Volume 6, Issue 1 (2021)                   IJMPP 2021, 6(1): 439-450 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Alipour V, Naderi F, Makvandi B, Pasha R, Asgari P. Barriers and Facilitators of Psychological Empowerment in Chronic Pain Management: A Grounded Theory Approach. IJMPP 2021; 6 (1) :439-450
URL: http://ijmpp.modares.ac.ir/article-32-48296-en.html
1- Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran.
Abstract:   (1689 Views)
Aim: Concerning the high prevalence of chronic pain and the remarkable role of psychological empowerment in chronic pain management, identifying factors influencing psychological empowerment in chronic pain management is of high importance. Hence, the current study aimed to explore the barriers and facilitators of using psychological empowerment in chronic pain management from health care providers and patients’ viewpoints.
Method and Materials: The grounded theory approach was applied using semi-structured interviews and observation of participants as the main methods for data collection. Fifteen members of the health care providers had a greater relationship with the psychotic dimensions of chronic pain management and 6 patients with chronic pain participated with purposive and theoretical sampling methods in Ahvaz city. Sampling was continued until data saturation and data analysis were performed concurrently with data gathering based on Corbin and Strauss’s proposed method. Data validity was confirmed via Lincoln and Guba’s approach.
Findings: Two themes of “emotional dysregulation” and “negative attitude towards pain”, were identified as barriers to psychological empowerment. Emotional dysregulation consisted of two subsets of the emotional synergy of pain and the inefficiency of symptomatic therapies. Negative
attitudes toward pain also consisted of subsets of false assumptions about pain and lack of self- efficacy. Two themes of “pain acceptance” and “finding the meaning of pain” were also identified as facilitators of psychological empowerment. In this regard, the content of pain acceptance consisted of subcategories of increasing awareness, reality acceptance, and a positive attitude toward pain. Two subcategories of values and pain love also created pain meaning themes.
Conclusion: To evaluate and properly manage chronic pain, consideration of the psychological dimensions of the pain, including barriers and facilitators of the psychological empowerment process, can be beneficial in designing a comprehensive care program to improve chronic management
Full-Text [PDF 462 kb]   (460 Downloads)    
Article Type: Qualitative Research | Subject: Musculoskeletal Pain Prevention
Received: 2020/12/12 | Accepted: 2020/12/27 | Published: 2021/03/12

References
1. Dorner TE. Pain and chronic pain epidemiology: Implications for clinical and public health fields. Wien. Klin. Wochenschr.. 2018;130(1-2):1-3. [DOI:10.1007/s00508-017-1301-0]
2. Montazeri A. Psychosocial determinants of chronic pain. IJMPP. 2017;2(2):231-232.
3. de Souza JB, Grossmann E, Perissinotti DMN, de Oliveira Junior JO, da Fonseca PRB, Posso IP. Prevalence of Chronic Pain, Treatments, Perception, and Interference on Life Activities: Brazilian Population-Based Survey. Pain Res Manag. 2017;2017:4643830. [DOI:10.1155/2017/4643830]
4. Alighias M, Tavafian SS, Niknami S. psychological intervention and pain severity among a sample of iranian nurses suffering from chronic low back pain: A randomized clinical trial. IJMPP. 2016;1(1):1-5.
5. Taghipour-Darzi M, Hosseini SR, Kia K, Abbaspour M, Ghadimi R. Prevalence of Musculoskeletal Pain and It's Correlation to Functional Disability in Elderly. Knowledge and Health. 2013:8(2):76-82.
6. Tehranizadeh M, Raiisi F. The Relationshipsbetween depression, self-efficacy, physical disability and chronic pain. IJMPP. 2020;5(3):373- 379.
7. Mathieson S, Wertheimer G, Maher C.G. what proportion of patients with chronic non cancer pain are prescribed an opioid medicine? Systematic review and meta-regression of observational studies. J. Intern. Med. 2020;287 (5):458-474 [DOI:10.1111/joim.13026]
8. Smith TJ, Hillner BE. The Cost of Pain The cost of pain was more than that of heart disease and cancer treatments. JAMA Netw Open. 2019;2(4):e191532. [DOI:10.1001/jamanetworkopen.2019.1532]
9. Ballantyne JC, Fishman SM, Rathmell J . Bonica's Management of Pain .5th Edition. Lippincott Williams and Wilkins; Publication City/Country, Philadelphia, United States.2018.
10. Park R, Ho AM, Pickering G, Arendt-Nielsen L, Mohiuddin M, Gilron I. Magnesium for the Management of Chronic Noncancer Pain in Adults: Protocol for a Systematic Review. JMIR Res Protoc. 2019;8(1):e11654. [DOI:10.2196/11654]
11. Yongjun Z, Tingjie Z, Xiaoqiu Y, Zhiying F, Feng Q, Guangke X, et al. A survey of chronic pain in China. Libyan J Med. 2020;15(1):1730550. [DOI:10.1080/19932820.2020.1730550]
12. Cheatle MD. Bio psychosocial Approach to Assessing and Managing Patients with Chronic Pain. Med Clin N Am. 2016;100(1):43-53. [DOI:10.1016/j.mcna.2015.08.007]
13. Kamper SJ, Apeldoorn AT, Chiarotto A, Smeets RJ, Ostelo RW, Guzman J, et al. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and metaanalysis. BMJ. 2015;350:h444. [DOI:10.1136/bmj.h444]
14. Vanhaudenhuyse A, Gillet A, Malaise N, Salamun I, Grosdent S, Maquet D, et al. Psychological interventions influence patients' attitudes and beliefs about their chronic pain. J Tradit Complement Med. 2018;8(2):296-302. [DOI:10.1016/j.jtcme.2016.09.001]
15. Devan H, Hale L, Hempel D, Saipe B, Perry MA. What Works and Does Not Work in a SelfManagement Intervention for People with Chronic Pain? Qualitative Systematic Review and Meta-Synthesis. Phys Ther. 2018;98(5):381-97. [DOI:10.1093/ptj/pzy029]
16. Bailo L, Guiddi P, Vergani L, Marton G, Pravettoni G. The patient perspective: investigating patient empowerment enablers and barriers within the oncological care process. Ecancermedicalscience. 2019;13:912. [DOI:10.3332/ecancer.2019.912]
17. World Health Organization. A European policy framework and strategy for the 21st century World Heal Organ 182 .2013.
18. Small N, Bower P, Chew-Graham CA, Whalley D, Protheroe J. Patient empowerment in longterm conditions: development and preliminary testing of a new measure. BMC Health Serv Res. 2013;13:263. [DOI:10.1186/1472-6963-13-263]
19. Marshall Rio J. Understanding Motivation and Emotion. Mohammadi SY. (Persian). Tehran: Virayesh Publication; 2017.
20. Mirbagheri N, Memarian R, Mohamadi E. Effects of regular walking programme on quality of life of elderly patients with moderate COPD [Persian]. Ofogh Danesh. 2009;14(4):19-26.
21. Murphy K, Casey D, Devane D, Cooney A, McCarthy B, Mee L, et al. A cluster randomised controlled trial evaluating the effectiveness of a structured pulmonary rehabilitation education programme for improving the health status of people with chronic obstructive pulmonary disease (COPD): The PRINCE Study protocol. BMC Pulm Med. 2011;11:4. [DOI:10.1186/1471-2466-11-4]
22. Heidari GA, Tavafian SS. The relationship between anxiety and chronic pain: a cross- sectional study from Yazd, Iran. IJMPP. 2016;1(2):87-92.
23. Cerezo PG, Juvé-Udina ME, Delgado-Hito P. Concepts and measures of patient empowerment: a comprehensive review. Rev Esc Enferm USP 2016; 50(4):664- 671. [DOI:10.1590/S0080-623420160000500018]
24. Te Boveldt N, Vernooij-Dassen M, Leppink I, Samwel H, Vissers K, Engels Y. Patient empowerment in cancer pain management: an integrative literature review. Psychooncology. 2014;23(11):1203-11. [DOI:10.1002/pon.3573]
25. Riazi H, Tehranian N, Ziaei S et al. Perception and Experiences of Patients with Endometriosis about Pain: A Qualitative Study (Persian). J Mazandaran Univ Med Sci. 2015;25(129):57-69.
26. Holloway I, Wheeler S. Qualitative research in nursing. 3rd Edition. Oxford. Wiley-Blackwell. 2009
27. Streubert HJ, Carpenter DR. Qualitative Research in Nursing: Advancing the Humanistic Perspective. 3rd ed. Philadelphia: Lippincott Co. 2003;25:107-112.
28. Adib haj bagheri M. Grounded theory methodology. Way of theorizing in humanities and health sciences (Persian). Tehran. Boshra Publications. 2006:67.
29. Corbin J.M, Strauss A.L Basics of qualitative research: Techniques and procedures for developing grounded theory: Sage Publications, Inc. 2008 [DOI:10.4135/9781452230153]
30. Brayda WC, Boyce TD. So, you really want to interview me? navigating "sensitive" qualitative research interviewing. Int J Qual Methods. 2014;13(1):318-34. [DOI:10.1177/160940691401300115]
31. Young JC, Rose DC, Mumby HS, Benitez-Capistros F, Derrick CJ, Finch T, et al. A methodological guide to using and reporting on interviews in conservation science research. Methods Ecol Evol. 2018;9(1):10-9. [DOI:10.1111/2041-210X.12828]
32. Polit DF, Beck CT. Nursing Research. 10th ed. New Delhi, India: Wolter Kluwer; 2017.
33. Johanson S, Bejerholm U. The role of empowerment and quality of life in depression severity among unemployed people with affective disorders receiving mental healthcare, Disability and Rehabilitation. 2017;39(18):1807-1813. 34 [DOI:10.1080/09638288.2016.1211758]
34. Özbaş AA, Tel H. The effect of a psychological empowerment program based on psychodrama on empowerment perception and burnout levels in oncology nurses: Psychological empowerment in oncology nurses. Palliat Support Care. 2016;14(4):393-401. [DOI:10.1017/S1478951515001121]
35. Jerofke-Owen T, Bull M. Nurses' Experiences Empowering Hospitalized Patients West J Nurs Res. 2018;40(7):961-975. [DOI:10.1177/0193945917701395]
36. Abrahams N, Gilson L, Levitt N S. Factors that influence patient empowerment in inpatient chronic care: early thoughts on a diabetes care intervention in South Africa. BMC Endocrine Disorders. 2019;19(1):133-144. [DOI:10.1186/s12902-019-0465-1]
37. Dehghani M, Khajeh Rasouli M. Chronic pain. Understanding pain and its management methods. Roshd Pub. First edition. 2016.
38. Vanhaudenhuyse A, Gillet A, Malaise N, Salamun I, Grosdent S, Maquet D, et al. Psychological interventions influence patients' attitudes and beliefs about their chronic pain. J Tradit Complement Med. 2018;8(2):296-302. [DOI:10.1016/j.jtcme.2016.09.001]
39. Bostick GP, Carroll LJ, Brown CA, Harley D, Gross DP. Predictive capacity of pain beliefs and catastrophizing in Whiplash Associated Disorder. Injury. 2013;44(11):1465-71. [DOI:10.1016/j.injury.2012.10.007]
40. Tangen SF, Helvik AS, Eide H, Fors EA. Pain acceptance and its impact on function and symptoms in fibromyalgia. Scand J Pain. 2020;20(4):727-36. [DOI:10.1515/sjpain-2020-0049]
41. Lami MJ, Martínez MP, Miró E, Sánchez AI, Guzmán MA. Catastrophizing, Acceptance, and Coping as Mediators Between Pain and Emotional Distress and Disability in Fibromyalgia. J Clin Psychol Med Settings. 2018;25(1):80-92. [DOI:10.1007/s10880-018-9543-1]
42. McCracken LM, Eccleston C. Coping or acceptance: what to do about chronic pain? Pain. 2003; 105(1-2): 197-204. [DOI:10.1016/S0304-3959(03)00202-1]
43. Chou L, Ellis L, Papandony M, Seneviwickrama K, Cicuttini FM, Sullivan K, et al. Patients' perceived needs of osteoarthritis health information: A systematic scoping review. PLoS One. 2018;13(4):e0195489. [DOI:10.1371/journal.pone.0195489]
44. Castro EM, Van Regenmortel T, Vanhaecht K, Sermeus W, Van Hecke A. Patient empowerment, patient participation and patient-centeredness in hospital care: A concept analysis based on a literature review. Patient Educ Couns. 2016;99(12):1923-39. [DOI:10.1016/j.pec.2016.07.026]

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.