Development of a pain self-management intervention framework for people with spinal cord injury

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Development of a pain self-management intervention framework for people with spinal cord injury
 
Creator Mashola, Mokgadi K. Korkie, Elzette Mothabeng, Diphale J.
 
Subject Family medicine; Physiotherapy; Spinal cord injury; Pain management modified e-Delphi; pain; self-management; spinal cord injury; treatment.
Description Background: Pain is the most common reason for medical visits to primary health care practitioners. Pain self-management interventions are encouraged and there is no known self-management intervention framework available that clinicians and people with spinal cord injury (PWSCI) can use to guide treatment selection.Aim: This study aimed to develop a pain self-management intervention framework for PWSCI.Setting: Online and facilitated in Gauteng, South Africa.Methods: A three-round modified e-Delphi method was used to reach an 80% consensus among a 21-expert panel. Fifty-nine interventions were distributed via REDCap and a final online audio meeting was held to either include or exclude interventions in the final framework. SPSS v27 was used to analyse descriptive data and content analysis was used for qualitative responses.Results: The final developed pain self-management framework consists of 56 interventions and includes interventions from multiple health professions to encompass medical, psychological, therapeutic and social interventions. Interventions are also specified for nociceptive and/or neuropathic pain and grouped according to the biopsychosocial model.Conclusion: The interprofessional framework may be used as a guideline for PWSCI to alleviate pain, as well as assist health professionals in clinical decision-making, by providing them with the freedom to choose acceptable and adequate interventions that may be appropriate to treat the affected individual’s pain.Contribution: Pain management is a basic need at the primary healthcare level and PWSCI need access to the broad range of interventions available to manage their pain. The framework highlights the variety of appropriate interventions to guide both health professionals and PWSCI with pain relief options.
 
Publisher AOSIS
 
Contributor
Date 2023-10-26
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Quantitative research; modified e-Delphi
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v15i1.4039
 
Source African Journal of Primary Health Care & Family Medicine; Vol 15, No 1 (2023); 12 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/4039/6578 https://phcfm.org/index.php/phcfm/article/view/4039/6579 https://phcfm.org/index.php/phcfm/article/view/4039/6580 https://phcfm.org/index.php/phcfm/article/view/4039/6581
 
Coverage Africa; South Africa; Gauteng 2018-2022 Adult wheelchair users
Rights Copyright (c) 2023 Mokgadi K. Mashola, Elzette Korkie, Diphale J. Mothabeng https://creativecommons.org/licenses/by/4.0
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