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

Abstract

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.

A bibliometric analysis of telerehabilitation services for patients with stroke

“…During the COVID-19 pandemic, restrictions on social interactions and the closure of public facilities were in place to minimize further outbreaks ( 2 ). Routine rehabilitation services were disrupted, and healthcare providers promptly sought alternative provision models for rehabilitation services ( 3 ). Telehealth was identified as a way to increase access to these services due to its advantages of overcoming transport-related barriers, increasing the frequency of therapy sessions, individualizing interventions, and enhancing monitoring through technology ( 4 ).…”

The work of Chinese chronic conditions: adaptation and validation of the Distribution of Co-Care Activities Scale

“…For instance, patients' physical, psychological, and social needs are met by empowering them ( 9 – 11 ). Group storytelling, online support groups, and other forms of group members assisting each other to improve patient care ( 12 – 14 ). Strong stakeholder support systems for patients through community engagement approaches to achieve sustainable health effects ( 15 , 16 ).…”