Department of Physiotherapy, Human Physiology and Anatomy, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Brussels, Belgium.
Pain in Motion International Research Group (PiM).
BMC Med Educ. 2024 Mar 22;24(1):331. doi: 10.1186/s12909-024-05308-2.
Many applied postgraduate pain training programs are monodisciplinary, whereas interdisciplinary training programs potentially improve interdisciplinary collaboration, which is favourable for managing patients with chronic pain. However, limited research exists on the development and impact of interdisciplinary training programs, particularly in the context of chronic pain.
This study aimed to describe the development and implementation of an interdisciplinary training program regarding the management of patients with chronic pain, which is part of a type 1 hybrid effectiveness-implementation study. The targeted groups included medical doctors, nurses, psychologists, physiotherapists, occupational therapists, dentists and pharmacists. An interdisciplinary expert panel was organised to provide its perception of the importance of formulated competencies for integrating biopsychosocial pain management with a cognitive behavioural approach into clinical practice. They were also asked to provide their perception of the extent to which healthcare professionals already possess the competencies in their clinical practice. Additionally, the expert panel was asked to formulate the barriers and needs relating to training content and the implementation of biopsychosocial chronic pain management with a cognitive behavioural approach in clinical practice, which was complemented with a literature search. This was used to develop and adapt the training program to the barriers and needs of stakeholders.
The interdisciplinary expert panel considered the competencies as very important. Additionally, they perceived a relatively low level of healthcare professionals' possession of the competencies in their clinical practice. A wide variety of barriers and needs for stakeholders were formulated and organized within the Theoretical Domain Framework linked to the COM-B domains; 'capability', 'opportunity', and 'motivation'. The developed interdisciplinary training program, including two workshops of seven hours each and two e-learning modules, aimed to improve HCP's competencies for integrating biopsychosocial chronic pain management with a cognitive behavioural approach into clinical practice.
We designed an interdisciplinary training program, based on formulated barriers regarding the management of patients with chronic pain that can be used as a foundation for developing and enhancing the quality of future training programs.
许多应用研究生疼痛培训计划是单学科的，而跨学科培训计划有可能改善跨学科合作，这有利于管理慢性疼痛患者。然而，关于跨学科培训计划的发展和影响的研究有限，特别是在慢性疼痛方面。
本研究旨在描述一种针对慢性疼痛患者管理的跨学科培训计划的开发和实施，该计划是 1 型混合有效性实施研究的一部分。目标群体包括医生、护士、心理学家、物理治疗师、职业治疗师、牙医和药剂师。组织了一个跨学科专家小组，以了解其对将生物心理社会疼痛管理与认知行为方法整合到临床实践中的既定能力的重要性的看法。还要求他们对医疗保健专业人员在其临床实践中已经具备这些能力的程度提出看法。此外，专家小组被要求制定与培训内容相关的障碍和需求，以及在临床实践中实施生物心理社会慢性疼痛管理与认知行为方法，这与文献检索相辅相成。这用于开发和调整培训计划，以满足利益相关者的障碍和需求。
跨学科专家小组认为这些能力非常重要。此外，他们认为医疗保健专业人员在其临床实践中掌握这些能力的水平相对较低。制定并组织了利益相关者的各种障碍和需求，这些障碍和需求与理论领域框架内与 COM-B 领域相关联；“能力”、“机会”和“动机”。开发的跨学科培训计划包括两个为期 7 小时的讲习班和两个电子学习模块，旨在提高 HCP 将生物心理社会慢性疼痛管理与认知行为方法整合到临床实践中的能力。
我们设计了一种跨学科培训计划，基于制定的有关慢性疼痛患者管理的障碍，可作为开发和提高未来培训计划质量的基础。
