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Acceptability of multimodal and multidisciplinary group-based program for chronic low back pain: a qualitative study
Mirari Ochandorena-Acha1,2, Anna Dalmau-Roig3, Christian Dürsteler3,4
1Research group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), Vic, Spain.
Participants found the PAINDOC Program effective for chronic low back pain management, valuing its active coping strategies and self-management improvements. The program
Area of Science:
- Pain Management
- Chronic Pain Interventions
- Qualitative Research
Background:
- The Programa d'Atenció Integral pels Pacients amb Dolor Crònic (PAINDOC) is a multimodal, multidisciplinary program for chronic low back pain.
- It integrates pain neuroscience education, mindfulness, psychotherapy, Empowered Relief, and therapeutic exercise.
Purpose of the Study:
- To explore participants' retrospective acceptability of the PAINDOC Program.
- To gather insights into the effectiveness and integration of program components.
Main Methods:
- Qualitative study using purposive sampling for demographic variability.
- Data collected via three focus groups and four individual semi-structured interviews.
- Analysis employed reflexive thematic analysis, evaluated against the Therapeutic Framework of Acceptability.
Main Results:
- Participants reported positive feedback on active pain coping strategies and enhanced self-management.
- Tools from all program components were integrated, with emphasis varying by individual.
- Reported strategies included pain reconceptualization, positive self-talk, and problem-solving.
Conclusions:
- Findings offer valuable insights into the PAINDOC Program's acceptability.
- Results can guide future improvements and the development of similar chronic pain interventions.
