How people with persistent pain experience in-person physiotherapy blended with biopsychosocial digital health - A qualitative study on participants' experiences with Back2Action

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2024-02-28 DOI:10.1016/j.invent.2024.100731

E.Y. Poolman , L. Vorstermans , M.H. Donker , L. Bijker , M.W. Coppieters , P. Cuijpers , G.G.M. Scholten-Peeters , L.M. de Wit

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Abstract

Background

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.

Methods

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.

Results

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.

Conclusion

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.

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持续性疼痛患者如何体验与生物心理社会学数字健康相结合的面对面物理治疗--关于 "Back2Action "参与者体验的定性研究

背景一项名为 "Back2Action "的混合干预措施由面对面物理治疗和以心理为基础的数字医疗组成，旨在优化脊柱持续性疼痛患者的管理，这些患者还存在与持续性疼痛的发展或维持相关的社会心理风险因素。本研究旨在深入了解参与者是如何体验这一混合干预措施的。研究对象包括 11 名在随机临床试验中接受混合干预的持续性非特异性脊柱疼痛患者。所有访谈均由两名研究人员独立记录、逐字转录和分析。结果分析确定了四个主题：（1）体验到对自身身心健康之间关系的更好理解；（2）物理治疗师积极参与生物-心理-社会混合护理的重要性，描述了物理治疗师在支持参与者方面的关键作用；（3）欣赏数字健康，以更好地理解持续性疼痛并做出有意义的生活方式改变；以及（4）考验和胜利，揭示了更好的应对等收获，但也揭示了将改变落实为长期常规所面临的挑战。结论混合干预的参与者在思想和行为上都经历了积极的变化，这突出了混合干预作为疼痛管理中一种更全面治疗方法的可行性和可接受性。个人在接受以心理为基础的数字医疗方面的偏好不同，这为在循证实践中实施混合式生物-心理-社会护理带来了挑战。

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions