An investigation into patients perceptions of how their pain affects the daily lives and activities, and their perceptions on treatment outcomes, with regards to prognosis.
Item
- Title
- An investigation into patients perceptions of how their pain affects the daily lives and activities, and their perceptions on treatment outcomes, with regards to prognosis.
- Author(s)
- Gray, L
- Abstract
- Background: Many studies have explored patient attitudes to pain and their prognosis, ranging from categorising maladaptive beliefs to looking for therapies or different approaches that may prove helpful to patients. Objective: The question posed here is whether a direct link can be drawn between a patients perceptions of their pain, and how their pain affects them, with prognosis of treatment at the European School of Osteopathy (ESO) clinic. Design: Phenomenological design with thematic analysis of data collected from semi structured interviews. Method: Semi-structured interviews were carried out with 11 patients currently attending the ESo clinic. lnclusion criteria was based on continuing participants, over 18 years, attending when the interviewer was on site. Transcripts were analysed thematically in a phenomenological approach and categorised; using the Survey of Pain Attitudes (SOPA), originally designed by Jensen M.P., et al. (1994) Numerical score were given for answers in each subgroup in order to identify participants with multiple maladaptive beliefs. This was then compared with the participants progression of treatment, gained by using the Verbal Rating Scale (VRS). Results: There was no link found between participants having maladaptive thoughts or beliefs towards their pain and the progression of treatment at the ESO clinic. Visually and statistically no correlation was found, however this could be due to the methodology adopted. One participant (11) did show indication of having multiple maladaptive thoughts and slow progression, however this is insufficient evidence. Discussion: Although this study showed no relationship between perceptions and progression of treatment, previous much larger studies (Akerblom S., et al, 2017, Davey E.S, et al., 2016, Johnson Shen A, et al., 2013) showed a link between both psychology of a patient and pain, and positive effects treating with multiple disciplines (Jongen PJ., et al,2017, Thorsell Cederberg J., et al, 2015, Hakim E., et al, 2017). This indicates that the methodology of this study tn particular was not conducive to obtaining reliable and valid data. Conclusion: ln terms of continuing this research, should the SOPA be adapted to interview, leading questions should be avoided. Demand characteristics were a potential flaw of this study, so interviews should be designed to keep these to an absolute minimum. However, the author believes that participants are able to more freely give their opinions in an interview setting, rather than questionnaire, so would recommend interviews as a useful method.
- presented at
- European School of Osteopathy
- Date Accepted
- 2018
- Date Submitted
- 25.1.2019 17:18:25
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16396
- Inst-Identifier
- 1229
- Keywords
- Pain
- Recommended
- 0
- Item sets
- Thesis
Gray, L, “An investigation into patients perceptions of how their pain affects the daily lives and activities, and their perceptions on treatment outcomes, with regards to prognosis.”, Osteopathic Research Web, accessed May 6, 2024, https://www.osteopathic-research.com/s/orw/item/368