Supported self-management for all with musculoskeletal pain: an inclusive approach to intervention development: the EASIER study

BMC Musculoskeletal Disorders

Research

Gill Rowlands¹  Danielle A. van der Windt²  Nadia Corp²  Emma L. Healey²  Joanne Protheroe²  Noureen A. Shivji²  Opeyemi O. Babatunde²  Martyn Lewis²  Bernadette Bartlam²  Joanna Simkins³ 

[1] Population Health Sciences Institute, Newcastle University, NE2 4HH, Newcastle Upon Tyne, UK;Primary Care Centre Versus Arthritis, School of Medicine, Keele University, ST5 5BG, Keele, Staffordshire, UK;Primary Care Centre Versus Arthritis, School of Medicine, Keele University, ST5 5BG, Keele, Staffordshire, UK;Musculoskeletal Outpatient Physiotherapy, Princess Royal Hospital, Apley Castle, TF1 6TF, Telford, UK;

关键词: Musculoskeletal pain;    Health literacy;    Supported self-management;    Logic model;    Mixed-methods;   

DOI  :  10.1186/s12891-023-06452-4

 received in 2022-11-10, accepted in 2023-04-21,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundSupported self-management interventions for patients with musculoskeletal (MSK) conditions may not adequately support those with limited health literacy, leading to inequalities in care and variable outcomes. The aim of this study was to develop a model for inclusive supported self-management intervention(s) for MSK pain that take account of health literacy.MethodsA mixed methods study with four work-packages was conducted: work package 1: secondary analysis of existing data to identify potential targets for intervention; work package 2: evidence synthesis to assess effective components of self-management interventions taking into account health literacy; work package 3: views of community members and healthcare professionals (HCPs) on essential components; work package 4: triangulation of findings and an online modified Delphi approach to reach consensus on key components of a logic model.FindingsFindings identified targets for intervention as self-efficacy, illness perceptions, and pain catastrophizing. A range of intervention components were identified (e.g. information in diverse formats offered at specific times, action planning and visual demonstrations of exercise). Support should be multi-professional using a combination of delivery modes (e.g. remote, face-to-face).ConclusionsThis research has developed a patient-centred model for a multi-disciplinary, multi-modal approach to supported self-management for patients with MSK pain and varying levels of health literacy. The model is evidence-based and acceptable to both patients and HCPs, with potential for significant impact on the management of MSK pain and for improving patient health outcomes. Further work is needed to establish its efficacy.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 7

12888_2023_4863_Article_IEq1.gif

12968_2023_940_Article_IEq3.gif

Fig. 3

Fig. 3

Fig. 3

Fig. 1

Fig. 4

13690_2023_1130_Article_IEq62.gif

13690_2023_1130_Article_IEq44.gif