Exploring patient experiences of participating in a group exercise class for the management of nonspecific shoulder pain

Barrett, Eva; Hayes, Amy; Kelleher, Mags; Conroy, Carmela; Robinson, Katie; O’Sullivan, Kieran; McCreesh, Karen

doi:10.1080/09593985.2017.1422208

Cited by 10 publications

(28 citation statements)

References 35 publications

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“…Theme 6: Reduced Feeling of Isolation This theme was related to the diminished level of isolation felt by patients = after receiving support, as well as their experience of motivation and learning during group discussion from peers who were also experiencing MSK rehabilitation. This theme was supported by three studies [39,41,44]. Theme 7: Compliance This theme had thin data and has been placed into the Supplementary Material File S1 paragraph S1.…”

Section: The Positive Impactmentioning

confidence: 86%

“…Sub Theme 3: Patient participation This sub-theme concerned the willingness of patients to be honest about their condition and whether they adhered to the advice and education provided. This sub-theme was supported by three studies [20,39,40] and mainly focused on the value of rapport via a therapeutic relationship and provided the patient with individualized education. Moreover, the remaining 4 subthemes that contributed to the main patient confidence impact of reassurance theme had thin data.…”

Section: The Positive Impactmentioning

confidence: 92%

“…Sub Theme 1: Enablement/Motivation This sub-theme was defined as a patient's willingness to pursue the management of their condition and possessed the highest quality of evidence for the patient confidence theme. Ten studies support this code [28,29,31,35,[37][38][39][40]42,43]. This included a total of four studies that reported on physiotherapy interactions [31,37,39,42].…”

Section: The Positive Impactmentioning

confidence: 98%

“…Ten studies support this code [28,29,31,35,[37][38][39][40]42,43]. This included a total of four studies that reported on physiotherapy interactions [31,37,39,42].…”

Section: The Positive Impactmentioning

confidence: 98%

“…Subtheme 1: Interpersonal skills and relationship building This theme encompasses mutual support, activating and partnering with the patient, open, honest and trusted listening and shared decision making had the highest adequacy of data within theme 1, with nine studies supporting this sub-theme [24,25,31,36,37,39,[43][44][45]. This included a total of five studies reporting on physiotherapy interactions [31,37,39,44,45].…”

Section: The Positive Mechanisms Affective Reassurancementioning

confidence: 99%

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The Impact of Reassurance on Musculoskeletal (MSK) Pain: A Qualitative Review

Cheung

Soundy

2021

Behavioral Sciences

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Background: The reassurance provided during patient-therapist interactions is significantly associated with psychosocial outcomes, including fear and increased confidence. Currently, there are no available reviews that discuss the impact of reassurance for patients with musculoskeletal (MSK) pain. The aim of the present review was to qualitatively synthesize themes around reassurance mechanisms, and the impact during the interaction between patients with MSK pain and therapists. A systematic search strategy was undertaken. Studies were included if they were qualitative or mixed methods studies, examining the patient-therapist consultation, in any MSK clinical setting, with any health care professional, for adult patients with acute to chronic MSK pain. A thematic synthesis was conducted and supported by a particular assessment using CERQual. Results: Twenty-four studies were included (451 patients). Certain themes that related to both positive and negative outcomes of reassurance were identified as well as themes that illustrate the mechanisms causative of the outcomes. Using CerQual, we identified the most supported outcomes. Conclusions: Effective reassurance includes affectionate interactions such as therapeutic relationship building and interpersonal skills, an individualized patient-centered approach, education and the provision of self-management strategies. It should be noted that some interactions that use pathoanatomic models led patients to misinterpret the information provided, this created feelings of fear.

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Section: The Positive Impactmentioning

confidence: 86%

Section: The Positive Impactmentioning

confidence: 92%

Section: The Positive Impactmentioning

confidence: 98%

“…Ten studies support this code [28,29,31,35,[37][38][39][40]42,43]. This included a total of four studies that reported on physiotherapy interactions [31,37,39,42].…”

Section: The Positive Impactmentioning

confidence: 98%

Section: The Positive Mechanisms Affective Reassurancementioning

confidence: 99%

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The Impact of Reassurance on Musculoskeletal (MSK) Pain: A Qualitative Review

Cheung

Soundy

2021

Behavioral Sciences

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Reduced individual treatment delivery has no effect on outcomes in a multidisciplinary pain management program

Mowat¹,

Lewis²,

Borotkanics³

2021

Aust. Health Rev.

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Objective There is little information on how multidisciplinary pain management programs (MPMPs), the gold-standard treatment for people with chronic non-cancer pain, should be structured or delivered. This study compared outcomes from a 3-week in-patient MPMP between those who attended a group-based program that included 8 h of individual therapy each week and those who attended when the amount of individual therapy had been halved. Methods Participants were patients attending an MPMP with a large component of individual sessions (n = 112; Standard) and patients attending the same MPMP after it switched to predominantly group-based sessions (n = 117; Revised). The Hospital Anxiety and Depression Scale (HADS) and Queen Elizabeth (QE) Health Scale were administered to participants at baseline and discharge. Regression analysis was used to compare outcomes between the two delivery formats. Results There were no significant differences in any outcome measures between the two delivery formats overall. The QE Health Scale (P < 0.001) and HADS depression (P < 0.05) scores were significantly better for patients with rheumatoid arthritis or osteoarthritis who had undertaken the Revised program compared with the Standard program. Conclusions This study provides support that changing the amount of individual therapy within in-patient MPMPs does not change patient outcomes. However, there is evidence that those with rheumatoid arthritis and osteoarthritis respond better to a more group-based approach, suggesting that different populations may be suited to different delivery formats. What is known about the topic? Studies have shown mixed results as to whether group- or individual-based rehabilitation programs are more effective. Previous systematic reviews on physiotherapy- or psychological-based interventions have concluded that individual and group approaches are generally equivalent in terms of patient outcomes. MPMPs are trending towards more group-based delivery of content; however, it is unknown whether the equivalence of efficacy between group and individual formats extends to a chronic pain population receiving multidisciplinary care. What does this paper add? This research specifically adds to the knowledge that almost exclusive group delivery of therapy is just as effective as a program with more individual components in a population of patients participating in an MPMP. There is some evidence that those with rheumatoid arthritis and osteoarthritis in the almost exclusive group delivery program had better outcomes than those in the program with more individual components, indicating that specific conditions may benefit more from a group approach. What are the implications for practitioners? Practitioners can be confident that group delivery is just as effective as individual delivery of program components in an MPMP. Thus, decisions regarding the delivery format can be based on factors such as practical considerations, cost or patient and clinician preference.

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Individual Versus Group Physical Therapy for Patients with Low Back Pain: Outcomes and Process (Therapeutic Factors)

Netzer¹,

Shechtman²

2020

International Journal of Group Psychotherapy

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Exploring patient experiences of participating in a group exercise class for the management of nonspecific shoulder pain

Cited by 10 publications

References 35 publications

The Impact of Reassurance on Musculoskeletal (MSK) Pain: A Qualitative Review

The Impact of Reassurance on Musculoskeletal (MSK) Pain: A Qualitative Review

Reduced individual treatment delivery has no effect on outcomes in a multidisciplinary pain management program

Individual Versus Group Physical Therapy for Patients with Low Back Pain: Outcomes and Process (Therapeutic Factors)

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