Slaghmuylder Yaël, Lauwerier Emelien, Van Hecke Ann, Crombez Geert, Schelfout Sam, Naert Eline, Pype Peter
Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Department of Psychology, Open University of the Netherlands, Heerlen, the Netherlands.
Disabil Rehabil. 2025 Aug;47(16):4275-4286. doi: 10.1080/09638288.2024.2443045. Epub 2024 Dec 22.
Chronic pain is prevalent among breast cancer survivors. Bio-psychosocial factors interplay in its exacerbation and maintenance. Therefore, prevention and treatment require an interdisciplinary response and the integration of various approaches. To deliver this way of working, healthcare professionals may need training. We developed an e-learning intervention, aimed at increasing awareness and interdisciplinary collaboration in response to pain after cancer. We aimed to gain insight into the intervention's implementation, mechanisms, and outcomes through a realist evaluation.
A mixed-methods pre- and post-test design with follow-up was used. Via questionnaires, professionals reported on the feasibility of the e-learning and their knowledge, beliefs, confidence, and professional role in pain prevention and treatment. Six-month post-intervention, interviews were conducted to explore transferability in practice.
An interdisciplinary group of 22 professionals completed the intervention. Overall, e-learning was deemed a feasible format for training. An increase in confidence was found, whereas no changes were detected in knowledge and professional role. Configurations were outlined between these mechanisms and behaviors in practice, influenced by implementation processes and context-related factors.
E-learning holds promise in stimulating knowledge, beliefs, confidence, and professional role. In this, the value of asynchronous discussion forums, case-based exercises, practical tools, and models were emphasized.
慢性疼痛在乳腺癌幸存者中很普遍。生物心理社会因素在其加剧和持续过程中相互作用。因此，预防和治疗需要跨学科的应对措施以及多种方法的整合。为了实现这种工作方式，医疗保健专业人员可能需要培训。我们开发了一种电子学习干预措施，旨在提高对癌症后疼痛的认识并促进跨学科合作。我们旨在通过现实主义评估深入了解该干预措施的实施情况、作用机制和效果。
采用前后测混合方法设计并进行随访。专业人员通过问卷报告电子学习的可行性以及他们在疼痛预防和治疗方面的知识、信念、信心和专业角色。干预六个月后，进行访谈以探讨在实践中的可转移性。
22名专业人员组成的跨学科小组完成了干预。总体而言，电子学习被认为是一种可行的培训形式。发现信心有所增强，而知识和专业角色没有变化。在实践中，这些机制与行为之间的配置受到实施过程和与背景相关因素的影响。
电子学习在激发知识、信念、信心和专业角色方面具有潜力。在此过程中，强调了异步讨论论坛、基于案例的练习、实用工具和模型的价值。
