Alan Edwards Pain Management Unit, McGill University Health Centre, Montreal, QC, Canada.
Inspirium Holistic Care, Hinduja Hospital and Research Center, Mumbai, India.
Physiother Theory Pract. 2020 Jan;36(1):85-94. doi: 10.1080/09593985.2018.1481161. Epub 2018 Jun 6.
: To conduct a knowledge translation exercise by sharing knowledge from a scoping review, describing physiotherapists' attitudes toward and beliefs about chronic pain, and to gain perspectives on these findings from physiotherapists working with this clientele. : We conducted three focus groups with a total of 14 outpatient physiotherapists working in public hospitals. We first showed a video (reflecting an encounter between a clinician and a person living with chronic pain) created based on themes that emerged from a scoping review we conducted, followed by a discussion about attitudes and beliefs toward chronic pain. The sessions were audio-taped and transcripts were analyzed through descriptive and thematic analysis. : The consultations reinforced three core themes related to physiotherapists' attitudes toward and beliefs about chronic pain: 1) the development of chronic pain; 2) the relationship to disability and the legitimacy of chronic pain; and 3) physiotherapists' ability to manage psychological aspects of their patient's pain. : Physiotherapists in our sample appear unsure of how to interpret severe pain within the context of minimal objective findings. Physiotherapists may benefit from training on how to assess and treat psychosocial factors associated with pain.
进行知识转化练习，分享从范围综述中获得的知识，描述物理治疗师对慢性疼痛的态度和信念，并从为这一患者群体工作的物理治疗师那里获得对这些发现的看法。
我们与 14 名在公立医院工作的门诊物理治疗师进行了三次焦点小组讨论。我们首先播放了一个视频（反映了临床医生与慢性疼痛患者之间的一次相遇），该视频是根据我们进行的范围综述中出现的主题制作的，然后就对慢性疼痛的态度和信念进行了讨论。会议进行了录音，转录内容通过描述性和主题分析进行了分析。
1）慢性疼痛的发展；2）与残疾的关系和慢性疼痛的合法性；3）物理治疗师管理患者疼痛心理方面的能力。
我们的样本中的物理治疗师似乎不确定如何在最小的客观发现的情况下解释严重的疼痛。物理治疗师可能需要接受如何评估和治疗与疼痛相关的社会心理因素的培训。
