Corline Alex, Cole Frances, Trewern Louise, Penlington Chris
Faculty of Medical Sciences, Newcastle University, Newcastle, UK.
Clinical Lead, Live Well with Pain, York, UK.
Br J Pain. 2023 Jun;17(3):281-292. doi: 10.1177/20494637231152979. Epub 2023 Jan 17.
Supported self-management is an important aspect of managing pain, however widely held beliefs about the biomedical nature of pain and limited time availability can make it a tricky concept to introduce to patients. Social prescribers are in an ideal position to support self-management of pain if appropriate training is available to support them. This study aimed to evaluate training for social prescribers and to explore their opinions and experiences about providing self-management support.
This was a mixed methods study. Repeated measures t-tests were used to compare the reported confidence of attendees in supporting different facets of self-management before and after the training. Thematic analysis of interviews was used to develop a deeper understanding of how participants related the training to their work with patients.
Average confidence improved in all aspects of supporting self-management, and particularly with regard to supporting understanding pain, acceptance, pacing, setting goals, sleep and managing setbacks. Challenges were identified around explaining pain in an accurate and accessible way in order to provide a meaningful rationale for self-management.
Training for social prescribers in self-management support is feasible and leads to improvements in self-reported confidence. Further research is needed to determine the impact on patients and over a longer period of time.
支持性自我管理是疼痛管理的一个重要方面,然而,关于疼痛的生物医学本质的广泛观念以及时间有限,使得向患者介绍这一概念颇具难度。如果能获得适当培训以提供支持,社会处方师处于支持疼痛自我管理的理想位置。本研究旨在评估针对社会处方师的培训,并探讨他们在提供自我管理支持方面的意见和经验。
这是一项混合方法研究。采用重复测量t检验来比较培训前后参与者在支持自我管理不同方面的报告信心。通过对访谈进行主题分析,以更深入地了解参与者如何将培训与他们与患者的工作联系起来。
在支持自我管理的各个方面,平均信心都有所提高,尤其是在支持理解疼痛、接受、节奏安排、设定目标、睡眠和应对挫折方面。在以准确且易懂的方式解释疼痛以便为自我管理提供有意义的理论依据方面存在挑战。
针对社会处方师的自我管理支持培训是可行的,且能提高自我报告的信心。需要进一步研究以确定其对患者的影响以及在更长时间段内的影响。