Department of Management, University of Huddersfield, Huddersfield, UK.
Department for Health, University of Bath, Bath, UK.
Patient Educ Couns. 2022 Nov;105(11):3225-3234. doi: 10.1016/j.pec.2022.07.017. Epub 2022 Jul 27.
To identify how peer support interventions, for self-management of chronic pain, support basic psychological needs from a self-determination theory (SDT) perspective, using a systematic review.
Ten databases were searched for studies reporting qualitative research about peer interactions in pain management interventions. 'Best fit' framework synthesis methodology was applied to identify strategies that support the satisfaction of competence, autonomy and motivation. These were matched to definitions of strategies provided by standardised taxonomies.
18 studies were selected for inclusion. The synthesis resulted in a conceptual model, identifying 12 peer strategies that support psychological needs for self-management of chronic pain; 10 overlapped with existing taxonomies.
This was the first known attempt to synthesise evidence about peer support strategies for people living with pain, using SDT as an a priori framework. The model demonstrates commonality between the motivation-promoting processes of peer support and those of other behaviour change interventions and identifies additional unique strategies provided by peers. This systematic classification of peer support strategies provides a means for future study of the efficacy and comprehensiveness of peer interventions.
The model could assist healthcare professionals and support groups to optimise the potential of peer processes.
从自我决定理论（SDT）的角度，通过系统评价来确定同伴支持干预措施如何支持慢性疼痛自我管理中的基本心理需求。
检索了 10 个数据库，以寻找报告有关疼痛管理干预中同伴相互作用的定性研究的研究。应用“最佳拟合”框架综合方法来确定支持能力、自主性和动机满足的策略。这些策略与标准化分类法提供的策略定义相匹配。
共纳入了 18 项研究。综合结果得到了一个概念模型，确定了 12 种支持慢性疼痛自我管理的心理需求的同伴策略；其中 10 种与现有分类法重叠。
这是首次尝试使用 SDT 作为先验框架，综合有关疼痛患者同伴支持策略的证据。该模型展示了同伴支持的促进动机过程与其他行为改变干预措施的共同之处，并确定了同伴提供的其他独特策略。这种同伴支持策略的系统分类为未来研究同伴干预的疗效和全面性提供了一种手段。
该模型可以帮助医疗保健专业人员和支持小组优化同伴过程的潜力。
