Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain Rehabilitation
Chronic pain negatively impacts health, well-being, and social participation. Effective rehabilitation often hinges on long-term changes in pain-related perceptions and behaviors. However, there are important gaps in understanding how patients perceive these changes. The present pilot study addresse...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2016/9570581 |
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| author | Timothy H. Wideman Alice Boom Jennifer Dell’Elce Kate Bergeron Janick Fugère Xiangying Lu Geoff Bostick Heather C. Lambert |
| author_facet | Timothy H. Wideman Alice Boom Jennifer Dell’Elce Kate Bergeron Janick Fugère Xiangying Lu Geoff Bostick Heather C. Lambert |
| author_sort | Timothy H. Wideman |
| collection | DOAJ |
| description | Chronic pain negatively impacts health, well-being, and social participation. Effective rehabilitation often hinges on long-term changes in pain-related perceptions and behaviors. However, there are important gaps in understanding how patients perceive these changes. The present pilot study addresses this gap by using qualitative and quantitative methodologies to explore how patients perceive and experience changes in function, participation, and pain-related factors following a chronic pain rehabilitation program. A mixed-method design was used in which the core method was qualitative. Descriptive quantitative data was used to further characterize the sample. Semistructured interviews were conducted 1–6 months following treatment completion. Questionnaires were administered before and after treatment and at follow-up. Interview data was analyzed thematically. Participants’ individual descriptive data was compared to established cut-scores and criteria for change. A major theme of personal growth emerged in the qualitative analysis. Participants also discussed the factors that facilitated personal growth and the ongoing challenges to this growth. The quantitative data revealed limited improvement on measures of pain, disability, catastrophizing, and depression. These findings suggest that, despite limited improvement on treatment-related questionnaires, patients can experience an important and enduring sense of personal growth. Clinical and theoretical implications are discussed. |
| format | Article |
| id | doaj-art-3f8e5b9815654fe7b96724b3a9e548da |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-3f8e5b9815654fe7b96724b3a9e548da2025-08-20T03:35:53ZengWileyPain Research and Management1203-67651918-15232016-01-01201610.1155/2016/95705819570581Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain RehabilitationTimothy H. Wideman0Alice Boom1Jennifer Dell’Elce2Kate Bergeron3Janick Fugère4Xiangying Lu5Geoff Bostick6Heather C. Lambert7School of Physical and Occupational Therapy, McGill University, Montreal, QC, CanadaSchool of Physical and Occupational Therapy, McGill University, Montreal, QC, CanadaSchool of Physical and Occupational Therapy, McGill University, Montreal, QC, CanadaSchool of Physical and Occupational Therapy, McGill University, Montreal, QC, CanadaSchool of Physical and Occupational Therapy, McGill University, Montreal, QC, CanadaSchool of Physical and Occupational Therapy, McGill University, Montreal, QC, CanadaFaculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, CanadaSchool of Physical and Occupational Therapy, McGill University, Montreal, QC, CanadaChronic pain negatively impacts health, well-being, and social participation. Effective rehabilitation often hinges on long-term changes in pain-related perceptions and behaviors. However, there are important gaps in understanding how patients perceive these changes. The present pilot study addresses this gap by using qualitative and quantitative methodologies to explore how patients perceive and experience changes in function, participation, and pain-related factors following a chronic pain rehabilitation program. A mixed-method design was used in which the core method was qualitative. Descriptive quantitative data was used to further characterize the sample. Semistructured interviews were conducted 1–6 months following treatment completion. Questionnaires were administered before and after treatment and at follow-up. Interview data was analyzed thematically. Participants’ individual descriptive data was compared to established cut-scores and criteria for change. A major theme of personal growth emerged in the qualitative analysis. Participants also discussed the factors that facilitated personal growth and the ongoing challenges to this growth. The quantitative data revealed limited improvement on measures of pain, disability, catastrophizing, and depression. These findings suggest that, despite limited improvement on treatment-related questionnaires, patients can experience an important and enduring sense of personal growth. Clinical and theoretical implications are discussed.http://dx.doi.org/10.1155/2016/9570581 |
| spellingShingle | Timothy H. Wideman Alice Boom Jennifer Dell’Elce Kate Bergeron Janick Fugère Xiangying Lu Geoff Bostick Heather C. Lambert Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain Rehabilitation Pain Research and Management |
| title | Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain Rehabilitation |
| title_full | Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain Rehabilitation |
| title_fullStr | Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain Rehabilitation |
| title_full_unstemmed | Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain Rehabilitation |
| title_short | Change Narratives That Elude Quantification: A Mixed-Methods Analysis of How People with Chronic Pain Perceive Pain Rehabilitation |
| title_sort | change narratives that elude quantification a mixed methods analysis of how people with chronic pain perceive pain rehabilitation |
| url | http://dx.doi.org/10.1155/2016/9570581 |
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