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"Self-management" AND "pain"

N Saoji, M Palta, H N Young, M A Moreno, V Rajamanickam, E D Cox
AIM: Families of children and adolescents with Type 1 diabetes experience self-management challenges that negatively impact diabetes control. This study assesses whether self-management challenges are also associated with quality of life (QOL) for children and adolescents with Type 1 diabetes and their parents. METHODS: Children aged 8-12 years (n = 135), adolescents aged 13-16 years (n = 132) and their parents completed QOL assessments (diabetes-specific QOL from the PedsQL Diabetes Module or the Family Impact Module, both scaled 0-100) and a validated survey of up to six self-management barriers [PRISM; scaled 1 (low) to 5 (high)]...
June 14, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
Anthony Gélis, Arnaud Dupeyron, Jean Pierre Daures, David Goossens, Dominique Gault, Jean Paul Pedelucq, Michel Enjalbert, Eric Maupas, Paul Kennedy, Charles Fattal, Sarah Mathieu, Toufik Bouchema
STUDY DESIGN: Cross-sectional psychometrics study. OBJECTIVES: To determine the construct validity and internal consistency of the revised Skin Management Needs Assessment Checklist (revised SMnac). SETTING: Six spinal cord rehabilitation centers. METHODS: One-hundred and thirty-two community-dwelling individuals with spinal cord injury (SCI) were included. Construct validity was assessed by a Spearman's rank correlation coefficient between the revised SMnac and several questionnaires: Rosenberg Self-Esteem Scale, Ways of Coping Questionnaire, Hospital Anxiety and Depression Scale (HADS), Braden scale; or clinical variables: educational level, presence of a pressure ulcer (PU), history of multiple PUs, time since injury, and pain...
June 12, 2018: Spinal Cord
Ming-Huei Lee, Huei-Ching Wu, Chien-Ming Tseng, Tsung-Liang Ko, Tang-Jun Weng, Yung-Fu Chen
OBJECTIVE: To assess effectiveness of the video-based m-health system providing videos dictated by physicians for health education and symptom self-management for patients with IC/BPS. METHODS: An m-health system was designed to provide videos for weekly health education and symptom flare self-management. O'Leary-Sant index and VAS scale as well as SF-36 health survey were administrated to evaluate the disease severity and quality of life (QoL), respectively. A total of 60 IC/BPS patients were recruited and randomly assigned to either control group (30 patients) or study group (30 patients) in sequence depending on their orders to visit our urological clinic...
June 10, 2018: Urology
Karoline Stentoft Rybjerg Larsen, Annemette Krintel Petersen, Marianne Lisby, Marie Veje Knudsen
AIMS AND OBJECTIVE: To explore patients' experiences of acute dyspnea, physical functioning, and perspectives on course of illness prior to admission to the emergency department. BACKGROUND: Many emergency admissions are considered unnecessary and avoidable. In this perspective, it seems relevant to gain insight into the patients' perspective on acute dyspnea and the need for emergency admission. However, only few studies have investigated reasons for emergency admission from a patient perspective...
June 12, 2018: Journal of Clinical Nursing
Alison Keogh, James Matthews, Deirdre A Hurley
OBJECTIVES: To investigate physiotherapist's (PTs) fidelity to 31 protocol-listed behaviour change techniques (BCTs) during a group-based self-management intervention. This study also explored the PTs delivery of these BCTs beyond the present or absent dichotomy, using a third variable, partial delivery (i.e., attempted). DESIGN: Assessment of the intervention arm of the Self-management of Osteoarthritis and Low back pain through Activity and Skills (SOLAS) cluster, randomized controlled feasibility trial, using quantitative methods...
June 10, 2018: British Journal of Health Psychology
Cindy Gauthier, Rachel Brosseau, Audrey L Hicks, Dany H Gagnon
Objectives: To investigate and compare the feasibility, safety, and preliminary effectiveness of home-based self-managed manual wheelchair high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) programs. Methods: Eleven manual wheelchair users were randomly assigned to the HIIT ( n = 6) or the MICT group ( n = 5). Both six-week programs consisted of three 40-minute propulsion training sessions per week. The HIIT group alternated between 30 s high-intensity intervals and 60 s low-intensity intervals, whereas the MICT group maintained a constant moderate intensity...
2018: Rehabilitation Research and Practice
Belinda J Lawford, Clare Delany, Kim L Bennell, Rana S Hinman
OBJECTIVES: To explore physiotherapists' perceptions before and after delivering exercise therapy via telephone for knee osteoarthritis. METHODS: A descriptive qualitative study (based on interpretivist methodology) embedded within a randomised controlled trial. All eight physiotherapists involved in the trial participated in semi-structured interviews before, and after, delivering exercise therapy to people with knee osteoarthritis via telephone. Interviews were audio recorded, transcribed verbatim, and thematically analysed...
June 8, 2018: Arthritis Care & Research
Tomi Ashaye, Natalia Hounsome, Dawn Carnes, Stephanie J C Taylor, Kate Homer, Sandra Eldridge, Anne Spencer, Anisur Rahman, Jens Foell, Martin R Underwood
OBJECTIVE: To establish the level of opioid prescribing for patients with chronic musculoskeletal pain in a sample of patients from primary care and to estimate prescription costs. DESIGN: Secondary data analyses from a two-arm pragmatic randomised controlled trial (COPERS) testing the effectiveness of group self-management course and usual care against relaxation and usual care for patients with chronic musculoskeletal pain (ISRCTN 24426731). SETTING: 25 general practices and two community musculoskeletal services in the UK (London and Midlands)...
June 6, 2018: BMJ Open
Innocent Clement, Andreas Lorenz, Bernhard Ulm, Anne Plidschun, Stephan Huber
BACKGROUND: Promising first results for Kaia, a mobile app digitalizing multidisciplinary rehabilitation for low back pain, were recently published. It remains unclear whether the implementation of user feedback in an updated version of this app leads to desired effects in terms of increased app usage and clinical outcomes. OBJECTIVE: The aim is to elucidate the effect on user retention and clinical outcomes of an updated version of the Kaia app where user feedback was included during development...
June 6, 2018: JMIR MHealth and UHealth
Aniek A O M Claassen, Henk J Schers, Sander Koëter, Willemijn H van der Laan, Keetie C A L C Kremers-van de Hei, Joris Botman, Vincent J J F Busch, Wim H C Rijnen, Cornelia H M van den Ende
BACKGROUND: Providing relevant information on disease and self-management helps patients to seek timely contact with care providers and become actively involved in their own care process. Therefore, health professionals from primary care, multiple hospitals and health organisations jointly decided to develop an educational program on osteoarthritis (OA). The objective of the present study was to determine preliminary effects of this OA educational program on healthcare utilization and clinical outcomes...
June 6, 2018: BMC Family Practice
Vinita Agarwal
AIMS: The study aim was to understand the patient description of the therapeutic relationship with their CAM provider in the context of pain self-management. BACKGROUND: Because pain is a subjective state, its assessment depends on patient perception of and response to pain. For nurses to provide empathetic and compassionate care, there is a need to explicate patient perceptions of the therapeutic relationship to (re)conceptualize models of patient-centered care...
June 5, 2018: Journal of Advanced Nursing
Haridimos Kondylakis, Angelina Kouroubali, Lefteris Koumakis, Alejandro Rivero-Rodriguez, Santiago Hors-Fraile, Dimitrios G Katehakis
Chronic pain is one of the most common health problems affecting daily activity, employment, relationships and emotional functioning. Unfortunately, limited access to pain experts, the high heterogeneity in terms of clinical manifestation and treatment results, contribute in failure to manage efficiently and effectively pain. Information and Communication Technology (ICT) can be a valuable tool, enabling better self-management and self-empowerment of pain. To this direction, this paper reports on the design of a novel technical infrastructure for chronic pain self-management based on an Intelligent Personal Health Record (PHR) platform...
2018: Studies in Health Technology and Informatics
Stefan Elbers, Harriët Wittink, Jan J M Pool, Rob J E M Smeets
BACKGROUND: Generic self-management programs aim to facilitate behavioural adjustment and therefore have considerable potential for patients with chronic musculoskeletal pain OBJECTIVE: Our main objective was to collect and synthesize all data on the effectiveness of generic self-management interventions for patients with chronic musculoskeletal pain in terms of physical function, self-efficacy, pain intensity and physical activity. Our secondary objective was to describe the content of these interventions, by means of classification according to the Behaviour Change Technique Taxonomy...
May 30, 2018: European Journal of Pain: EJP
Mary E Cooley, Janet L Abrahm, Donna L Berry, Michael S Rabin, Ilana M Braun, Joanna Paladino, Manan M Nayak, David F Lobach
BACKGROUND: It is essential that cancer patients understand anticipated symptoms, how to self-manage these symptoms, and when to call their clinicians. However, patients are often ill-prepared to manage symptoms at home. Clinical decision support (CDS) is a potentially innovative way to provide information to patients where and when they need it. The purpose of this project was to design and evaluate a simulated model of an algorithm-based CDS program for self-management of cancer symptoms...
May 29, 2018: BMC Medical Informatics and Decision Making
Karen Meneses, Silvia Gisiger-Camata, Rachel Benz, Dheeraj Raju, Jennifer R Bail, Tanya J Benitez, Dorothy Pekmezi, Patrick McNees
AIM: This study was a pilot test of the Latina Breast Cancer Survivorship Intervention, a survivorship self-management intervention delivered via telephone. MATERIALS AND METHODS: This study used a wait-list control design with random assignment to either (1) support and early education or (2) support and delayed education. Latina breast cancer survivors were recruited through the Florida Cancer Data System Registry. Latinas with stage I-III breast cancer who completed primary cancer treatment 3 years prior to study enrollment were eligible...
January 2018: Women's Health
Katie L Crockett, Richard Bourassa, Tyler Friesen
BACKGROUND: Temporomandibular dysfunction involving anterior disc derangement with or without reduction, secondary to posterior ligament insufficiency is typically managed conservatively with success in a majority of patients. When conservative management fails, the next step in the continuum of care is unclear. Platelet-rich plasma injection combined with a 3-week immobilization period may be effective in treating posterior ligament insufficiency following a period of physical therapy...
May 27, 2018: Journal of Medical Case Reports
Rebecca Simm, Chris Barker
1. This article aims to provide a long-term update 2 years on from our initial paper and summarises service evaluation data collected from 21 pain management programmes, using a solution-focused approach in a community pain service. 2. An examination of the larger baseline and subsequent follow-up data suggests an improvement in participants' function, pain self-efficacy and mental well-being following CPS PMP, and corroborates the findings of the earlier dataset. 3. Additional findings suggest that CPS PMP may help pain interfere less in participants' lives (post-PMP and at 10-week follow-up) and that improvements in mental well-being and self-efficacy are maintained on a long-term basis (at 6- and 12-month follow-up)...
May 2018: British Journal of Pain
Joanna K Anderson, Louise M Wallace
In the United Kingdom, chronic pain affects approximately 28 million adults, creating significant healthcare and socio-economic costs. The aim was to establish whether a programme designed to use best evidence of content and delivery will be used by patients with significant musculoskeletal pain problems. Of 528 patients recruited, 376 participated in a 7-week-long group-based self-management programme (SMP) co-delivered by clinical and lay tutors. Of these, 308 patients (mean age, 53 years; 69% females, 94% White) completed at least five SMP sessions...
May 2018: British Journal of Pain
Manasi M Mittinty, Simon Vanlint, Nigel Stocks, Murthy N Mittinty, G Lorimer Moseley
BACKGROUND AND AIMS: Chronic pain affects an estimated 1 in 10 adults globally regardless of age, gender, ethnicity, income or geography. Chronic pain, a multifactorial problem requires multiple interventions. One intervention which demonstrates promising results to patient reported outcomes is pain education. However, patient perspective on pain education and its impact remains fairly unknown. A cross-sectional study involving individuals with chronic pain examined their perspectives on pain education; did it change their understanding about their pain and self-management and did it have any impact on their perceived pain intensity and recovery...
April 25, 2018: Scandinavian Journal of Pain
Samantha M Meints, Catherine Mosher, Kevin L Rand, Leslie Ashburn-Nardo, Adam T Hirsh
BACKGROUND AND AIMS: Compared to White individuals, Black individuals demonstrate a lower pain tolerance. Research suggests that differences in pain coping strategies, such as prayer, may mediate this race difference. However, previous research has been cross-sectional and has not determined whether prayer in and of itself or rather the passive nature of prayer is driving the effects on pain tolerance. The aim of this study was to clarify the relationships among race, prayer (both active and passive), and pain tolerance...
May 3, 2018: Scandinavian Journal of Pain
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