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British pain clinic practitioners' recognition and use of the bio-psychosocial pain management model for patients when physical interventions are ineffective or inappropriate : results of a qualitative study

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Harding, Geoffrey, Campbell, John, Parsons, Suzanne, Anisur, Anisur and Underwood, M. (Martin) M.D.. (2010) British pain clinic practitioners' recognition and use of the bio-psychosocial pain management model for patients when physical interventions are ineffective or inappropriate : results of a qualitative study. BMC Musculoskeletal Disorders, Vol.11 . Article 51. ISSN 1471-2474

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Official URL: http://dx.doi.org/10.1186/1471-2474-11-51

Abstract

Background To explore how chronic musculoskeletal pain is managed in multidisciplinary pain clinics for patients for whom physical interventions are inappropriate or ineffective. Methods A qualitative study was undertaken using semi-structured interviews with twenty five members of the pain management team drawn from seven pain clinics and one pain management unit located across the UK. Results All clinics reported using a multidisciplinary bio-psychosocial model. However the chronic pain management strategy actually focussed on psychological approaches in preference to physical approaches. These approaches were utilised by all practitioners irrespective of their discipline. Consideration of social elements such as access to social support networks to support patients in managing their chronic pain was conspicuously absent from the approaches used. Conclusion Pain clinic practitioners readily embraced cognitive/behavioural based management strategies but relatively little consideration to the impact social factors played in managing chronic pain was reported. Consequently multidisciplinary pain clinics espousing a bio-psychosocial model of pain management may not be achieving their maximum potential.

Item Type:	Journal Article
Subjects:	R Medicine > RB Pathology
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Musculoskeletal system, Pain clinics -- Great Britain, Chronic pain -- Treatment -- Great Britain, Chronic pain -- Psychological aspects
Journal or Publication Title:	BMC Musculoskeletal Disorders
Publisher:	BioMed Central Ltd.
ISSN:	1471-2474
Date:	18 March 2010
Volume:	Vol.11
Page Range:	Article 51
Identification Number:	10.1186/1471-2474-11-51
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access
Funder:	Arthritis Research UK
Grant number:	17307 (Arthritis Research)
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URI:	http://wrap.warwick.ac.uk/id/eprint/3858