British pain clinic practitioners' recognition and use of the bio-psychosocial pain management model for patients when physical interventions are ineffective or inappropriate: results of a qualitative study

BMC Musculoskeletal Disorders

Research Article

Geoffrey Harding¹  John Campbell¹  Suzanne Parsons²  Anisur Rahman³  Martin Underwood⁴ 

[1] Peninsula Medical School (Primary Care), Smeall Building, St Luke's Campus, Exeter, UK;Picker Institute Europe, Oxford, UK;University College London, Windeyer Institute, London, UK;Warwick Medical School, University of Warwick, Coventry, UK;

关键词: Chronic Pain;    Team Member;    Pain Management;    Pain Clinic;    Chronic Pain Patient;   

DOI  :  10.1186/1471-2474-11-51

 received in 2009-06-23, accepted in 2010-03-18,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundTo explore how chronic musculoskeletal pain is managed in multidisciplinary pain clinics for patients for whom physical interventions are inappropriate or ineffective.MethodsA qualitative study was undertaken using semi-structured interviews with twenty five members of the pain management team drawn from seven pain clinics and one pain management unit located across the UK.ResultsAll clinics reported using a multidisciplinary bio-psychosocial model. However the chronic pain management strategy actually focussed on psychological approaches in preference to physical approaches. These approaches were utilised by all practitioners irrespective of their discipline. Consideration of social elements such as access to social support networks to support patients in managing their chronic pain was conspicuously absent from the approaches used.ConclusionPain clinic practitioners readily embraced cognitive/behavioural based management strategies but relatively little consideration to the impact social factors played in managing chronic pain was reported. Consequently multidisciplinary pain clinics espousing a bio-psychosocial model of pain management may not be achieving their maximum potential.

【 授权许可】

CC BY   
© Harding et al; licensee BioMed Central Ltd. 2010