Hemakumar Devan|Leigh Hale|Dagmar Hempel|Barbara Saipe|Meredith Perry
What Works and Does Not Work in a Self-Management Intervention for People With Chronic Pain? Qualitative Systematic Review and Meta-Synthesis
University of Otago|University of Otago|Capital and Coast District Health Board|University of Otago
selfmanagement interventions fostering selfefficacy improve wellbeing people chronic painthe purpose study synthesize enablers works barriers incorporating selfmanagement strategies people everyday life completion pain selfmanagement interventionmajor electronic databases medline amed psycinfo cochrane library pubmed cinahl scopus google scholar searched inception july 2016study selection included qualitative mixedmethod studies explored perceptions individuals chronic pain completion selfmanagement interventiona thematic analysis approach used synthesize review findings confidence evidence reviews qualitative research cerqual approach used assess level confidencethirtythree studies 512 participants included enablers selfmanagement included selfdiscoverythe ability distinguish self ie body thoughts feelings pain feeling empowered incorporating selfmanagement strategies practice supportive ambience via collaborative relationships clinicians support family friends barriers selfmanagement included difficulty sustaining motivation pain selfmanagement distress experienced ongoing pain anxiety depression unsupportive relationships clinicians family friendsthis review included interventions involved least 4 selfmanagement skills thus informative studies may missed followup period varied immediately intervention 72 months following intervention therefore uncertain key enablers barriers influential long term articles published english language included studies conducted low middleincome countries could locatedthe sustained effort selfmanage chronic pain could exhausting motivation could wane time following intervention providing intermittent support form booster sessions peer support groups may important personcentered care via shared decision making guided problem solving essential facilitating ongoing selfmanagement