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持久疼痛教育的关键学习要点:从消费者、临床医生和研究人员的角度进行反复分析和开发公众信息传达。

Key Learning Statements for Persistent Pain Education: An Iterative Analysis of Consumer, Clinician and Researcher Perspectives and Development of Public Messaging.

机构信息

IIMPACT in Health, Kaurna Country, University of South Australia, Adelaide, Australia; Pain Revolution, Kaurna Country, University of South Australia, Adelaide, Australia; Centre for Impact, Neuroscience Research Australia, Sydney, Australia.

IIMPACT in Health, Kaurna Country, University of South Australia, Adelaide, Australia.

出版信息

J Pain. 2022 Nov;23(11):1989-2001. doi: 10.1016/j.jpain.2022.07.008. Epub 2022 Aug 4.

Abstract

Over the last decade, the content, delivery and media of pain education have been adjusted in line with scientific discovery in pain and educational sciences, and in line with consumer perspectives. This paper describes a decade-long process of exploring consumer perspectives on pain science education concepts to inform clinician-derived educational updates (undertaken by the authors). Data were collected as part of a quality audit via a series of online surveys in which consent (non-specific) was obtained from consumers for their data to be used in published research. Consumers who presented for care for a persistent pain condition and were treated with a pain science education informed approach were invited to provide anonymous feedback about their current health status and pain journey experience 6, 12 or 18 months after initial assessment. Two-hundred eighteen consumers reported improvement in health status at follow-up. Results of the surveys from 3 cohorts of consumers that reported improvement were used to generate iterative versions of 'Key Learning Statements'. Early iteration of these Key Learning Statements was used to inform the development of Target Concepts and associated community-targeted pain education resources for use in public health and health professional workforce capacity building initiatives. PERSPECTIVE: This paper reflects an explicit interest in the insights of people who have been challenged by persistent pain and then recovered, to improve pain care. Identifying pain science concepts that consumers valued learning provided valuable information to inform resources for clinical interactions and community-targeted pain education campaigns.

摘要

在过去的十年中,疼痛教育的内容、方式和媒体已经根据疼痛和教育科学的科学发现以及消费者的观点进行了调整。本文描述了一个长达十年的探索消费者对疼痛科学教育理念的看法的过程,为临床医生提供的教育更新提供信息(作者进行了这些更新)。数据是通过一系列在线调查收集的,在这些调查中,消费者同意(非特定)将其数据用于已发表的研究。那些因持续性疼痛状况就诊并接受疼痛科学教育的患者被邀请在初始评估后 6、12 或 18 个月提供关于他们当前健康状况和疼痛经历的匿名反馈。218 名消费者报告在随访时健康状况有所改善。从报告改善的三批消费者的调查结果中,生成了“关键学习陈述”的迭代版本。这些关键学习陈述的早期迭代被用于为目标概念的发展提供信息,并为公共卫生和卫生专业人员劳动力能力建设举措开发针对社区的疼痛教育资源。观点:本文反映了对那些曾受到持续性疼痛困扰但后来康复的人的见解的明确关注,以改善疼痛护理。确定消费者认为有价值的疼痛科学概念的学习为临床互动和针对社区的疼痛教育活动提供了有价值的信息。

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