A sense of increased living space after participating in multimodal rehabilitation

Ekhammar, Annika; Melin, Lena; Thorn, Jörgen; Larsson, Maria

doi:10.3109/09638288.2015.1137978

Cited by 6 publications

(9 citation statements)

References 20 publications

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“…In their own words, as they 'got their life back'. This is in agreement with another study where MMR led to feelings of empowerment and regained hope [31]. Other long-term effects on depression and several domains of life satisfaction are seen after MMR [32].…”

Section: Discussionsupporting

confidence: 92%

“…The programme also led to improvement in their health. These results are supported by other studies of MMR, which show long-term positive effects on pain and disability [31,32].…”

Section: Discussionsupporting

confidence: 88%

“…Constant or frequent searches for help and health care before the MMR programme was a topic raised by the participants in our study. Other studies also describe this behaviour [14,15,28,29,31].…”

Section: Discussionmentioning

confidence: 69%

“…In the current study, the participants were unanimous about the usefulness of knowledge attained from the MMR programme. Ekhammar et al report factors such as coping with pain or understanding their bodies and their respective limitations or problems as useful knowledge acquired from MMR programmes [31]. The programme also led to improvement in their health.…”

Section: Discussionmentioning

confidence: 99%

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A qualitative study among women immigrants from Somalia – experiences from primary health care multimodal pain rehabilitation in Sweden

Semedo

Stenberg

2019

European Journal of Physiotherapy

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Background: Immigrants often experience difficulties with acculturation and post migratory stress after arrival in a host country and studies report poor health, chronic pain and depression. This is a challenge for primary health care and interventions need to be evaluated. Objectives: To explore the experiences of a group of women from Somalia who took part in a multimodal pain rehabilitation programme in primary healthcare in Northern Sweden. Methods: Seven individual interviews a few months after participation, and a focus group discussion one year after the programme were conducted and analysed with Grounded theory. Results: A core category regained life emerged from the data. This was described as a process in two categories: panic and connection. The participants experienced that the programme was helpful and that the pain was reduced. They became more open-minded; got new ideas and knowledge; were helped to improve their societal adaptation and integration; experienced that they were not alone; and learned that there is benefits when a group of people share experiences and feelings. Conclusions: Multimodal pain rehabilitation can be helpful for women immigrants from Somalia. The programme triggered positive changes in their lives and they received knowledge about how to manage pain and improved their self-confidence and health.

show abstract

Section: Discussionsupporting

confidence: 92%

“…The programme also led to improvement in their health. These results are supported by other studies of MMR, which show long-term positive effects on pain and disability [31,32].…”

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A qualitative study among women immigrants from Somalia – experiences from primary health care multimodal pain rehabilitation in Sweden

Semedo

Stenberg

2019

European Journal of Physiotherapy

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“…In another primary care study, patients attributed the staff with having an important role in understanding individual needs and confidence-inspiring alliances (13). Ekhammar et al (14). studied experiences of change related to MMR and found that, after MMR, patients felt a sense of "increased living space".…”

mentioning

confidence: 99%

”The acceptance” of living with chronic pain – an ongoing process: A qualitative study of patient experiences of multimodal rehabilitation in primary care

Holmner¹,

Stålnacke²,

Enthoven³

et al. 2018

J Rehabil Med

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Objective: To explore patient experiences of participating in multimodal pain rehabilitation in primary care. Subjects: Twelve former patients (7 women and 5 men) in multimodal rehabilitation in primary care were interviewed about their experiences of multimodal rehabilitation. Methods: The interviews were analysed using qualitative content analysis. Results: Analysis resulted in 4 categories: (i) from discredited towards obtaining redress; (ii) from uncertainty towards knowledge; (iii) from loneliness towards togetherness; and (iv) "acceptance of pain": an ongoing process. The results show that having obtained redress, to obtain knowledge about chronic pain, and to experience fellowship with others with the same condition were helpful in the acceptance process. However, there were patients who found it difficult to reconcile themselves with a life with chronic pain after multimodal rehabilitation. To find what was "wrong" and to have a medical diagnosis and cure were important. Conclusion: Patients in primary care multimodal rehabilitation experience a complex, ongoing process of accepting chronic pain. Four important categories were described. These findings will help others to understand the experience and perspective of patients with chronic pain who engage in multimodal rehabilitation.

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Implementing multimodal pain rehabilitation in primary care – a health care professional perspective

Stenberg

Stålnacke

Enthoven

2016

Disability and Rehabilitation

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To enable implementation of MMR in primary care, managers on all organizational levels must take responsibility for allowing rehabilitation to be a priority. A driving spirit among the professionals facilitates the start, but the entire team is important when processing a program. Creating good teamwork requires hard work, e.g., negotiations for consensus about rehabilitation, and assumption of responsibility by each team member. Collaboration between professionals was perceived to strengthen and enhance knowledge about the patients. Implications for rehabilitation Much can be gained from conducting multimodal pain rehabilitation in primary care. Front line managers and those at other organizational levels must prioritize and create appropriate conditions to facilitate multimodal pain rehabilitation in primary care. Creation of an effective multimodal rehabilitation team requires that each team member takes responsibility, drops the focus on individual rehabilitation, seek member consensus about the content of the rehabilitation, and confer equal worth to each team member. The process of creating a program can be facilitated, especially at the beginning, if the team is supported by speciality pain clinics or more experienced teams.

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A sense of increased living space after participating in multimodal rehabilitation

Cited by 6 publications

References 20 publications

A qualitative study among women immigrants from Somalia – experiences from primary health care multimodal pain rehabilitation in Sweden

A qualitative study among women immigrants from Somalia – experiences from primary health care multimodal pain rehabilitation in Sweden

”The acceptance” of living with chronic pain – an ongoing process: A qualitative study of patient experiences of multimodal rehabilitation in primary care

Implementing multimodal pain rehabilitation in primary care – a health care professional perspective

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