Reframing pain care: An equity lens on psychosocial and behavioural interventions

Abstract

This review critically examines psychosocial and behavioural interventions for chronic pain through an equity lens. We interrogate relevant literature drawing on three key organising principles; justice, access, and knowledge, to illustrate systemic inequities in pain interventions. Current approaches often overlook the social dimensions of pain, perpetuating disparities rather than addressing them. We argue for a justice-centred perspective that recognises epistemic injustice and the need for inclusive practices in intervention development and service delivery. By integrating diverse methodologies and amplifying marginalised voices, we can create more effective and equitable treatments, ultimately improving outcomes for those disproportionately affected by chronic pain.