Self-management at the core of back pain care: 10 key points for clinicians

Kongsted, Alice; Hansen, Inge Ris; Kjær, Per; Hartvigsen, Jan

doi:10.1016/j.bjpt.2021.05.002

Cited by 62 publications

(38 citation statements)

References 71 publications

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“…The strategies implemented in the present study were predominantly active interventions, including movement and physical activity. Current best practice recommendations emphasize the use of active strategies and self‐management for musculoskeletal pain (Kongsted et al, 2021; Lin et al, 2020). However, adherence is essential for better outcomes from active care (Nicholas et al, 2012; Nicholas & Blyth, 2016).…”

Section: Discussionmentioning

confidence: 99%

From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic

Gevers‐Montoro

Deldar

Furlan

et al. 2022

European Journal of Pain

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Background: In March 2020, state-wide lockdowns were declared in many countries, including Spain. Citizens were confined to their homes and remotely supported activities were prioritized as an alternative to in-person interactions. Previous data suggest that remote and self-management interventions may be successful at reducing pain and related psychological variables. However, individual factors influencing the effectiveness of these interventions remain to be identified. We aimed to investigate the psychological and motivational factors moderating changes in pain observed in chiropractic patients undertaking a novel telehealth self-management programme.Methods: A cohort of 208 patients from a chiropractic teaching clinic was recruited to participate in the study. Patients received telehealth consultations and individualized self-management strategies tailored for their current complaint.They were encouraged to make use of these strategies daily for 2-4 weeks, whilst rating their pain intensity, motivation and adherence. Validated questionnaires were completed online to assess catastrophizing, kinesiophobia and anxiety.Results: A total of 168 patients completed the first 2 weeks of the programme, experiencing significant reductions in all variables. Kinesiophobia emerged as a key factor influencing pain reduction and moderating the association between motivation and pain relief. In turn, adherence to the programme was associated with lower pain intensity, although moderated by the degree of motivation. Conclusions:In the context of COVID-19, when introducing remote and selfmanagement strategies, pain cognitions and motivational factors should be taken into consideration to foster adherence and yield better pain outcomes.

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Section: Discussionmentioning

confidence: 99%

From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic

Gevers‐Montoro

Deldar

Furlan

et al. 2022

European Journal of Pain

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“…While Self-management defines as the ability of a person to properly cope with their physical and mental condition and lifestyle changes along with a chronic illness in collaboration with healthcare providers", self-care can happen either in the presence or absence of healthcare professionals [18]. A recent study by Kongsted et al (2021) reports that self-care is a broad term that can cover the self-management concept [19]. Self-management of the chronic disease comprises symptom management, medication adherence, and being healthy is part of self-care action and should be conducted in collaboration with healthcare providers.…”

Section: Main Concept and Related Termsmentioning

confidence: 99%

Pragmatic solutions to enhance self-management skills in solid organ transplant patients: systematic review and thematic analysis

2022

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Background In organ transplantation, all patients must follow a complex treatment regimen for the rest of their lives. Hence, patients play an active role in the continuity of the care process in the form of self-management tasks. Thus, the main objective of our study was to investigate the pragmatic solutions applied by different studies to enhance adherence to self-management behaviors. Method A systematic review was conducted in five databases from 2010 to August 2021 using keywords. Eligible studies were all English papers that developed self-management programs to enhance patient care in solid organ transplantation. The interventions were analyzed using thematic analysis to determine the main descriptive areas. The quality of the included articles was evaluated using the research critical appraisal program (CASP) tool. Results Of the 691 retrieved articles, 40 met our inclusion criteria. Of these, 32 studies were devoted to the post-transplantation phase. Five main areas were determined (e-health programs for telemonitoring, non-electronic educational programs, non-electronic home-based symptom-monitoring programs, electronic educational plans for self-monitoring, and Telerehabilitation) according to thematic analysis. Most studies (72.5%) declared that developed programs and applied solutions had a statistically significant positive impact on self-management behavior enhancement in transplant patients. Conclusion The results showed that an effective solution for improving organ transplantation needs patient collaboration to address psychological, social, and clinical aspects of patient care. Such programs can be applied during candidate selection, waiting list, and after transplantation by putting the patient at the center of care.

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“…The use of digital health tools is a new method to meet patients' preferences, priorities and goals [10] and to improve their empowerment and self-education [10]. This is especially the case at the present time: both the "one health" approach, promoted by the European Commission, and the National Recovery and Resilience Plan (NRRP) suggest improving the use of digital data and technology.…”

Section: Introductionmentioning

confidence: 99%

“…Among people who exercise, those who perceive autonomy and receive competent support from exercise experts tend to have greater satisfaction, increased intention to exercise and better adherence [10,51].…”

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confidence: 99%

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Participation in Low Back Pain Management: It Is Time for the To-Be Scenarios in Digital Public Health

Franchini¹,

Salvatori²,

Denoth³

et al. 2022

IJERPH

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Low back pain (LBP) carries a high risk of chronicization and disability, greatly impacting the overall demand for care and costs, and its treatment is at risk of scarce adherence. This work introduces a new scenario based on the use of a mobile health tool, the Dress-KINESIS, to support the traditional rehabilitation approach. The tool proposes targeted self-manageable exercise plans for improving pain and disability, but it also monitors their efficacy. Since LBP prevention is the key strategy, the tool also collects real-patient syndromic information, shares valid educational messages and fosters self-determined motivation to exercise. Our analysis is based on a comparison of the performance of the traditional rehabilitation process for non-specific LBP patients and some different scenarios, designed by including the Dress-KINESIS’s support in the original process. The results of the simulations show that the integrated approach leads to a better capacity for taking on patients while maintaining the same physiotherapists’ effort and costs, and it decreases healthcare costs during the two years following LBP onset. These findings suggest that the healthcare system should shift the paradigm towards citizens’ participation and the digital support, with the aim of improving its efficiency and citizens’ quality of life.

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Self-management at the core of back pain care: 10 key points for clinicians

Cited by 62 publications

References 71 publications

From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic

From hands‐on to remote: Moderators of response to a novel self‐management telehealth programme during the COVID‐19 pandemic

Pragmatic solutions to enhance self-management skills in solid organ transplant patients: systematic review and thematic analysis

Participation in Low Back Pain Management: It Is Time for the To-Be Scenarios in Digital Public Health

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