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dc.contributor.authorHarding, G
dc.contributor.authorCampbell, John
dc.contributor.authorParsons, S
dc.contributor.authorRahman, A
dc.contributor.authorUnderwood, M
dc.date.accessioned2015-06-08T11:05:11Z
dc.date.issued2010-03-18
dc.description.abstractBACKGROUND: To explore how chronic musculoskeletal pain is managed in multidisciplinary pain clinics for patients for whom physical interventions are inappropriate or ineffective. METHODS: A qualitative study was undertaken using semi-structured interviews with twenty five members of the pain management team drawn from seven pain clinics and one pain management unit located across the UK. RESULTS: All clinics reported using a multidisciplinary bio-psychosocial model. However the chronic pain management strategy actually focussed on psychological approaches in preference to physical approaches. These approaches were utilised by all practitioners irrespective of their discipline. Consideration of social elements such as access to social support networks to support patients in managing their chronic pain was conspicuously absent from the approaches used. CONCLUSION: Pain clinic practitioners readily embraced cognitive/behavioural based management strategies but relatively little consideration to the impact social factors played in managing chronic pain was reported. Consequently multidisciplinary pain clinics espousing a bio-psychosocial model of pain management may not be achieving their maximum potential.en_GB
dc.description.sponsorshipArthritis Researchen_GB
dc.identifier.citationBMC Musculoskeletal Disorders, 2010, 11:51en_GB
dc.identifier.doi10.1186/1471-2474-11-51
dc.identifier.grantnumber17307en_GB
dc.identifier.urihttp://hdl.handle.net/10871/17444
dc.language.isoenen_GB
dc.publisherBioMed Centralen_GB
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/20298540en_GB
dc.rights© 2010 Harding et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en_GB
dc.subjectAttitude of Health Personnelen_GB
dc.subjectBehavior Therapyen_GB
dc.subjectBiofeedback, Psychologyen_GB
dc.subjectChronic Diseaseen_GB
dc.subjectCombined Modality Therapyen_GB
dc.subjectCultureen_GB
dc.subjectDecision Support Systems, Clinicalen_GB
dc.subjectDecision Support Techniquesen_GB
dc.subjectEducational Statusen_GB
dc.subjectGreat Britainen_GB
dc.subjectHumansen_GB
dc.subjectInterdisciplinary Communicationen_GB
dc.subjectModels, Psychologicalen_GB
dc.subjectMusculoskeletal Diseasesen_GB
dc.subjectPain Clinicsen_GB
dc.subjectPain, Intractableen_GB
dc.subjectPatient Acceptance of Health Careen_GB
dc.subjectPatient Care Teamen_GB
dc.subjectPhysician's Practice Patternsen_GB
dc.subjectPhysician-Patient Relationsen_GB
dc.subjectPsychologyen_GB
dc.subjectSocial Supporten_GB
dc.titleBritish pain clinic practitioners' recognition and use of the bio-psychosocial pain management model for patients when physical interventions are ineffective or inappropriate: results of a qualitative studyen_GB
dc.typeArticleen_GB
dc.date.available2015-06-08T11:05:11Z
dc.identifier.issn1471-2474
exeter.place-of-publicationEngland
dc.descriptionThis is a freely-available open access publication. Please cite the published version which is available via the DOI link in this record.en_GB
dc.identifier.journalBMC Musculoskeletal Disordersen_GB


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