Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA.
HealthPartners Institute, 8170 33rd Ave. S., Mail Stop 23301A, Minneapolis, MN, 55425, USA.
J Clin Psychol Med Settings. 2020 Dec;27(4):633-642. doi: 10.1007/s10880-019-09655-x.
Chronic pain is prevalent and can be complex to manage in primary care. Encouraging patients with chronic pain to engage in valued activities has been associated with reduced disability and distress. This single-arm, mixed methods pilot study examined whether adding a values-based behavioral activation intervention to a chronic pain protocol is feasible and acceptable in an urban, underserved family medicine residency clinic. Patients (N = 30) living with chronic pain completed a values assessment and co-created a plan with a psychologist to engage in values-based activities. Patients completed self-report measures of psychological health and functioning pre- and post-intervention and a qualitative interview at the follow-up visit. The intervention was considered feasible and acceptable. Patients reported high levels of satisfaction and enjoyment of the intervention and significantly less pain interference at follow-up compared to baseline. Values-based behavioral activation for chronic pain may be implemented as part of behavioral health practice in primary care.
慢性疼痛普遍存在，在基层医疗中难以管理。鼓励慢性疼痛患者参与有价值的活动与减少残疾和痛苦有关。这项单臂、混合方法的初步研究探讨了在城市服务不足的家庭医学住院医师诊所中，将基于价值的行为激活干预措施添加到慢性疼痛方案中是否可行和可接受。患有慢性疼痛的患者（N=30）完成了一项价值观评估，并与心理学家共同制定了一项计划，以参与基于价值观的活动。患者在干预前后完成了心理健康和功能的自我报告测量，并在随访时进行了定性访谈。该干预措施被认为是可行和可接受的。与基线相比，患者在随访时报告了更高的满意度和对干预的享受程度，并且疼痛干扰明显减少。基于价值的慢性疼痛行为激活可以作为初级保健中行为健康实践的一部分。
