Development of a pain self-management intervention framework for people with spinal cord injury

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dc.contributor.author Mashola, Mokgadi Kholofelo
dc.contributor.author Korkie, Elzette
dc.contributor.author Mothabeng, Diphale Joyce
dc.date.accessioned 2024-03-08T04:16:14Z
dc.date.available 2024-03-08T04:16:14Z
dc.date.issued 2023-10-26
dc.description DATA AVAILABILITY : The data that support the findings of this study are available from the corresponding author upon reasonable request. en_US
dc.description.abstract BACKGROUND : Pain is the most common reason for medical visits to primary health care practitioners. Pain self-management interventions are encouraged and there is no known self-management intervention framework available that clinicians and people with spinal cord injury (PWSCI) can use to guide treatment selection. AIM : This study aimed to develop a pain self-management intervention framework for PWSCI. SETTING : Online and facilitated in Gauteng, South Africa. METHODS : A three-round modified e-Delphi method was used to reach an 80% consensus among a 21-expert panel. Fifty-nine interventions were distributed via REDCap and a final online audio meeting was held to either include or exclude interventions in the final framework. SPSS v27 was used to analyse descriptive data and content analysis was used for qualitative responses. RESULTS : The final developed pain self-management framework consists of 56 interventions and includes interventions from multiple health professions to encompass medical, psychological, therapeutic and social interventions. Interventions are also specified for nociceptive and/or neuropathic pain and grouped according to the biopsychosocial model. CONCLUSION : The interprofessional framework may be used as a guideline for PWSCI to alleviate pain, as well as assist health professionals in clinical decision-making, by providing them with the freedom to choose acceptable and adequate interventions that may be appropriate to treat the affected individual’s pain. CONTRIBUTION : Pain management is a basic need at the primary healthcare level and PWSCI need access to the broad range of interventions available to manage their pain. The framework highlights the variety of appropriate interventions to guide both health professionals and PWSCI with pain relief options. en_US
dc.description.department Physiotherapy en_US
dc.description.librarian am2024 en_US
dc.description.sdg SDG-03:Good heatlh and well-being en_US
dc.description.uri http://www.phcfm.org en_US
dc.identifier.citation Mashola MK, Korkie E, Mothabeng DJ. Development of a pain self-management intervention framework for people with spinal cord injury, Afr J Prm Health Care Fam Med. 2023;15(1), a4039. https://DOI.org/10.4102/phcfm.v15i1.4039. en_US
dc.identifier.issn 2071-2928 (print)
dc.identifier.issn 2071-2936 (online)
dc.identifier.other 10.4102/phcfm.v15i1.4039
dc.identifier.uri http://hdl.handle.net/2263/95098
dc.language.iso en en_US
dc.publisher AOSIS en_US
dc.rights © 2023. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. en_US
dc.subject Modified e-Delphi en_US
dc.subject Pain en_US
dc.subject Self-management en_US
dc.subject Treatment en_US
dc.subject Spinal cord injury (SCI) en_US
dc.subject People with spinal cord injury (PWSCI) en_US
dc.subject SDG-03: Good health and well-being en_US
dc.title Development of a pain self-management intervention framework for people with spinal cord injury en_US
dc.type Article en_US


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