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Study Type – Symptom prevalence (case series)Level of Evidence 4What’s known on the subject? and What does the study add?Research has demonstrated that significant others influence the course of pain experienced by individuals with chronic pain. Generally, spousal responses to pain behaviour are associated with higher levels of pain, disability, and depression.The present research discusses novel findings regarding how spousal responses to patient pain behaviour influences the impact of pain on mental quality of life in women with IC/PBS. These findings go beyond correlations, and begin to untangle the circumstances under which pain influences mental quality of life. Women with IC/PBS would benefit from spouse‐led distraction as a way to help them cope with their pain.OBJECTIVE• To examine whether spousal responses to patient pain would alter the association between pain and patient health‐related quality of life (HRQL), depression and disability.METHODS• Ninety‐six women with IC/PBlS (mean age = 50.6 (13.8); mean time since diagnosis = 6.2 years) completed questionnaires on demographics, depressive symptoms (Center for Epidemiological Studies‐Depression Scale), disability (Pain Disability Index), HRQL (Medical Outcomes Study Short Form 12) and a measure of perceived spousal responses to their pain (Multidimensional Pain Inventory).• A repeated measures multivariate analysis of variance examined association changes between pain and adjustment variables at high, moderate and low levels of negative, solicitous and distracting spousal responses.RESULTS• The association between pain and all outcome variables did not vary as a function of levels of solicitous and negative spousal responses.• However, the association between pain and mental HRQL was stronger at lower levels (β=−1.25) of distracting responses than it was at moderate (β=−0.66) and higher (β=−0.06) levels.CONCLUSION• Distracting spousal responses act to ‘buffer’ the deleterious effects of pain on mental HRQL for women suffering from IC/PBlS. Spousal support training may be a useful HRQL intervention.

OBJECTIVES To examine changes in the association between pain and patient quality of life (QoL), depressive symptoms, and disability in men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) at varying levels of spouse responses to pain. METHODS One-hundred and eighty-eight men with CP/CPPS completed a questionnaire including demographic information. The outcome variables were mental QoL (SF-12 MCS), physical QoL (SF-12 PCS), depressive symptoms (Center for Epidemiological Studies Depression Scale), and disability (Pain Disability Index). Patients also reported on the types of responses they experienced from their spouses (Multidimensional Pain Inventory), and pain (Short-Form McGill Pain Questionnaire). RESULTS The association between pain and disability was stronger at higher levels of solicitous responses (e.g., “does some of my chores) (β = 0.66, p<.05) than it was at moderate (β = 0.44, p<.05) and lower (β = 0.23, ns) levels. In contrast, the association between pain and disability was stronger at lower levels (β = 0.64, p<.05) of distracting responses (e.g., “tries to get me involved in some activity”) than it was at moderate (β = 0.44, p<.05) and higher (β = 0.25, p<.05) levels. CONCLUSIONS Solicitous responses to pain increased the negative impact of pain on disability, while distracting responses to pain decreased the negative impact of pain on disability in men with CP/CPPS. Solicitous responses may be a reaction to patient pain and associated disability, or may help create or maintain the patient’s pain and disability. In either case, distracting rather than solicitous responses to patient pain are to be encouraged in symptom management.

Abstrak: COVID-19 hingga saat ini masih menjadi masalah kesehatan masyarakat yang serius dan telah menyebar luas hampir seluruh negara di dunia dan ditetapkan sebagai pandemi. Pandemi juga membawa dampak pada perekonomian, termasuk di Desa Burai yang merupakan salah satu tempat wisata yang ada yang mana tempat wisata memiliki resiko tinggi terhadap penyebaran virus COVID-19. Penelitian ini untuk mengetahui gambaran pegetahuan, sikap, dan tindakan, serta menilai efektifitas edukasi terhadap kelompok terkait penerapan protokol kesehatan COVID-19 sebagai bentuk pecegahan pada Kelompok Sadar Wisata (POKDARWIS) di Desa Wisata Burai, Sumatera Selatan Tahun 2020. Metode penelitian menggunakan penelitian kualitatif dan metode kegiatan yang digunakan dalam penelitian ini ialah Model Aksi Komunitas atau Community Action Model (CAM), penelitian dilakukan secara online menggunakan media sosial whatsapp. Kegiatan ini disambut baik oleh anggota POKDARWIS. Berdasarkan hasil penelitian menunjukkan bahwa kegiatan edukasi penerapan protokol COVID-19 ini mampu meningkatkan pengetahuan dan perubahan sikap serta perilaku peserta kegiatan yang sebelumnya tidak tahu atau apatis terhadap COVID-19 menjadi tahu. Melalui edukasi yang telah diberikan anggota kelompok sadar wisata kini dapat turut aktif dalam melakukan pencegahan penyebaran COVID-19 dengan menerapkan protokol kesehatan COVID-19 di desa burai. Empowerment of Tourism Awareness Groups (POKDARWIS) in Burai Village through COVID-19 Health Protocol Education Using Whatsapp Abstract: COVID-19 is still a serious and widespread public health problem that has hit almost all countries in the world and has been declared as pandemic. The pandemic has also had an impact on the economy, including in Burai Village which is one of the existing tourist attractions where tourist attractions have a high risk of spreading the COVID-19 virus. This study is to describe knowledge, attitudes, and actions, as well as assess the effectiveness of education for groups related to the implementation of the COVID-19 health protocol as a form of prevention in community of ecotourism (POKDARWIS) in the tourist village of Burai, South Sumatra in 2020. The research method used qualitative research. and the activity method used in this research is the Community Action Model (CAM), the research was conducted online using whatsapp social media. This activity was welcomed by the member of POKDARWIS, The results of this educational activity succeeded in increasing the knowledge of activity participants and changing attitudes and behavior of activity participants who previously did not know or were apathetic about COVID-19 to know.  Through this education the member of POKDARWIS can be participate actively in preventing the spread of COVID-19 by implementing health protocols in Burai Village.

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