Liddiard Katrina J, Raynor Annette J, Brown Cary A
School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia.
Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.
Br J Pain. 2024 Oct;18(5):403-417. doi: 10.1177/20494637241241780. Epub 2024 May 20.
Chronic pain is a complex biopsychosocial experience, and rehabilitation helps people to manage pain, and restore valued life roles. Evidence suggests that more positive outcomes occur when clients perceive their rehabilitation to be meaningful. People with chronic pain describe rehabilitation as personally-meaningful when they develop a genuine connection with a credible therapist who they see as a guiding partner, and when rehabilitation holds personal value, is self-defined, and relevant to their sense of self-identity. This paper presents a qualitative study of therapists' experience using an e-learning package on patient-defined, personally-meaningful rehabilitation.
A qualitative descriptive design was used to explore rehabilitation therapists' experience of a prototype evidence-informed, online resource developed on the basis of eLearning and web-design principles. Semi-structured interviews and focus groups were conducted with a purposive sample of occupational therapists and physiotherapists, and inductive coding and thematic analysis of transcripts was completed.
Twenty-four therapists (12 occupational therapists, 12 physiotherapists) participated, representing a mix of gender and experience (early career; experienced; and specialist). Four themes and 12 sub-themes emerged from the analysis. The resource delivered a positive user experience, which added (translational) value to enhance learning, and participants were highly positive about the future potential of the resource to translate chronic pain rehabilitation research for early career, experienced, and specialist rehabilitation therapists.
Results suggest that the disparate learning needs of rehabilitation therapists from diverse professional backgrounds and experience, may be addressed through the one resource. Participant feedback provides evidence that the resource fits with current models of learning and behaviour change. This study demonstrates the importance of basing online resources on eLearning and web-design principles to translate complex biopsychosocial chronic pain rehabilitation research for rehabilitation therapists.
慢性疼痛是一种复杂的生物心理社会体验,康复有助于人们管理疼痛并恢复有价值的生活角色。有证据表明,当患者认为他们的康复有意义时,会产生更积极的结果。慢性疼痛患者认为康复具有个人意义,是当他们与一位他们视为指导伙伴的可信治疗师建立起真正的联系时,以及当康复具有个人价值、是自我定义的且与他们的自我认同感相关时。本文呈现了一项关于治疗师使用电子学习包进行患者定义的、具有个人意义的康复体验的定性研究。
采用定性描述设计,以探究康复治疗师对基于电子学习和网页设计原则开发的循证原型在线资源的体验。对职业治疗师和物理治疗师的目的样本进行了半结构化访谈和焦点小组讨论,并完成了对访谈记录的归纳编码和主题分析。
24名治疗师(12名职业治疗师,12名物理治疗师)参与其中,代表了不同性别和经验(早期职业;有经验的;以及专家)的混合群体。分析得出了四个主题和12个子主题。该资源提供了积极的用户体验,增加了(转化)价值以促进学习,参与者对该资源将慢性疼痛康复研究转化为早期职业、有经验的和专家康复治疗师的未来潜力高度肯定。
结果表明,来自不同专业背景和经验的康复治疗师不同的学习需求,可能通过单一资源得到满足。参与者的反馈提供了证据,表明该资源符合当前的学习和行为改变模式。这项研究证明了基于电子学习和网页设计原则开发在线资源,以将复杂的生物心理社会慢性疼痛康复研究转化为康复治疗师可用知识的重要性。