Poolman E Y, Vorstermans L, Donker M H, Bijker L, Coppieters M W, Cuijpers P, Scholten-Peeters G G M, de Wit L M
Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences - Program Musculoskeletal Health, the Netherlands.
Amsterdam Public Health Research Institute, Department of Clinical Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, the Netherlands.
Internet Interv. 2024 Feb 28;36:100731. doi: 10.1016/j.invent.2024.100731. eCollection 2024 Jun.
A blended intervention consisting of in-person physiotherapy and psychologically-informed digital health, called Back2Action, was developed to optimise the management of people with persistent spinal pain who also have psychosocial risk factors associated with the development or maintenance of persistent pain. This study aimed to gain insights in how participants experienced this blended intervention.
A qualitative study using semi-structured interviews was conducted. Eleven people with persistent non-specific spinal pain who received the blended intervention within a randomised clinical trial were included. All interviews were recorded, transcribed verbatim and analysed independently by two researchers. Data were analysed using a thematic analysis.
The analysis identified four themes: (1) Experiencing a better understanding of the relationship between own physical and mental health; (2) Importance of the physiotherapist's active involvement in biopsychosocial blended care, which describes the crucial role of physiotherapists in supporting participants in this; (3) Appreciation of digital health, to better understand persistent pain and make meaningful lifestyle changes; and (4) Trials and triumphs, revealing gains such as better coping, but also challenges with implementation of changes into long-term routines.
Participants of the blended intervention experienced positive changes in thoughts and behaviours, which highlights the feasibility and acceptability of the blended intervention as a more holistic treatment within pain management. The differences in personal preferences for receiving psychologically-informed digital health poses challenges for implementation of blended biopsychosocial care in evidence-based practice.
一种名为“回归行动”的综合干预措施应运而生，它将面对面物理治疗与具有心理指导的数字健康相结合，旨在优化对患有持续性脊柱疼痛且伴有与持续性疼痛发展或维持相关心理社会风险因素的患者的管理。本研究旨在深入了解参与者对这种综合干预措施的体验。
开展了一项采用半结构式访谈的定性研究。纳入了11名在随机临床试验中接受综合干预的持续性非特异性脊柱疼痛患者。所有访谈均进行了录音，逐字转录，并由两名研究人员独立分析。采用主题分析法对数据进行分析。
分析确定了四个主题：（1）对自身身心健康关系有了更好的理解；（2）物理治疗师积极参与生物心理社会综合护理的重要性，这描述了物理治疗师在支持参与者方面的关键作用；（3）对数字健康的认可，以更好地理解持续性疼痛并做出有意义的生活方式改变；（4）尝试与成功，揭示了诸如更好的应对能力等收获，但也有将改变融入长期日常行为中的挑战。
综合干预的参与者在思想和行为上经历了积极变化，这凸显了综合干预作为疼痛管理中更全面治疗方法的可行性和可接受性。在循证实践中，个人对接受具有心理指导的数字健康的偏好差异给生物心理社会综合护理的实施带来了挑战。
