Ekhammar Annika, Melin Lena, Thorn Jörgen, Larsson Maria E H
a Department of Health and Rehabilitation/Occupational Therapy and Physiotherapy , The Sahlgrenska Academy at University of Gothenburg, Institute of Neuroscience and Physiology , Gothenburg , Sweden ;
b Region Västra Götaland, Närhälsan Eriksberg Primary Care Rehabilitatio , Gothenburg , Sweden ;
Disabil Rehabil. 2016 Dec;38(25):2445-54. doi: 10.3109/09638288.2015.1137978. Epub 2016 Mar 1.
The aim was to explore and describe experiences of change related to multimodal rehabilitation (MMR) in participants suffering from persistent musculoskeletal-related pain, in order to increase knowledge about the impact of the rehabilitation.
Participants in MMR from an outpatient rehabilitation unit in primary care in Sweden were recruited for interviews about any kind of change they experienced that they thought were related to their participation in the MMR. Systematic text condensation according to Malterud was used to analyze the data.
A total of 14 participants were interviewed. The interview analysis resulted in four categories in which the participants described their experience of change related to the MMR: a new desire for participation, increased embodied knowledge, a stronger sense of feeling empowered and regained hope. The categories interacted and from these categories, one theme emerged: a sense of increased living space.
According to these results, it is important to have various entrances to enhance change and to be aware of how these changes interact and can reinforce each other in order to facilitate the participants' empowerment processes toward a sense of increased living space. Implications for rehabilitation The efforts in MMR should be coordinated to be mutually reinforcing as changes in one area could facilitate in others and thus facilitate the participants' empowerment processes. Participants experience change after MMR in areas that standardized assessment questionnaires do not capture and consequently it would be useful to let the participants answer an open question about perceived changes together with standardized questionnaires.
旨在探索和描述患有持续性肌肉骨骼相关疼痛的参与者在多模式康复（MMR）中与变化相关的经历，以增加对康复影响的了解。
从瑞典初级保健门诊康复单元招募参与MMR的参与者，就他们认为与参与MMR相关的任何经历的变化进行访谈。采用根据马尔特鲁德方法进行的系统文本浓缩来分析数据。
共访谈了14名参与者。访谈分析得出四个类别，参与者在其中描述了他们与MMR相关的变化经历：新的参与愿望、增加的身体知识、更强的赋权感和重拾的希望。这些类别相互作用，从中出现了一个主题：生活空间增加感。
根据这些结果，重要的是要有各种途径来促进变化，并意识到这些变化如何相互作用并相互加强，以促进参与者朝着生活空间增加感的赋权过程。对康复的启示MMR中的各项努力应相互协调以相互加强，因为一个领域的变化可能会促进其他领域的变化，从而促进参与者的赋权过程。参与者在MMR后在标准化评估问卷未涵盖的领域经历了变化，因此让参与者在回答标准化问卷的同时回答一个关于感知变化的开放性问题会很有用。
