Sagar Isabell, Popok Paula J, Reichman Mira, Lester Ethan G, Doorley James, Bakhshaie Jafar, Vranceanu Ana Maria
Integrated Brain Health Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.
J Patient Exp. 2022 Apr 13;9:23743735221092570. doi: 10.1177/23743735221092570. eCollection 2022.
Psychosocial factors (e.g., depression, anxiety) increase risk for chronic pain, disability, and other health complications following acute orthopedic traumatic injury. Orthopedic providers lack skills to address these factors. Education around psychosocial factors of recovery and psychosocial clinical and research initiatives could address this gap. The purpose of this study was to understand orthopedic trauma providers' preferences for the design and distribution of educational materials to facilitate psychosocial initiative implementation.
We conducted live-video, semi-structured focus groups with outpatient orthopedic trauma providers across three Level 1 Trauma Centers, using a hybrid inductive-deductive approach to analyze qualitative data and extract themes and subthemes characterizing providers' recommendations for appropriate psychosocial education.
Four themes described providers' recommendations for receiving educational materials: (1) provide foundational knowledge and tools about psychosocial factors; (2) provide information regarding a psychosocial initiative's purpose and procedures; (3) leverage educational materials to maximize buy-in to psychosocial clinical research initiatives; and (4) deliver information concisely, clearly, and electronically.
Orthopedic providers recommended ways to optimize design and dissemination of education on psychosocial care. Optimizing knowledge of psychosocial factors and clinical and research initiatives facilitates providers' ability to appropriately target the often-underdressed psychosocial component of recovery in orthopedics.
社会心理因素(如抑郁、焦虑)会增加急性骨科创伤后慢性疼痛、残疾及其他健康并发症的风险。骨科医疗人员缺乏应对这些因素的技能。围绕康复的社会心理因素以及社会心理临床与研究举措开展教育,可填补这一空白。本研究的目的是了解骨科创伤医疗人员对于教育材料的设计与分发的偏好,以促进社会心理举措的实施。
我们对三个一级创伤中心的门诊骨科创伤医疗人员进行了视频直播半结构化焦点小组访谈,采用归纳 - 演绎混合方法分析定性数据,提取表征医疗人员对适当社会心理教育建议的主题和子主题。
四个主题描述了医疗人员对接收教育材料的建议:(1)提供有关社会心理因素的基础知识和工具;(2)提供有关社会心理举措的目的和程序的信息;(3)利用教育材料最大限度地争取对社会心理临床研究举措的支持;(4)以简洁、清晰且电子化的方式提供信息。
骨科医疗人员推荐了优化社会心理护理教育设计与传播的方法。优化对社会心理因素以及临床与研究举措的认知,有助于医疗人员有针对性地处理骨科康复中常常被忽视的社会心理因素。