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Prehabilitation: The underutilised weapon for chronic pain management
Lydia V Tidmarsh1, Richard Harrison2, Katherine A Finlay1
1School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK.
British Journal of Pain
|August 2, 2024
Summary
Psychological prehabilitation can improve chronic pain management by addressing patient expectations and self-efficacy during treatment waitlists. This proactive approach prevents decline and enhances engagement, reducing healthcare use.
Area of Science:
- Pain Management
- Psychological Interventions
- Health Services Research
Background:
- Prehabilitation is underutilized in outpatient chronic pain management despite its preoperative success.
- Waitlists for pain management are linked to patient attrition and declines in psychological and physical health.
- The period between diagnosis and treatment commencement is an under-explored opportunity for intervention.
Purpose of the Study:
- To review the effectiveness of psychological prehabilitation in pain services.
- To evaluate psychological and physical decline during chronic pain treatment waitlists.
- To identify psychological targets for improving treatment engagement and personalized pain medicine.
Main Methods:
- A topical review of studies on waitlist impacts and prehabilitation for chronic pain.
- Analysis of psychological constructs influencing patient outcomes during wait periods.
Main Results:
- Patient expectations, locus of control, self-efficacy, and pain catastrophizing significantly impact attrition and engagement.
- These psychological factors are modifiable, indicating potential for targeted waitlist interventions.
- Identifying psychosocial risk factors can guide support for patients at higher risk of treatment failure.
Conclusions:
- Psychological prehabilitation can prevent declines and improve treatment engagement for chronic pain patients.
- Utilizing waitlists to identify and address psychosocial risk factors enhances personalized care.
- Pain services must proactively adopt prehabilitation strategies for improved patient outcomes.
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