow-up as important factors for integrating digital pain self-management interventions into clinical care.Trial registrationClinicalTrials.gov: NCT03705104

【 授权许可】

CC BY