Patient satisfaction with a pilot chronic pain management programme in Cape Town, South Africa

Parker, Romy; S, Burgess; Dubaniewicz, Anna; Gouws, Leon; J, Krone; Madden, Victoria J.; Cj, Nortjé; Parsons, Cynthia

doi:10.4102/sajp.v65i1.77

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…Furthermore, the ESCAPE knee programme is similar to other evidence-based exercise programmes that have been used in South African populations with chronic pain (Parker et al . 2009 , 2014 ). The exercise programme is designed to be applied in a group setting and is easy to modify for the individual participant depending on their current state of symptoms and abilities.…”

Section: Exercise Contentmentioning

confidence: 99%

The development of an intervention to manage pain in people with late-stage osteoarthritis

Kruger-Jakins¹,

Saw

Edries

et al. 2016

South African Journal of Physiotherapy

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BackgroundOsteoarthritis (OA) is one of the most common musculoskeletal conditions worldwide, affecting the functional abilities of millions of people. Arthroplasty is recommended as a successful treatment option for late-stage OA. However, in South Africa there are extensive waiting lists for OA-related arthroplasty in government hospitals. This has negative consequences for patients having to cope for long periods of time with chronic pain and its impact. Alternative treatment methods in the form of physiotherapy-led exercise and education programmes focusing on pain, disability, self-efficacy, physical function and health-related quality of life have had good impact in populations elsewhere.ObjectivesTo develop an exercise and education intervention based on the current literature and by doing a field survey in a South African population.ResultsA combined educational approach, with a strong focus on the physical aspects of exercise in particular, was adopted for the intervention in order to improve function and manage the disability associated with OA.ConclusionThis paper reports on the process and development of an intervention for use in South Africans with late-stage OA awaiting arthroplasty.

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Section: Exercise Contentmentioning

confidence: 99%

The development of an intervention to manage pain in people with late-stage osteoarthritis

Kruger-Jakins¹,

Saw

Edries

et al. 2016

South African Journal of Physiotherapy

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“…To address this concern, the Groote Schuur and Tygerberg Hospitals in Cape Town, South Africa, offer interdisciplinary chronic pain management clinics. Both these clinics provide a group based chronic pain management program (CPMP), which is branded PEEP (Pain Education Empowerment Program) [ 8 ]. PEEP is six-week group program patients attend for two hours per week.…”

Section: Introductionmentioning

confidence: 99%

“So, you must understand that that group changed everything”: perspectives on a telehealth group intervention for individuals with chronic pain

Ernstzen

Keet

Louw

et al. 2022

BMC Musculoskelet Disord

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Background The Patient Education Empowerment Programme (PEEP) is an interdisciplinary group intervention for people living with chronic pain. As a result of the COVID-19 pandemic, lockdown and restrictions on in-person group-based health care delivery in South Africa, PEEP was modified to a telehealth electronic format (ePEEP) and offered to patients on a waiting list at two interdisciplinary chronic pain clinics in Cape Town, South Africa. The purpose of this study was to explore the feasibility and acceptability of ePEEP through the perspectives of individuals with chronic pain who participated in ePEEP. Methods A qualitative, exploratory descriptive study was conducted. One month after completion of the 6-week ePEEP programme, individuals who participated, were recruited for the study. Data were collected through semi-structured interviews. Data analysis followed an iterative process of inductive content analysis. Results Six individuals, all women, consented and participated in the study. Three main themes emerged from the data. Theme one focussed on how ePEEP initiated a journey of personal development and discovery within the participants. In theme two, participants reflected on the importance and value of building peer and therapeutic relationships as part of ePEEP. In theme 3, participants shared that the online learning environment had features which influenced learning about pain in different ways. Conclusion ePEEP was found to be acceptable, feasible and valuable for the participants. ePEEP facilitated self-discovery, empowerment, relationship building and transformation in the participants, through experiential learning. Although barriers and facilitators to learning were present, both enhanced the learning experience. The positive reception of this telehealth initiative indicates potential for enhanced access to chronic pain management services in the South African setting.

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“…One study in South Africa investigated the satisfaction of patients with a chronic pain management group (Parker et al . 2009 ). The current study builds on the knowledge base on patient perspectives and experiences in the South African (SA) healthcare context.…”

Section: Introductionmentioning

confidence: 99%

Patient perspectives about the healthcare of chronic musculoskeletal pain: Three patient cases

Ernstzen

Louw

Hillier

2016

AJOD

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BackgroundConsideration of the patient’s perspective in healthcare is important because it may inform holistic and contextually relevant management strategies.ObjectivesThe purpose of this study was to explore patients’ experiences and perspectives about their chronic musculoskeletal (CMSK) pain and its management in the private healthcare sector in South Africa. This work was done as a pilot study to test, adapt and finalize an interview schedule.MethodsA descriptive, qualitative study was conducted. The sampling was purposive. Three patients with CMSK pain were recruited to participate in in-depth individual interviews. The interviews were recorded and transcribed ensuring confidentiality. Inductive, thematic content analyses of the transcripts were undertaken. Initial codes were assigned and a code book developed, which was applied to the transcripts to develop categories and themes.ResultsFour themes emerged from the data: (1) the participants sought understanding about the pain’s origin and the reason for pain persistence; (2) pain impacted their lives in multiple ways; (3) the participants depended on healthcare providers (HCP) for guidance and support; and (4) they had the option of acceptance of chronic pain.ConclusionThe participants’ knowledge about their health condition had important implications as it influenced their perspectives on pain and its management. The pain presented the participants with several challenges, which included developing an understanding about pain and coping with the impact of pain in their lives. HCPs were perceived to play an important role in empowering or disempowering the participants.

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Patient satisfaction with a pilot chronic pain management programme in Cape Town, South Africa

Abstract: P i l o t S t u d y

Cited by 3 publications

References 17 publications

The development of an intervention to manage pain in people with late-stage osteoarthritis

The development of an intervention to manage pain in people with late-stage osteoarthritis

“So, you must understand that that group changed everything”: perspectives on a telehealth group intervention for individuals with chronic pain

Patient perspectives about the healthcare of chronic musculoskeletal pain: Three patient cases

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