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"Self-management" AND "pain"

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https://www.readbyqxmd.com/read/29665829/effect-of-a-low-intensity-self-management-lifestyle-intervention-on-knee-pain-in-community-based-young-to-middle-aged-rural-women-a-cluster-randomised-controlled-trial
#1
Yuanyuan Wang, Catherine Lombard, Sultana Monira Hussain, Cheryce Harrison, Samantha Kozica, Sharmayne R E Brady, Helena Teede, Flavia M Cicuttini
BACKGROUND: Knee pain is common with obesity and weight gain being important risk factors. Previous clinical trials have focused on overweight or obese adults with knee pain and osteoarthritis and demonstrated modest effects of intense weight loss programs on reducing knee pain despite very significant weight loss. There has been no lifestyle intervention that targets community-based adults to test its effect on prevention of knee pain. We aimed to determine the effect of a simple low-intensity self-management lifestyle intervention (HeLP-her), proven in randomised controlled trials to improve lifestyle and prevent weight gain, on knee pain in community-based young to middle-aged rural women...
April 17, 2018: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/29662720/role-of-active-versus-passive-complementary-and-integrative-health-approaches-in-pain-management
#2
David Cosio, Erica Lin
Background: A general conclusion about the treatment of chronic, noncancer pain is that the results from traditional, passive modalities are disheartening. Perhaps this may be due to the propensity of patients to seek out passive versus active treatments. In pain management, active treatments should be the primary focus, with passive interventions as an adjunct. Objective: The current study tested the hypotheses that Veterans would report a greater significant increase in active versus transitional and active versus passive complementary and integrative health (CIH) utilization after completing a formal pain education program...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://www.readbyqxmd.com/read/29661704/becoming-an-ecoach-training-therapists-in-online-cognitive-behavioral-therapy-for-chronic-pain
#3
Jessy A Terpstra, Rosalie van der Vaart, Saskia Spillekom-van Koulil, Arno van Dam, Judith G M Rosmalen, Hans Knoop, Henriët van Middendorp, Andrea W M Evers
OBJECTIVE: Online cognitive-behavioral therapy (iCBT) is effective in supporting patients' self-management. Since iCBT differs from face-to-face CBT on several levels, proper training of therapists is essential. This paper describes the development and evaluation of a therapist training based on theoretical domains that are known to influence implementation behavior, for an iCBT for chronic pain. METHODS: The training consists of 1.5 days and covers the implementation domains "knowledge", "skills", "motivation", and "organization", by focusing on the therapy's rationale, iCBT skills, and implementation strategies...
April 7, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29657352/experience-of-sleep-disruption-in-primary-sj%C3%A3-gren-s-syndrome-a-focus-group-study
#4
Katie L Hackett, Vincent Deary, Katherine Ho Deane, Julia L Newton, Wan-Fai Ng, Tim Rapley
Introduction: Primary Sjögren's syndrome is the third most common systemic autoimmune rheumatic disease, following rheumatoid arthritis and systemic lupus erythematosus, and results in dryness, fatigue, discomfort and sleep disturbances. Sleep is relatively unexplored in primary Sjögren's syndrome. We investigated the experiences of sleep disturbances from the viewpoint of primary Sjögren's syndrome patients and their partners and explored the acceptability of cognitive behavioural therapy for insomnia...
April 2018: British Journal of Occupational Therapy
https://www.readbyqxmd.com/read/29614943/primary-care-management-of-non-specific-low-back-pain-key-messages-from-recent-clinical-guidelines
#5
Matheus Almeida, Bruno Saragiotto, Bethan Richards, Chris G Maher
Research in the past decade supports some major changes to the primary care management of non-specific low back pain (LBP). The present article summarises recommendations from recently published United Kingdom, Danish, Belgian and United States guidelines to alert readers to the important changes in recommendations for management, and the recommendations from previous guidelines that remain unchanged. Main recommendations: Use a clinical assessment to triage patients with LBP. Further diagnostic workup is only required for the small number of patients with suspected serious pathology...
April 2, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29610108/preferences-for-web-based-information-material-for-low-back-pain-qualitative-interview-study-on-people-consulting-a-general-practitioner
#6
Allan Riis, Ditte Meulengracht Hjelmager, Line Dausel Vinther, Michael Skovdal Rathleff, Jan Hartvigsen, Martin Bach Jensen
BACKGROUND: Information on self-management, including addressing people's fears and concerns, are core aspects of managing patients with low back pain (LBP). Web apps with patient information may be used to extend patient-physician consultations and encourage self-management outside of the consultation room. It is, however, important to identify the end users' needs and preferences in order to maximize acceptance. OBJECTIVE: The aim of this study was to identify preferences for the content, design, and functionality of a Web app with evidence-based information and advice for people with LBP in Denmark...
April 2, 2018: JMIR Rehabilitation and Assistive Technologies
https://www.readbyqxmd.com/read/29607378/symptoms-experienced-and-information-needs-of-women-receiving-chemotherapy
#7
Neşe Uysal, Filiz Ünal Toprak, Sevinç Kutlutsürkan, Ayten Şentürk Erenel
Objective: This study is carried out to determine the symptoms and information necessity on chemotherapy (CT) treatment of the women with breast cancer. Methods: A total of 170 women older than 18 years old, who receive CT with breast cancer diagnosis, are volunteered to participate in the study. Mixed method was used in the study. Data are collected using Descriptive Data Form, Interview Form and Memorial Symptom Assessment Scale. Results: As a result of the cluster analysis, four clusters and the symptoms within have been obtained...
April 2018: Asia-Pacific Journal of Oncology Nursing
https://www.readbyqxmd.com/read/29606335/spinal-manipulative-therapy-and-other-conservative-treatments-for-low-back-pain-a-guideline-from-the-canadian-chiropractic-guideline-initiative
#8
André E Bussières, Gregory Stewart, Fadi Al-Zoubi, Philip Decina, Martin Descarreaux, Danielle Haskett, Cesar Hincapié, Isabelle Pagé, Steven Passmore, John Srbely, Maja Stupar, Joel Weisberg, Joseph Ornelas
OBJECTIVE: The objective of this study was to develop a clinical practice guideline on the management of acute and chronic low back pain (LBP) in adults. The aim was to develop a guideline to provide best practice recommendations on the initial assessment and monitoring of people with low back pain and address the use of spinal manipulation therapy (SMT) compared with other commonly used conservative treatments. METHODS: The topic areas were chosen based on an Agency for Healthcare Research and Quality comparative effectiveness review, specific to spinal manipulation as a nonpharmacological intervention...
March 29, 2018: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/29605691/a-controlled-pilot-trial-of-paintracker-self-manager-a-web-based-platform-combined-with-patient-coaching-to-support-patients-self-management-of-chronic-pain
#9
Mark Sullivan, Dale J Langford, Pamela Stitzlein Davies, Christine Tran, Roger Vilardaga, Gifford Cheung, Daisy Yoo, Justin McReynolds, William B Lober, David Tauben, Kevin E Vowles
The objective of this study was to develop and pilot test a chronic pain empowerment and self-management platform, derived from Acceptance and Commitment Therapy (ACT) in a pain specialty setting. A controlled, sequential, non-randomized study design was used to accommodate intervention development and to test the efficacy of the PainTracker Self-Manager intervention (web-based educational modules and outcome tracking combined with tailored patient coaching sessions and provider guidance). Generalized estimating equations (GEE) evaluated changes over time (baseline, 3 months, 6 months) in pain self-efficacy (primary outcome), chronic pain acceptance (activity engagement and pain willingness), perceived efficacy in patient-provider interactions, pain intensity and interference, and overall satisfaction with pain treatment (secondary outcomes) between intervention (n=48) and usual care control groups (n=51)...
March 29, 2018: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29598988/-in-this-together-social-identification-predicts-health-outcomes-via-self-efficacy-in-a-chronic-disease-self-management-program
#10
James E Cameron, Jennifer Voth, Susan B Jaglal, Sara J T Guilcher, Gillian Hawker, Nancy M Salbach
RATIONALE: Self-management programs are an established approach to helping people cope with the challenges of chronic disease, but the psychological mechanisms underlying their effectiveness are not fully understood. A key assumption of self-management interventions is that enhancing people's self-efficacy (e.g., via the development of relevant skills and behaviours) encourages adaptive health-related behaviors and improved health outcomes. However, the group-based nature of the programs allows for the possibility that identification with other program members is itself a social psychological platform for positive changes in illness-related confidence (i...
March 5, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29592802/physiotherapists-views-of-implementing-a-stratified-treatment-approach-for-patients-with-low-back-pain-in-germany-a-qualitative-study
#11
Sven Karstens, Pauline Kuithan, Stefanie Joos, Jonathan C Hill, Michel Wensing, Jost Steinhäuser, Katja Krug, Joachim Szecsenyi
BACKGROUND: The STarT-Back-Approach (STarT: Subgroups for Targeted Treatment) was developed in the UK and has demonstrated clinical and cost effectiveness. Based on the results of a brief questionnaire, patients with low back pain are stratified into three treatment groups. Since the organisation of physiotherapy differs between Germany and the UK, the aim of this study is to explore German physiotherapists' views and perceptions about implementing the STarT-Back-Approach. METHODS: Three two-hour think-tank workshops with physiotherapists were conducted...
March 27, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29589820/text-messaging-to-improve-disease-management-in-patients-with-painful-diabetic-peripheral-neuropathy
#12
Victoria Bauer, Nancy Goodman, Brittany Lapin, Camille Cooley, Ed Wang, Terri L Craig, Scott E Glosner, Mark S Juhn, Joseph C Cappelleri, Alesia B Sadosky, Christopher Masi
Purpose The purpose of the study was to determine the impact of educational text messages on diabetes self-management activities and outcomes in patients with painful diabetic peripheral neuropathy (pDPN). Methods Patients with pDPN identified from a large integrated health system who agreed to participate were randomized to 6 months of usual care (UC) or UC plus twice-daily diabetes self-management text messages (UC+TxtM). Outcomes included the Pain Numerical Rating Scale, Summary of Diabetes Self-Care Activities (SDSCA), questions on diabetes health beliefs, and glycated hemoglobin (A1C)...
March 1, 2018: Diabetes Educator
https://www.readbyqxmd.com/read/29575635/biomarkers-as-common-data-elements-for-symptom-and-self-management-science
#13
Gayle G Page, Elizabeth J Corwin, Susan G Dorsey, Nancy S Redeker, Donna Jo McCloskey, Joan K Austin, Barbara J Guthrie, Shirley M Moore, Debra Barton, Miyong T Kim, Sharron L Docherty, Drenna Waldrop-Valverde, Donald E Bailey, Rachel F Schiffman, Angela Starkweather, Teresa M Ward, Suzanne Bakken, Kathleen T Hickey, Cynthia L Renn, Patricia Grady
PURPOSE: Biomarkers as common data elements (CDEs) are important for the characterization of biobehavioral symptoms given that once a biologic moderator or mediator is identified, biologically based strategies can be investigated for treatment efforts. Just as a symptom inventory reflects a symptom experience, a biomarker is an indicator of the symptom, though not the symptom per se. The purposes of this position paper are to (a) identify a "minimum set" of biomarkers for consideration as CDEs in symptom and self-management science, specifically biochemical biomarkers; (b) evaluate the benefits and limitations of such a limited array of biomarkers with implications for symptom science; (c) propose a strategy for the collection of the endorsed minimum set of biologic samples to be employed as CDEs for symptom science; and (d) conceptualize this minimum set of biomarkers consistent with National Institute of Nursing Research (NINR) symptoms of fatigue, depression, cognition, pain, and sleep disturbance...
March 25, 2018: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/29575485/impact-of-a-fatigue-management-in-work-programme-on-meeting-work-demands-of-individuals-with-rheumatic-diseases-a-pilot-study
#14
Róisín C McCormack, Finbar O'Shea, Michele Doran, Deirdre Connolly
INTRODUCTION: Work disability and job loss are serious consequences of rheumatic diseases (RDs), and fatigue is a symptom of RDs commonly reported to have an impact on work performance. A FAtigue ManagEment in Work (FAME-W) programme was developed to facilitate the self-management of fatigue in work. The present pilot study explored if FAME-W could facilitate individuals with RDs to manage fatigue in work and improve their ability to meet work demands. METHODS: Twenty-seven individuals with a variety of rheumatic diagnoses completed a 4-week, 2-h occupational therapy-led self-management programme...
March 25, 2018: Musculoskeletal Care
https://www.readbyqxmd.com/read/29573872/prevention-and-treatment-of-low-back-pain-evidence-challenges-and-promising-directions
#15
REVIEW
Nadine E Foster, Johannes R Anema, Dan Cherkin, Roger Chou, Steven P Cohen, Douglas P Gross, Paulo H Ferreira, Julie M Fritz, Bart W Koes, Wilco Peul, Judith A Turner, Chris G Maher
Many clinical practice guidelines recommend similar approaches for the assessment and management of low back pain. Recommendations include use of a biopsychosocial framework to guide management with initial non-pharmacological treatment, including education that supports self-management and resumption of normal activities and exercise, and psychological programmes for those with persistent symptoms. Guidelines recommend prudent use of medication, imaging, and surgery. The recommendations are based on trials almost exclusively from high-income countries, focused mainly on treatments rather than on prevention, with limited data for cost-effectiveness...
March 20, 2018: Lancet
https://www.readbyqxmd.com/read/29572400/improving-the-management-of-pain-from-advanced-cancer-in-the-community-study-protocol-for-a-pragmatic-multicentre-randomised-controlled-trial
#16
Matthew J Allsop, Alexandra Wright-Hughes, Kath Black, Suzanne Hartley, Marie Fletcher, Lucy E Ziegler, Bridgette M Bewick, David Meads, Nicholas D Hughes, S José Closs, Claire Hulme, Sally Taylor, Kate Flemming, Julia Hackett, John L O'Dwyer, Julia M Brown, Michael I Bennett
INTRODUCTION: For patients with advanced cancer, research shows that pain is frequent, burdensome and undertreated. Evidence-based approaches to support cancer pain management have been developed but have not been implemented within the context of the UK National Health Service. This protocol is for a pragmatic multicentre randomised controlled trial (RCT) to assess feasibility, acceptability, effectiveness and cost-effectiveness for a multicomponent intervention for pain management in patients with advanced cancer...
March 22, 2018: BMJ Open
https://www.readbyqxmd.com/read/29554031/care-scale-7-development-and-preliminary-validation-of-a-measure-to-assess-factors-impacting-self-care-in-chronic-pain
#17
Maisa Ziadni, Dokyoung Sophia You, Anna C Wilson, Beth D Darnall
OBJECTIVES: Social and interpersonal factors may impact chronic pain self-care and self-management; however, no integrated measure exists to assess the interplay of these factors. We developed and tested a measure designed to assess salient interpersonal factors, including relationship guilt and worry, and difficulty prioritizing self-care in chronic pain. METHODS: We tested self-report items broadly relevant to locus of care, limit-setting capacity, and worry/guilt about relationships in 3 discrete chronic pain samples (total N=1,452): (1) online sample of chronic pain clinic patients (N=729; 21 candidate CARE items, sociodemographics, and measures of psychological and physical functioning)...
March 16, 2018: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29543787/geographic-variations-in-arthritis-prevalence-health-related-characteristics-and-management-united-states-2015
#18
Kamil E Barbour, Susan Moss, Janet B Croft, Charles G Helmick, Kristina A Theis, Teresa J Brady, Louise B Murphy, Jennifer M Hootman, Kurt J Greenlund, Hua Lu, Yan Wang
PROBLEM/CONDITION: Doctor-diagnosed arthritis is a common chronic condition affecting an estimated 23% (54 million) of adults in the United States, greatly influencing quality of life and costing approximately $300 billion annually. The geographic variations in arthritis prevalence, health-related characteristics, and management among states and territories are unknown. Therefore, public health professionals need to understand arthritis in their areas to target dissemination of evidence-based interventions that reduce arthritis morbidity...
March 16, 2018: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
https://www.readbyqxmd.com/read/29525768/using-an-internet-intervention-to-support-self-management-of-low-back-pain-in-primary-care-findings-from-a-randomised-controlled-feasibility-trial-supportback
#19
Adam W A Geraghty, Rosie Stanford, Beth Stuart, Paul Little, Lisa C Roberts, Nadine E Foster, Jonathan C Hill, Elaine M Hay, David Turner, Wansida Malakan, Linda Leigh, Lucy Yardley
OBJECTIVE: To determine the feasibility of a randomised controlled trial of an internet intervention for low back pain (LBP) using three arms: (1) usual care, (2) usual care plus an internet intervention or (3) usual care plus an internet intervention with additional physiotherapist telephone support. DESIGN AND SETTING: A three-armed randomised controlled feasibility trial conducted in 12 general practices in England. PARTICIPANTS: Primary care patients aged over 18 years, with current LBP, access to the internet and without indicators of serious spinal pathology or systemic illness...
March 9, 2018: BMJ Open
https://www.readbyqxmd.com/read/29505700/the-association-between-patient-professional-partnerships-and-self-management-of-chronic-back-pain-a-mixed-methods-study
#20
Y Fu, G Yu, E McNichol, K Marczewski, S J Closs
BACKGROUND: Self-management is recommended for patients with chronic back pain. Health professionals' support for self-management can be more effective when working in partnership with patients. The aim of this study was to investigate the associations between patient-professional partnerships and the self-management of chronic back pain. METHODS: An explanatory sequential mixed methods study was undertaken. Adults with chronic back pain referred to pain management clinics participated at baseline and three-month follow-up...
March 5, 2018: European Journal of Pain: EJP
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