Canadian Adaptation of REVEAL(OT) for Chronic Pain Management: Rapid Qualitative Analysis Results

Background. Chronic pain brings on many lifestyle changes. Redesign your Everyday Activities and Lifestyle with Occupational Therapy (REVEAL(OT)) is an evidence-based Danish intervention that benefits the daily functioning of individuals living with chronic pain. Purpose. To understand the perspectives of patients, clinicians and managers about REVEAL(OT) and identify format- and content-related modifications that are necessary to adapt to the Canadian context. Method. Based on a qualitative descriptive approach, focus groups and individual interviews with partners (n = 45 participants in total) were conducted in two Montreal specialized pain clinics. The interview guide was inspired by Proctor's implementation model and a qualitative rapid analysis was performed. Findings. Participants recognized the need for (a) a flexible, personalized and hands-on intervention, (b) integrating multimodal approaches, (c) support to develop and implement healthy life habits, (d) addressing gaps in care supporting the need for an OT intervention, and (e) pragmatic organisational considerations for implementation. Conclusion. REVEAL(OT) is capable of addressing the occupational needs of patients but adaptations are required to fit within a new healthcare ecosystem. Our findings promote the use of lifestyle-oriented interventions along with current care and will generate the initial intervention manual to be tested and refined.