Matthias Marianne S, Kukla Marina, McGuire Alan B, Bair Matthew J
*VA HSR&D Center for Health Information and Communication, Roudebush VA Medical Center, Indianapolis, Indiana
Regenstrief Institute, Indianapolis, Indiana; Departments of.
Pain Med. 2016 Dec;17(12):2247-2255. doi: 10.1093/pm/pnw138. Epub 2016 Jul 8.
Peer support is a novel and under-studied approach to the management of chronic pain. This study's purpose was to uncover the elements of a peer-supported self-management intervention that are perceived by participants as essential to achieving positive changes.
Qualitative, semi-structured interviews.
Veterans and veteran peer coaches who participated in a pilot study of peer support Improving Pain using Peer-Reinforced Self-Management Strategies (IMPPRESS, NCT01748227) took part in qualitative semi-structured interviews after completing the 4-month intervention. Questions were designed to facilitate understanding of how participants experienced the intervention. An immersion/crystallization approach was used to analyze data.
All 26 peer coaches and patients who completed the intervention were interviewed. Qualitative analysis revealed three elements of IMPPRESS that peer coaches and patients believed conferred benefit: 1) making interpersonal connections; 2) providing/receiving encouragement and support; and 3) facilitating the use of pain self-management strategies.
Peer support represents a promising approach to chronic pain management that merits further study. The current study helps to identify intervention elements perceived by participants to be important in achieving positive results. Understanding how peer support may benefit patients is essential to optimize the effectiveness of peer support interventions and increase the implementation potential of peer-supported pain self-management into clinical practice.
同伴支持是一种新颖且研究不足的慢性疼痛管理方法。本研究的目的是揭示同伴支持的自我管理干预措施中，被参与者视为实现积极改变所必需的要素。
定性、半结构化访谈。
参与了一项关于同伴支持的试点研究“使用同伴强化自我管理策略改善疼痛（IMPPRESS，NCT01748227）”的退伍军人和退伍军人同伴教练，在完成4个月的干预后，参加了定性半结构化访谈。问题旨在促进对参与者如何体验该干预措施的理解。采用沉浸/结晶法分析数据。
对所有26名完成干预的同伴教练和患者进行了访谈。定性分析揭示了IMPPRESS的三个要素，同伴教练和患者认为这些要素带来了益处：1）建立人际关系；2）给予/接受鼓励和支持；3）促进疼痛自我管理策略的使用。
同伴支持是一种有前途的慢性疼痛管理方法，值得进一步研究。当前的研究有助于确定参与者认为对取得积极成果很重要的干预要素。了解同伴支持如何使患者受益对于优化同伴支持干预措施的有效性以及提高同伴支持的疼痛自我管理在临床实践中的实施潜力至关重要。
