mdh.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Exploring indicators for pain rehabilitation: A Delphi study using a multidisciplinary expert panel
Mälardalen University, School of Health, Care and Social Welfare.
Mälardalen University, School of Health, Care and Social Welfare.
Mälardalen University, School of Health, Care and Social Welfare.ORCID iD: 0000-0002-0510-2458
2009 (English)In: Musculoskeltal Care, ISSN 1478-2189, Vol. 7, no 4, p. 227-242Article in journal (Refereed) Published
Abstract [en]

 Objective: Lack of referral guidelines can cause delayed or even nonexistent rehabilitation for chronic pain patients. Indicators signalling the need for interventions could counteract this delay for pain rehabilitation and thereby prevent deteriorating patient health. This study aimed to explore the indicators of need for pain rehabilitation using a multidisciplinary expert panel working with pain rehabilitation. 

Methods: A three-round Delphi study was conducted with a multidisciplinary expert panel (n=23), each representing one pain rehabilitation unit in Sweden. The expert panel produced indicators, which were then ranked using a four-point Likert scale. 

Results: Twenty multifaceted indicators for pain rehabilitation were identified. A major part concerned patient problems with activity level, catastrophizing, coping, existential problems, fear avoidance, high pain rating, medication, mental health, motivation, no pain relief, pain spread/increase, psychosocial problems combined with activity problems, psychosocial problems, recovery, and reduced physical function. Furthermore, indicators concerned demographic factors, sick leave, situation in primary health care, and work. Finally, tacit knowledge was pointed out as an indicator. The results support previous research but also bring out less quantifiable indicators, such as relying on tacit knowledge while assessing a patient’s need for rehabilitation.

Conclusion: The indicators for pain rehabilitation were comprehensive, pointing out that needs assessment is complex. Despite reaching consensus on 19 out of 20 indicators, further research is needed to deepen knowledge in this area and to secure a fair assessment of a patient’s need for pain rehabilitation.

 

Place, publisher, year, edition, pages
John Wiley & Sons , 2009. Vol. 7, no 4, p. 227-242
Keywords [en]
Chronic pain, Delphi, assessment, pain rehabilitation
National Category
Nursing
Identifiers
URN: urn:nbn:se:mdh:diva-5800DOI: 10.1002/msc.154Scopus ID: 2-s2.0-70849095969OAI: oai:DiVA.org:mdh-5800DiVA, id: diva2:214144
Available from: 2009-05-04 Created: 2009-05-04 Last updated: 2014-01-10Bibliographically approved
In thesis
1. Patients' needs regarding chronic pain rehabilitation and management
Open this publication in new window or tab >>Patients' needs regarding chronic pain rehabilitation and management
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Stockholm: Karolinska Institutet, 2010
Identifiers
urn:nbn:se:mdh:diva-11890 (URN)978-91-7457-147-9 (ISBN)
Public defence
2010-12-10, Danderyds Sjukhus, Stockholm, 11:11 (Swedish)
Opponent
Supervisors
Available from: 2011-02-28 Created: 2011-02-28 Last updated: 2014-01-10Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textScopus

Authority records BETA

Müllersdorf, Maria

Search in DiVA

By author/editor
Skjutar, ÅsaChristensson, KyllikeMüllersdorf, Maria
By organisation
School of Health, Care and Social Welfare
Nursing

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 79 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf