Satisfaction and perception of chronic pain patients about an online and face-to-face pain neuroscience education program: cross-sectional study
Satisfação e percepção de indivíduos com dor crônica sobre um programa de educação em neurociência da dor online e presencial: estudo observacional transversal
Larissa Turco de-Góes; Pedro Augusto Clemente; Larissa Lohse da-Silva; Christiane Riedi Daniel; Sibele de Andrade Melo Knaut; Marina Pegoraro Baroni
Abstract
BACKGROUND AND OBJECTIVES: The complexity of chronic musculoskeletal pain requires the need to know the treatment strategies from the perspective of the service user. The objective of this study was to analyze the satisfaction and perception of individuals with chronic musculoskeletal pain participating in a pain neuroscience education program in the online and face-to-face modalities.
METHODS: This is a cross-sectional observational study, composed of 26 participants, of which 13 individuals participated in 10 meetings of face-to-face pain education (FG), and the other 13 in the online modality (OG). The satisfaction assessment consisted of 10 questions from the MedRisk Instrument for Measuring Patient Satisfaction With Physical Therapy Care, and the perception assessment was obtained by means of seven questions developed by the researchers, specific about the pain education program. For statistical analysis, Mann-Whitney and Chi-square tests, Biostat software and significance level (0.05) were used.
RESULTS: Of the 17 questions, there was a difference between the groups in only 5 questions. The FG reported greater satisfaction and perception in the questions of “explanation about the treatment received” (Chi2=6.19; p=0.05), “ways to avoid future problems” (Chi2=4.727; p=0.03), “return to future services” (Chi2=4.727; p=0.03), “relationship with other people” (10 vs 8; p=0.03) and “increased level of physical activity” (9 vs 8; p=0.03).
CONCLUSION: There was good satisfaction and perception of individuals with chronic musculoskeletal pain participating in a pain neuroscience education program both in the online and face-to-face modality. Some differences were observed between both, especially in issues that seem to involve face-to-face contact with a professional, with more positive results in the FG.
Keywords
Resumo
JUSTIFICATIVA E OBJETIVOS: A complexidade da dor musculoesquelética crônica exige a necessidade de conhecer as estratégias de tratamento sob a perspectiva do usuário do serviço. O objetivo deste estudo foi analisar a satisfação e a percepção de indivíduos com dor musculoesquelética crônica sobre um programa de educação em neurociência dor nas modalidades online e presencial.
MÉTODOS: Trata-se de um estudo observacional do tipo transversal, composto por 26 participantes, dos quais 13 indivíduos participaram de 10 encontros de educação em dor presencial (GP), e os outros 13 na modalidade online (GO). A avaliação da satisfação consistiu em 10 questões do MedRisk Instrument for Measuring Patient Satisfaction With Physical Therapy Care, e a avaliação da percepção foi obtida por meio de sete perguntas desenvolvidas pelos pesquisadores, específicas sobre o programa de educação em dor. Para análise estatística, foram utilizados os testes de Mann-Whitney e Qui-quadrado, software Biostat e nível de significância ≤0,05.
RESULTADOS: Das 17 questões, houve diferença entre os grupos apenas em 5 questões. O GP relatou maior satisfação e percepção nas questões que se referem a “explicação sobre o tratamento recebido” (Qui2=6,19; p=0,05), “formas de evitar futuros problemas” (Qui2=4,727; p=0,03), “retorno para futuros serviços” (Qui2=4,727; p=0,03), “relacionamento com outras pessoas” (10 vs 8; p=0,03) e “aumento do nível de atividade física” (9 vs 8; p=0,03).
CONCLUSÃO: Indivíduos com dor musculoesquelética crônica mostraram boa satisfação e percepção de um programa de educação em neurociência da dor tanto na modalidade online quanto na presencial. Algumas diferenças foram observadas entre ambas, sobretudo nas questões que parecem envolver contato face-a-face com um profissional, com resultados mais positivos quando o programa é oferecido de forma presencial.
Palavras-chave
References
1 Janevic MR, McLaughlin SJ, Heapy AA, Thacker C, Piette JD. Racial and socioeconomic disparities in disabling chronic pain: findings from the health and retirement study. J Pain. 2017;18(12):1459-67.
2 Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, Keefe FJ, Mogil JS, Ringkamp M, Sluka KA, Song XJ, Stevens B, Sullivan MD, Tutelman PR, Ushida T, Vader K. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020;161(9):1976-82.
3 DeSantana JM, Perissinotti DM, Oliveira Junior JO, Correia LM, Oliveira CM, Fonseca PR. Tradução para a língua portuguesa da definição revisada de dor pela Sociedade Brasileira para o Estudo da Dor. BrJP. 2020;3(3):197-8.
4 Rahavard BB, Candido KD, Knezevic NN. Different pain responses to chronic and acute pain in various ethnic/racial groups. Pain Manag. 2017;7(5):427-53.
5 IsHak WW, Wen RY, Naghdechi L, Vanle B, Dang J, Knosp M, Dascal J, Marcia L, Gohar Y, Eskander L, Yadegar J, Hanna S, Sadek A, Aguilar-Hernandez L, Danovitch I, Louy C. Pain and depression: a systematic review. Harv Rev Psychiatry. 2018;26(6):352-63.
6 Howarth A, Riaz M, Perkins-Porras L, Smith JG, Subramaniam J, Copland C, Hurley M, Beith I, Ussher M. Pilot randomised controlled trial of a brief mindfulness-based intervention for those with persistent pain. J Behav Med. 2019;42(6):999-1014.
7 Wijma AJ, van Wilgen CP, Meeus M, Nijs J. Clinical biopsychosocial physiotherapy assessment of patients with chronic pain: The first step in pain neuroscience education. Physiother Theory Pract 2016;32(5):368-84.
8 Mills KM, Preston EB, Choffin Schmitt BM, Brochu HK, Schafer EA, Robinette PE, Sterling EK, Coronado RA. Embedding pain neuroscience education in the physical therapy management of patients with chronic plantar fasciitis: a prospective case series. J Man Manip Ther. 2021;29(3):158-67
9 Louw A, Zimney K, Puentedura EJ, Diener I. The efficacy of pain neuroscience education on musculoskeletal pain: a systematic review of the literature. Physiother Theory Pract. 2016;32(5):332-55.
10 Malfliet A, Kregel J, Meeus M, Roussel N, Danneels L, Cagnie B, Dolphens M, Nijs J. Blended-learning pain neuroscience education for people with chronic spinal pain: randomized controlled multicenter trial. Phys Ther. 2018;98(5):357-68.
11 O’Keeffe M, O’Sullivan P, Purtill H, Bargary N, O’Sullivan K. Cognitive functional therapy compared with a group-based exercise and education intervention for chronic low back pain: a multicentre randomised controlled trial (RCT). Br J Sports Med. 2020;54(13):782-9.
12 Wood L, Hendrick PA. A systematic review and meta-analysis of pain neuroscience education for chronic low back pain: Short-and long-term outcomes of pain and disability. Eur J Pain. 2019;23(2):234-49.
13 Resolução no 516, de 20 de Março De 2020 - Teleconsulta, Telemonitoramento e Teleconsultoria [Internet]. Available from:
14 Lin J, Paganini S, Sander L, Lüking M, Ebert DD, Buhrman M, Andersson G, Baumeister H. An internet-based intervention for chronic pain. Dtsch Arztebl Int. 2017;114(41):681-8.
15 Axelsson E, Andersson E, Ljótsson B, Björkander D, Hedman-Lagerlöf M, Hedman-Lagerlöf E. Effect of internet vs face-to-face cognitive behavior therapy for health anxiety: a randomized noninferiority clinical trial. JAMA Psychiatry. 2020;77(9):915-24.
16 Romero-Blanco C, Rodríguez-Almagro J, Onieva-Zafra MD, Parra-Fernández ML, Prado-Laguna MDC, Hernández-Martínez A. Physical activity and sedentary lifestyle in university students: changes during confinement due to the covid-19 pandemic. Int J Environ Res Public Health. 2020;17(18):1-13.
17 Pong RW, DesMeules M, Heng D, Lagacé C, Guernsey JR, Kazanjian A, Manuel D, Pitblado JR, Bollman R, Koren I, Dressler MP, Wang F, Luo W. Patterns of health services utilization in rural Canada. Chronic Dis Inj Can. 2011;31(Suppl 1):1-36.
18 Bath B, Trask C, McCrosky J, Lawson J. A biopsychosocial profile of adult Canadians with and without chronic back disorders: a population-based analysis of the 2009-2010 Canadian community health surveys. Biomed Res Int. 2014;2014:919621.
19 Alan Lee C, Finnin K, Holdsworth L, Millette SD, Peterson CC. Report of the WCPT/INPTRA digital physical therapy World Confederation for. 2019;7(15):1-22
20 Dario AB, Moreti Cabral A, Almeida L, Ferreira ML, Refshauge K, Simic M, Pappas E, Ferreira PH. Effectiveness of telehealth-based interventions in the management of non-specific low back pain: a systematic review with meta-analysis. Spine J. 2017;17(9):1342-51.
21 Nelson M, Bourke M, Crossley K, Russell T. Telerehabilitation is non-inferior to usual care following total hip replacement - a randomized controlled non-inferiority trial. Physiotherapy. 2019;107:19-27.
22 Nissen L, Lindhardt T. A qualitative study of COPD-patients’ experience of a telemedicine intervention. Int J Med Inform. 2017;107:11-7.
23 Hanlon P, Daines L, Campbell C, Mckinstry B, Weller D, Pinnock H. Telehealth interventions to support self-management of long-term conditions: a systematic metareview of diabetes, heart failure, asthma, chronic obstructive pulmonary disease, and cancer. J Med Internet Res. 2017;19(5):e172.
24 Puntillo F, Giglio M, Brienza N, Viswanath O, Urits I, Kaye AD, Pergolizzi J, Paladini A, Varrassi G. Impact of COVID-19 pandemic on chronic pain management: looking for the best way to deliver care. Best Pract Res Clin Anaesthesiol. 2020;34(3):529-37.
25 von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-9.
26 Reis FJJ, Bengaly AGC, Valentim JCP, Santos LC, Martins EF, O’Keeffe M, Meziat-Filho N, Nogueira LC. An E-Pain intervention to spread modern pain education in Brazil. Braz J Phys Ther. 2017;21(5):305-6.
27 de Fátima Costa Oliveira N, Oliveira Pena Costa L, Nelson R, Maher CG, Beattie PF, de Bie R, Oliveira W, Camara Azevedo D, da Cunha Menezes Costa L. Measurement properties of the Brazilian Portuguese version of the MedRisk instrument for measuring patient satisfaction with physical therapy care. J Orthop Sports Phys Ther. 2014;44(11):879-89.
28 Leão Ferreira KA, Bastos TR, Andrade DC, Silva AM, Appolinario JC, Teixeira MJ, Latorre MD. Prevalence of chronic pain in a metropolitan area of a developing country: a population-based study. Arq Neuropsiquiatr. 2016;74(12):990-8.
29 Hayar MASP, Salimene AC de M, Karsch UM, Imamura M. Envelhecimento e dor crônica: um estudo sobre mulheres com fibromialgia. Acta Fisiátrica. 2014;21(3):107-12.
30 Grace-Farfaglia P. Social cognitive theories and electronic health design: scoping review. JMIR Hum Factors. 2019;6(3):e11544.
31 Keogh E, Rosser BA, Eccleston C. e-Health and chronic pain management: current status and developments. Pain. 2010;151(1):18-21.
32 Grossman LV, Masterson Creber RM, Ancker JS, Ryan B, Polubriaginof F, Qian M, Alarcon I, Restaino S, Bakken S, Hripcsak G, Vawdrey DK. Technology access, technical assistance, and disparities in inpatient portal use. Appl Clin Inform. 2019.10(1):40-50.
33 Reiners F, Sturm J, Bouw LJW, Wouters EJM. Sociodemographic factors influencing the use of ehealth in people with chronic diseases. Int J Environ Res Public Health. 2019;16(4):645.
34 Paasche-Orlow MK, Riekert KA, Bilderback A, Chanmugam A, Hill P, Rand CS, Brancati FL, Krishnan JA. Tailored education may reduce health literacy disparities in asthma self-management. Am J Respir Crit Care Med. 2005;172(8):980-6.
35 Yadav UN, Hosseinzadeh H, Lloyd J, Harris MF. How health literacy and patient activation play their own unique role in self-management of chronic obstructive pulmonary disease (COPD)? Chron Respir Dis. 2019;16:1479973118816418.
36 Erden A, Topbaş M. Turkish validity and reliability of the patient satisfaction scale in physiotherapy for patients with musculoskeletal pain. J Back Musculoskelet Rehabil. 2019;32(2):197-203.
37 Cordeiro De Medeiros F, Oliveira Pena Costa L, De Fátima N, Oliveira C, Da L, Menezes Costa C. Satisfação de pacientes que recebem cuidados fisioterapêuticos para condições musculoesqueléticas: um estudo transversal. Fisioter Pesqui. 2016;23(1):105-10.
38 Manzoni ACT, Fagundes FRC, Fuhro FF, Cabral CMN. Translation, cross-cultural adaptation to brazilian portuguese, and analysis of measurement properties of the consultation and relational empathy measure. J Chiropr Med. 2019;18(2):106-14.
39 De Paula DAG, Piatti NCTP, Costa LM, Chiavegato LD. Satisfaction levels with physical therapy in hospitalized patients. Braz J Phys Ther. 2020;;24(2):118-23.
40 Diener I, Kargela M, Louw A. Listening is therapy: patient interviewing from a pain science perspective. Physiother Theory Pract. 2016;32(5):356-67.
41 Granados-Gámez G, Sáez-Ruiz IM, Márquez-Hernández VV, Ybarra-Sagarduy JL, Aguilera-Manrique G, Gutiérrez-Puertas L. Systematic review of measurement properties of self-reported instruments for evaluating therapeutic communication. West J Nurs Res. 2020;43(8):791-804.
42 Emerick T, Alter B, Jarquin S, Brancolini S, Bernstein C, Luong K, Morrisseyand S, Wasan A. Telemedicine for chronic pain in the COVID-19 era and beyond. Pain Med. 2020;21(9):1743-8.
43 Hohenschurz-Schmidt D, Scott W, Park C, Christopoulos G, Vogel S, Draper-Rodi J. Remote management of musculoskeletal pain: a pragmatic approach to the implementation of video and phone consultations in musculoskeletal practice. Pain Rep. 2020;5(6):e878.
44 Orlando JF, Beard M, Kumar S. Systematic review of patient and caregivers’ satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients’ health. PLoS One. 2019;14(8):e0221848.
45 Lee G, Adams R, Oh T-Y. Factor structure of a Korean-Language version of the patient satisfaction with procedural aspects of physical therapy instrument. J Korean Soc Phys Ther. 2013;25(3):160-6.
46 Galán-Martín MA, Montero-Cuadrado F, Lluch-Girbes E, Coca-López MC, Mayo-Iscar A, Cuesta-Vargas A. Pain neuroscience education and physical exercise for patients with chronic spinal pain in primary healthcare: a randomised trial protocol. BMC Musculoskelet Disord. 2019;20(1):505.
47 Saragiotto BT, Fioratti I, Tiedemann A, Hancock MJ, Yamato TP, Wang SSY, Chau JY, Lin CC. The effectiveness of strategies to promote walking in people with musculoskeletal disorders: a systematic review with meta-analysis. J Orthop Sports Phys Ther. 2020;50(11):597-606.
48 Kunstler BE, Cook JL, Freene N, Finch CF, Kemp JL, O’Halloran PD, Gaida JE. Physiotherapist-Led Physical activity interventions are efficacious at increasing physical activity levels: a systematic review and meta-analysis. Clin J Sport Med. 2018;28(3):304-15.
49 Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of COVID-19 home confinement on eating behaviour and physical activity: results of the ECLB-COVID19 International Online Survey. Nutrients. 2020;12(6):1583.
50 Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017;1(1):CD011279.
51 Amorim AB Amorim AB, Pappas E, Simic M, Ferreira ML, Jennings M, Tiedemann A, Carvalho-E-Silva AP, Caputo E, Kongsted A, Ferreira PH, Pappas E, Simic M, Ferreira ML, Jennings M, Tiedemann A. Integrating Mobile-health, health coaching, and physical activity to reduce the burden of chronic low back pain trial (IMPACT): a pilot randomised controlled trial. BMC Musculoskelet Disord. 2019;20(1):71.
52 Slattery BW, Haugh S, O’Connor L, Francis K, Dwyer CP, O’Higgins S, Egan J, McGuire BE. An evaluation of the effectiveness of the modalities used to deliver electronic health interventions for chronic pain: systematic review with network meta-analysis. J Med Internet Res. 2019;21(7):e11086.
Submitted date:
06/28/2022
Accepted date:
02/13/2023
Facebook
Google+
Twitter
LinkedIn
Mendeley
Email